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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

Hospitals in California

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

Location
California
Specific hospitals up to 10
Average payment across these 245 hospitals
$15,543National $12,050 · California $15,543
Median hospital
$14,364
Lowest to highest
$8,848–$76,791
Medicare stays
26,610

245 hospitals reported at least 11 Medicare stays for this in 2024; showing 201–245. Download as CSV

Medicare payments per case for Heart failure and shock with MCC by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
San Joaquin General HospitalFrench Camp, CA · CCN 05016738$17,55846% above the national average$15,867$152,311
Kaiser Foundation Hospital-San JoseSan Jose, CA · CCN 05060419$17,69847% above the national average$8,998$42,858
Scripps Green HospitalLa Jolla, CA · CCN 05042443$17,70347% above the national average$12,877$72,555
Kaiser Foundation Hospital And Rehab CenterVallejo, CA · CCN 05007321$17,84648% above the national average$13,504$123,258
Riverside University Health System-Medical CenterMoreno Valley, CA · CCN 05029293$17,88148% above the national average$16,672$94,437
UCSF Health Saint Francis HospitalSan Francisco, CA · CCN 05015224$18,01650% above the national average$16,672$116,663
Kaiser Foundation Hospital - Orange County - AnaheimAnaheim, CA · CCN 05060927$18,23051% above the national average$8,996$63,595
Arrowhead Regional Medical CenterColton, CA · CCN 05024561$18,57854% above the national average$16,936$64,888
Santa Monica - UCLA Medical Center & Orthopaedic HospitalSanta Monica, CA · CCN 050112168$18,63355% above the national average$16,666$108,691
UCSF Health St. Mary's HospitalSan Francisco, CA · CCN 05045786$18,73155% above the national average$16,569$143,614
Barton Memorial HospitalSouth Lake Tahoe, CA · CCN 05035217$18,89057% above the national average$17,186$105,133
Kaiser Foundation Hospital - Los AngelesLos Angeles, CA · CCN 05013839$19,06258% above the national average$11,651$71,672
Cedars-Sinai Medical CenterLos Angeles, CA · CCN 050625575$19,50462% above the national average$15,364$233,054
Kaiser Foundation Hospital - Panorama CityPanorama City, CA · CCN 05013723$19,57362% above the national average$8,133$61,562
Loma Linda University Medical CenterLoma Linda, CA · CCN 050327189$20,96574% above the national average$16,469$84,343
Kaiser Foundation Hospital - Baldwin ParkBaldwin Park, CA · CCN 05072325$21,07275% above the national average$9,766$47,519
Kaiser Foundation Hospital - SacramentoSacramento, CA · CCN 05042554$21,11375% above the national average$12,178$69,550
Kaiser Foundation Hospital South SacramentoSacramento, CA · CCN 05067437$21,23276% above the national average$17,926$93,187
Uci Health-OrangeOrange, CA · CCN 050348137$21,70680% above the national average$17,915$96,845
California Pacific Medical Center- Van Ness CampusSan Francisco, CA · CCN 050047127$21,96782% above the national average$16,500$70,495
Santa Clara Valley Medical CenterSan Jose, CA · CCN 050038285$22,18284% above the national average$20,269$114,368
Kaiser Foundation Hospital MantecaManteca, CA · CCN 05074820$22,77189% above the national average$8,605$80,234
Kaiser Foundation Hospital - South BayHarbor City, CA · CCN 05041129$23,05891% above the national average$10,191$76,904
Kaiser Foundation Hospital - DowneyDowney, CA · CCN 05013931$23,33094% above the national average$13,308$86,041
University Of California Davis Medical CenterSacramento, CA · CCN 050599257$23,48495% above the national average$16,240$128,967
Kaiser Foundation Hospital - RosevilleRoseville, CA · CCN 05077237$23,51395% above the national average$15,741$132,407
Highland HospitalOakland, CA · CCN 050320112$23,97799% above the national average$22,373$103,803
Kaiser Foundation Hospital - Oakland/RichmondOakland, CA · CCN 05007587$24,843106% above the national average$16,277$80,698
Keck Hospital Of USCLos Angeles, CA · CCN 05069650$24,963107% above the national average$16,472$103,201
UCSan Diego Health Hillcrest - Hillcrest Medical CenterSan Diego, CA · CCN 050025237$25,704113% above the national average$17,251$100,370
Zuckerberg San Francisco General Hospital & Trauma CenterSan Francisco, CA · CCN 05022888$25,859115% above the national average$23,402$102,497
UCSF Medical CenterSan Francisco, CA · CCN 050454142$26,634121% above the national average$20,195$156,962
Kaiser Foundation Hospital - San FranciscoSan Francisco, CA · CCN 05007621$26,926123% above the national average$11,337$76,777
Lac/Harbor-UCLA Medical CenterTorrance, CA · CCN 05037683$30,080150% above the national average$23,993$71,966
Kaiser Foundation Hospital - South San FranciscoSouth San Francisco, CA · CCN 05007014$30,154150% above the national average$8,068$69,305
Los Angeles General Medical CenterLos Angeles, CA · CCN 05037391$31,166159% above the national average$25,962$79,685
Kaiser Foundation Hospital - AntiochAntioch, CA · CCN 05076030$31,268159% above the national average$15,961$106,846
Contra Costa Regional Medical CenterMartinez, CA · CCN 05027691$31,705163% above the national average$21,661$48,318
Memorial Hospital Los BanosLos Banos, CA · CCN 05052816$32,563170% above the national average$29,328$46,834
Stanford Health CareStanford, CA · CCN 050441309$32,903173% above the national average$25,938$300,529
Ronald Reagan UCLA Medical CenterLos Angeles, CA · CCN 050262147$33,060174% above the national average$23,336$131,874
Lac/Olive View-UCLA Medical CenterSylmar, CA · CCN 05004061$33,634179% above the national average$27,711$77,954
Kaiser Foundation Hospital - VacavilleVacaville, CA · CCN 05076717$36,114200% above the national average$11,065$80,537
Kaiser Foundation Hospital - San LeandroSan Leandro, CA · CCN 05077729$36,300201% above the national average$9,001$80,550
Kaiser Foundation Hospital-Santa ClaraSanta Clara, CA · CCN 05007126$76,791537% above the national average$16,024$194,326

