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 2,401–2,450. 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
Kaiser Foundation Hospital - West LALos Angeles, CA · CCN 050561	23	$16,824	40% above the national average	$9,528	$54,363
Campbell County HealthGillette, WY · CCN 530002	37	$16,833	40% above the national average	$15,655	$30,746
Legacy Emanuel Medical CenterPortland, OR · CCN 380007	44	$16,842	40% above the national average	$14,981	$57,115
Saint Michael's Medical CenterNewark, NJ · CCN 310096	48	$16,892	40% above the national average	$14,761	$66,812
M Health Fairview University Of Mn Medical CenterMinneapolis, MN · CCN 240080	74	$16,898	40% above the national average	$11,736	$75,212
Riverside Community HospitalRiverside, CA · CCN 050022	114	$16,918	40% above the national average	$14,966	$153,920
Yale-New Haven HospitalNew Haven, CT · CCN 070022	423	$16,927	40% above the national average	$13,356	$58,301
Hilo Benioff Medical CenterHilo, HI · CCN 120005	78	$16,965	41% above the national average	$13,728	$40,932
Jefferson Einstein Philadelphia HospitalPhiladelphia, PA · CCN 390142	135	$16,965	41% above the national average	$12,600	$51,774
Martin Luther King, Jr. Community HospitalLos Angeles, CA · CCN 050779	96	$16,999	41% above the national average	$15,989	$176,960
Trinitas Regional Medical CenterElizabeth, NJ · CCN 310027	41	$17,006	41% above the national average	$15,408	$81,440
Community Hospital Of The Monterey PeninsulaMonterey, CA · CCN 050145	245	$17,010	41% above the national average	$15,289	$123,140
Sutter Santa Rosa Regional HospitalSanta Rosa, CA · CCN 050291	127	$17,077	42% above the national average	$14,719	$78,411
Mary Hitchcock Memorial HospitalLebanon, NH · CCN 300003	142	$17,091	42% above the national average	$13,268	$52,563
Nantucket Cottage HospitalNantucket, MA · CCN 220177	11	$17,104	42% above the national average	$15,917	$22,681
Hackensack University Medical CenterHackensack, NJ · CCN 310001	331	$17,105	42% above the national average	$13,870	$109,355
Advocate Illinois Masonic Medical CenterChicago, IL · CCN 140182	111	$17,117	42% above the national average	$11,859	$58,260
Mayo Clinic HospitalPhoenix, AZ · CCN 030103	329	$17,184	43% above the national average	$10,380	$47,146
Jersey City Medical CenterJersey City, NJ · CCN 310074	95	$17,187	43% above the national average	$13,240	$93,746
University Of Alabama HospitalBirmingham, AL · CCN 010033	167	$17,215	43% above the national average	$9,685	$56,844
Sutter Amador HospitalJackson, CA · CCN 050014	59	$17,217	43% above the national average	$14,865	$60,288
USA Health University HospitalMobile, AL · CCN 010087	28	$17,263	43% above the national average	$9,585	$27,676
Mercy Medical Center IncBaltimore, MD · CCN 210008	73	$17,288	43% above the national average	$15,436	$19,935
St Joseph's Medical Center Of StocktonStockton, CA · CCN 050084	173	$17,290	43% above the national average	$15,695	$113,063
Holy Cross HospitalSilver Spring, MD · CCN 210004	149	$17,299	44% above the national average	$15,734	$19,138
Hennepin County Medical CenterMinneapolis, MN · CCN 240004	37	$17,315	44% above the national average	$13,704	$52,251
Colusa Medical CenterColusa, CA · CCN 050783	17	$17,322	44% above the national average	$16,362	$35,382
HCA Houston Healthcare Medical CenterHouston, TX · CCN 450659	35	$17,328	44% above the national average	$8,846	$152,753
Temecula Valley HospitalTemecula, CA · CCN 050775	78	$17,400	44% above the national average	$15,183	$90,225
Carewell Health Medical CenterEast Orange, NJ · CCN 310083	11	$17,418	45% above the national average	$16,083	$88,711
North Hawaii Community Hospital, IncKamuela, HI · CCN 120028	27	$17,440	45% above the national average	$11,046	$60,402
Barnes Jewish HospitalSaint Louis, MO · CCN 260032	273	$17,470	45% above the national average	$12,227	$63,751
George Washington University HospitalWashington, DC · CCN 090001	154	$17,487	45% above the national average	$13,363	$134,734
UMass Memorial Medical Center/University CampusWorcester, MA · CCN 220163	379	$17,494	45% above the national average	$13,965	$53,316
San Joaquin General HospitalFrench Camp, CA · CCN 050167	38	$17,558	46% above the national average	$15,867	$152,311
Cleveland ClinicCleveland, OH · CCN 360180	347	$17,561	46% above the national average	$11,519	$78,374
MedStar Good Samaritan HospitalBaltimore, MD · CCN 210056	162	$17,568	46% above the national average	$16,002	$19,756
Henry Ford Health HospitalDetroit, MI · CCN 230053	206	$17,572	46% above the national average	$12,295	$36,060
University Of Maryland Shore Medical Center At EastonEaston, MD · CCN 210037	157	$17,646	46% above the national average	$16,462	$19,728
Duke University HospitalDurham, NC · CCN 340030	316	$17,678	47% above the national average	$11,641	$42,399
Kaiser Foundation Hospital-San JoseSan Jose, CA · CCN 050604	19	$17,698	47% above the national average	$8,998	$42,858
Scripps Green HospitalLa Jolla, CA · CCN 050424	43	$17,703	47% above the national average	$12,877	$72,555
Mt Sinai Hospital Medical CenterChicago, IL · CCN 140018	34	$17,750	47% above the national average	$15,774	$44,871
Flushing Hospital Medical CenterFlushing, NY · CCN 330193	79	$17,776	48% above the national average	$14,547	$29,088
OHSU Hospital And ClinicsPortland, OR · CCN 380009	79	$17,828	48% above the national average	$13,834	$62,657
Wilcox Memorial HospitalLihue, HI · CCN 120014	32	$17,834	48% above the national average	$12,931	$30,713
Kaiser Foundation Hospital And Rehab CenterVallejo, CA · CCN 050073	21	$17,846	48% above the national average	$13,504	$123,258
Riverside University Health System-Medical CenterMoreno Valley, CA · CCN 050292	93	$17,881	48% above the national average	$16,672	$94,437
Piedmont Hospital, IncAtlanta, GA · CCN 110083	255	$17,888	48% above the national average	$8,112	$59,152
North Shore University HospitalManhasset, NY · CCN 330106	455	$17,928	49% above the national average	$13,356	$144,582

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.