Inpatient stay · MS-DRG 291

Heart failure and shock with MCC

In 2024, Medicare and patients paid an average of $12,050 per stay at 2,587 hospitals. Half of hospitals averaged between $9,780 and $12,873.

Also known as: Heart failure, CHF

National figures, 2024

Average payment per case: $12,050
Typical range (middle half of hospitals): $9,780–$12,873
Medicare’s share: $10,02283% of the payment
Average billed charge: $56,495
Hospitals reporting: 2,587304,694 stays

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2,587 hospitals reported at least 11 Medicare stays for this in 2024; showing 2,151–2,200. Download as CSV

Medicare payments per case for Heart failure and shock with MCC by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Lonesome Pine HospitalBig Stone Gap, VA · CCN 490114	36	$13,991	16% above the national average	$10,454	$29,036
Adventist Health SonoraSonora, CA · CCN 050335	68	$14,015	16% above the national average	$13,008	$93,924
Southern California Hospital At HollywoodHollywood, CA · CCN 050135	68	$14,017	16% above the national average	$12,984	$94,169
EvergreenHealth MonroeMonroe, WA · CCN 500084	35	$14,018	16% above the national average	$11,853	$25,501
University Of Toledo Medical CenterToledo, OH · CCN 360048	62	$14,022	16% above the national average	$9,041	$51,579
Doctors Hospital Of MantecaManteca, CA · CCN 050118	49	$14,039	17% above the national average	$13,041	$200,410
Presence Saint Joseph Hospital - ChicagoChicago, IL · CCN 140224	52	$14,049	17% above the national average	$10,448	$55,877
Montclair Hospital Medical CenterMontclair, CA · CCN 050758	15	$14,049	17% above the national average	$13,094	$57,693
Oakbend Medical CenterRichmond, TX · CCN 450330	22	$14,052	17% above the national average	$12,829	$35,769
Christus Spohn Hospital KlebergKingsville, TX · CCN 450163	26	$14,054	17% above the national average	$12,861	$46,828
Wellstar Kennestone Regional Medical CenterMarietta, GA · CCN 110035	424	$14,055	17% above the national average	$11,866	$87,141
Sentara Norfolk General HospitalNorfolk, VA · CCN 490007	251	$14,058	17% above the national average	$9,626	$50,754
Luminis Health Anne Arundel Medical Center, IncAnnapolis, MD · CCN 210023	741	$14,105	17% above the national average	$12,947	$15,203
Intermountain Medical CenterMurray, UT · CCN 460010	209	$14,115	17% above the national average	$9,634	$54,931
The Nebraska Medical CenterOmaha, NE · CCN 280013	122	$14,121	17% above the national average	$10,658	$37,056
Memorial Regional HospitalHollywood, FL · CCN 100038	185	$14,124	17% above the national average	$12,435	$104,639
Santa Barbara Cottage HospitalSanta Barbara, CA · CCN 050396	231	$14,163	18% above the national average	$12,898	$84,708
Geisinger Medical CenterDanville, PA · CCN 390006	195	$14,194	18% above the national average	$10,822	$95,248
Desoto Memorial HospitalArcadia, FL · CCN 100175	18	$14,213	18% above the national average	$13,034	$42,820
University Of Maryland Baltimore Washington Medical CenterGlen Burnie, MD · CCN 210043	240	$14,213	18% above the national average	$13,063	$15,385
Essentia Health St Marys - Detroit LakesDetroit Lakes, MN · CCN 240101	49	$14,220	18% above the national average	$13,220	$21,345
Monmouth Medical CenterLong Branch, NJ · CCN 310075	113	$14,223	18% above the national average	$11,387	$92,225
Dameron HospitalStockton, CA · CCN 050122	35	$14,225	18% above the national average	$13,248	$128,528
Ochsner LSU Health ShreveportShreveport, LA · CCN 190098	58	$14,238	18% above the national average	$11,523	$49,337
UT Health East Texas Henderson HospitalHenderson, TX · CCN 450475	13	$14,245	18% above the national average	$10,017	$48,784
Uci Health-LakewoodLakewood, CA · CCN 050581	84	$14,263	18% above the national average	$12,812	$211,897
Garrett Regional Medical CenterOakland, MD · CCN 210017	47	$14,267	18% above the national average	$13,121	$16,058
Houston Methodist HospitalHouston, TX · CCN 450358	513	$14,276	18% above the national average	$10,537	$91,730
Mary Rutan HospitalBellefontaine, OH · CCN 360197	24	$14,286	19% above the national average	$13,173	$18,157
Signature Healthcare Brockton HospitalBrockton, MA · CCN 220052	44	$14,287	19% above the national average	$11,179	$30,446
Cooper University HospitalCamden, NJ · CCN 310014	167	$14,292	19% above the national average	$11,782	$74,680
Providence St Joseph HospitalEureka, CA · CCN 050006	137	$14,298	19% above the national average	$12,756	$76,499
Mercy General HospitalSacramento, CA · CCN 050017	211	$14,315	19% above the national average	$12,694	$96,886
Mercy Medical CenterMerced, CA · CCN 050444	194	$14,318	19% above the national average	$12,612	$96,824
Val Verde Regional Medical CenterDel Rio, TX · CCN 450154	19	$14,331	19% above the national average	$13,301	$33,946
Cheyenne Regional Medical CenterCheyenne, WY · CCN 530014	132	$14,332	19% above the national average	$12,647	$38,916
Sequoia HospitalRedwood City, CA · CCN 050197	97	$14,336	19% above the national average	$13,002	$149,722
Chippewa County War Memorial HospitalSault Ste Marie, MI · CCN 230239	23	$14,338	19% above the national average	$13,344	$21,568
Eden Medical CenterCastro Valley, CA · CCN 050488	106	$14,344	19% above the national average	$12,550	$68,972
Los Angeles Community HospitalLos Angeles, CA · CCN 050663	69	$14,364	19% above the national average	$13,351	$70,295
Methodist Dallas Medical CenterDallas, TX · CCN 450051	95	$14,391	19% above the national average	$11,107	$51,992
Sharp Chula Vista Medical CenterChula Vista, CA · CCN 050222	193	$14,396	19% above the national average	$12,376	$108,956
St. Catherine Hospital - Garden CityGarden City, KS · CCN 170023	40	$14,398	19% above the national average	$12,288	$31,465
Christus Southern New MexicoAlamogordo, NM · CCN 320004	40	$14,411	20% above the national average	$13,138	$99,725
Baylor Scott & White Medical Center - TempleTemple, TX · CCN 450054	136	$14,413	20% above the national average	$10,335	$54,127
Froedtert Memorial Lutheran HospitalMilwaukee, WI · CCN 520177	201	$14,413	20% above the national average	$10,147	$44,346
Berkshire Medical CenterPittsfield, MA · CCN 220046	367	$14,422	20% above the national average	$12,390	$22,230
UPMC Presbyterian ShadysidePittsburgh, PA · CCN 390164	177	$14,435	20% above the national average	$10,368	$128,276
Kaleida HealthBuffalo, NY · CCN 330005	210	$14,448	20% above the national average	$11,677	$34,221
Mission Community HospitalPanorama City, CA · CCN 050704	33	$14,454	20% above the national average	$13,275	$81,326