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 careAverage paymentAverage 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
StateHospitalsCasesAverage paymentTypical range
Vermont6530$8,624$7,205–$8,483
Arkansas343,283$9,415$8,726–$10,035
Mississippi393,620$9,460$8,942–$10,481
Kentucky534,869$9,551$8,982–$10,111
Louisiana514,664$9,739$8,509–$10,365
Iowa282,899$9,839$8,941–$10,522
Alabama494,230$9,996$8,819–$10,109
Oklahoma484,164$9,999$9,144–$10,948
Kansas322,692$10,293$8,844–$11,376
Tennessee626,623$10,310$9,047–$10,655
Indiana717,335$10,316$9,598–$11,238
Montana10805$10,441$9,850–$10,503
North Dakota6842$10,494$10,256–$10,994
West Virginia212,071$10,504$8,859–$11,271
Nebraska201,742$10,527$9,358–$11,413
Missouri596,883$10,532$9,254–$11,570
Idaho11885$10,635$10,356–$11,616
Ohio10712,342$10,650$9,081–$11,274
South Carolina475,966$10,691$9,362–$12,203
Florida16223,493$10,713$9,469–$11,460
Wisconsin584,850$10,871$9,518–$11,045
Virginia6910,175$11,030$9,754–$11,392
Colorado382,510$11,055$10,002–$11,883
South Dakota11888$11,071$9,390–$11,439
New Hampshire131,723$11,075$9,825–$11,590
Pennsylvania11815,656$11,113$9,311–$11,630
New Mexico191,162$11,284$9,736–$12,669
North Carolina769,559$11,304$9,767–$11,094
Arizona484,873$11,458$9,896–$12,175
Utah231,228$11,493$9,403–$10,531
Michigan799,464$11,569$10,590–$11,945
Delaware61,767$11,734$11,118–$12,270
Minnesota454,298$11,754$10,108–$11,885
Illinois10515,144$11,807$9,926–$12,206
Texas19420,162$11,821$10,057–$12,097
Maine161,030$11,929$10,800–$12,873
Georgia789,106$11,997$10,246–$12,167
Washington445,302$12,124$11,153–$12,266
Nevada192,321$12,427$11,322–$13,526
Rhode Island9927$12,554$10,312–$13,226
New Jersey6011,041$12,802$11,259–$15,132
Oregon282,466$12,977$11,369–$13,841
Massachusetts5111,540$12,996$10,513–$14,354
Connecticut253,928$13,920$11,973–$13,882
Wyoming8488$14,218$14,134–$16,497
California24526,610$15,543$13,248–$16,171
District of Columbia6814$15,583$13,813–$18,333
New York12116,510$16,039$11,796–$17,776
Hawaii11745$16,278$14,928–$18,200
Alaska7537$16,280$15,082–$20,331
Maryland417,932$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.