National trend

Average payment and billed charge per stay, and how many Medicare stays were reported each year.

Average payment
Average billed charge

2020: 303,430 stays at 2,659 hospitals · 2021: 310,937 stays at 2,653 hospitals · 2022: 324,750 stays at 2,677 hospitals · 2023: 319,702 stays at 2,633 hospitals · 2024: 304,694 stays at 2,587 hospitals

View data as a table

National average payment and billed charge for Heart failure and shock with MCC
Year of care	Average payment	Average billed charge
2020	$11K	$48K
2021	$11K	$50K
2022	$11K	$51K
2023	$12K	$54K
2024	$12K	$56K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 51 states

Average payment by state for Heart failure and shock with MCC, 2024
State	Hospitals	Cases	Average payment	Typical range
Vermont	6	530	$8,624	$7,205–$8,483
Arkansas	34	3,283	$9,415	$8,726–$10,035
Mississippi	39	3,620	$9,460	$8,942–$10,481
Kentucky	53	4,869	$9,551	$8,982–$10,111
Louisiana	51	4,664	$9,739	$8,509–$10,365
Iowa	28	2,899	$9,839	$8,941–$10,522
Alabama	49	4,230	$9,996	$8,819–$10,109
Oklahoma	48	4,164	$9,999	$9,144–$10,948
Kansas	32	2,692	$10,293	$8,844–$11,376
Tennessee	62	6,623	$10,310	$9,047–$10,655
Indiana	71	7,335	$10,316	$9,598–$11,238
Montana	10	805	$10,441	$9,850–$10,503
North Dakota	6	842	$10,494	$10,256–$10,994
West Virginia	21	2,071	$10,504	$8,859–$11,271
Nebraska	20	1,742	$10,527	$9,358–$11,413
Missouri	59	6,883	$10,532	$9,254–$11,570
Idaho	11	885	$10,635	$10,356–$11,616
Ohio	107	12,342	$10,650	$9,081–$11,274
South Carolina	47	5,966	$10,691	$9,362–$12,203
Florida	162	23,493	$10,713	$9,469–$11,460
Wisconsin	58	4,850	$10,871	$9,518–$11,045
Virginia	69	10,175	$11,030	$9,754–$11,392
Colorado	38	2,510	$11,055	$10,002–$11,883
South Dakota	11	888	$11,071	$9,390–$11,439
New Hampshire	13	1,723	$11,075	$9,825–$11,590
Pennsylvania	118	15,656	$11,113	$9,311–$11,630
New Mexico	19	1,162	$11,284	$9,736–$12,669
North Carolina	76	9,559	$11,304	$9,767–$11,094
Arizona	48	4,873	$11,458	$9,896–$12,175
Utah	23	1,228	$11,493	$9,403–$10,531
Michigan	79	9,464	$11,569	$10,590–$11,945
Delaware	6	1,767	$11,734	$11,118–$12,270
Minnesota	45	4,298	$11,754	$10,108–$11,885
Illinois	105	15,144	$11,807	$9,926–$12,206
Texas	194	20,162	$11,821	$10,057–$12,097
Maine	16	1,030	$11,929	$10,800–$12,873
Georgia	78	9,106	$11,997	$10,246–$12,167
Washington	44	5,302	$12,124	$11,153–$12,266
Nevada	19	2,321	$12,427	$11,322–$13,526
Rhode Island	9	927	$12,554	$10,312–$13,226
New Jersey	60	11,041	$12,802	$11,259–$15,132
Oregon	28	2,466	$12,977	$11,369–$13,841
Massachusetts	51	11,540	$12,996	$10,513–$14,354
Connecticut	25	3,928	$13,920	$11,973–$13,882
Wyoming	8	488	$14,218	$14,134–$16,497
California	245	26,610	$15,543	$13,248–$16,171
District of Columbia	6	814	$15,583	$13,813–$18,333
New York	121	16,510	$16,039	$11,796–$17,776
Hawaii	11	745	$16,278	$14,928–$18,200
Alaska	7	537	$16,280	$15,082–$20,331
Maryland	41	7,932	$16,644	$13,925–$19,276

About these numbers

Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. Billed charges are the hospital’s list prices, which few patients pay.

Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.

Source: CMS Medicare Inpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 stays. More in the glossary.