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 2,451–2,500. 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
Rush University Medical CenterChicago, IL · CCN 140119	189	$17,941	49% above the national average	$13,870	$38,009
UCSF Health Saint Francis HospitalSan Francisco, CA · CCN 050152	24	$18,016	50% above the national average	$16,672	$116,663
Mount Sinai Beth IsraelNew York, NY · CCN 330169	187	$18,080	50% above the national average	$13,974	$113,449
Mayo Clinic Hospital RochesterRochester, MN · CCN 240010	451	$18,165	51% above the national average	$13,336	$54,121
Kaiser Foundation Hospital - Orange County - AnaheimAnaheim, CA · CCN 050609	27	$18,230	51% above the national average	$8,996	$63,595
Carepoint Health-Hoboken University Medical CenterHoboken, NJ · CCN 310040	32	$18,270	52% above the national average	$16,249	$261,287
The University Of Chicago Medical CenterChicago, IL · CCN 140088	247	$18,328	52% above the national average	$13,843	$78,214
MedStar Harbor HospitalBaltimore, MD · CCN 210034	133	$18,394	53% above the national average	$17,183	$21,110
Emory University HospitalAtlanta, GA · CCN 110010	191	$18,419	53% above the national average	$11,234	$55,739
Palisades Medical CenterNorth Bergen, NJ · CCN 310003	95	$18,517	54% above the national average	$14,242	$94,298
Alaska Native Medical CenterAnchorage, AK · CCN 020026	36	$18,522	54% above the national average	$17,706	$85,619
Brigham And Women's HospitalBoston, MA · CCN 220110	309	$18,556	54% above the national average	$14,053	$94,327
Eskenazi HealthIndianapolis, IN · CCN 150024	68	$18,566	54% above the national average	$16,880	$50,677
Kaiser Foundation HospitalHonolulu, HI · CCN 120011	21	$18,567	54% above the national average	$9,249	$42,399
Arrowhead Regional Medical CenterColton, CA · CCN 050245	61	$18,578	54% above the national average	$16,936	$64,888
MedStar Georgetown University HospitalWashington, DC · CCN 090004	65	$18,615	54% above the national average	$11,824	$65,929
SUNY/Stony Brook University HospitalStony Brook, NY · CCN 330393	514	$18,615	54% above the national average	$14,684	$107,742
Santa Monica - UCLA Medical Center & Orthopaedic HospitalSanta Monica, CA · CCN 050112	168	$18,633	55% above the national average	$16,666	$108,691
University Of Michigan Health SystemAnn Arbor, MI · CCN 230046	309	$18,660	55% above the national average	$11,982	$56,703
UCSF Health St. Mary's HospitalSan Francisco, CA · CCN 050457	86	$18,731	55% above the national average	$16,569	$143,614
Massachusetts General HospitalBoston, MA · CCN 220071	466	$18,760	56% above the national average	$13,441	$78,997
Denver Health & Hospital AuthorityDenver, CO · CCN 060011	25	$18,765	56% above the national average	$16,885	$65,652
Barton Memorial HospitalSouth Lake Tahoe, CA · CCN 050352	17	$18,890	57% above the national average	$17,186	$105,133
Brookdale Hospital Medical CenterBrooklyn, NY · CCN 330233	71	$19,017	58% above the national average	$15,803	$33,687
Kaiser Foundation Hospital - Los AngelesLos Angeles, CA · CCN 050138	39	$19,062	58% above the national average	$11,651	$71,672
St Johns Medical CenterJackson, WY · CCN 530015	23	$19,135	59% above the national average	$17,787	$31,958
Richmond University Medical CenterStaten Island, NY · CCN 330028	40	$19,225	60% above the national average	$16,161	$91,339
Wellstar McG Health, Affiliated With Medical ColAugusta, GA · CCN 110034	96	$19,238	60% above the national average	$13,600	$61,824
Nyu Langone HospitalsNew York, NY · CCN 330214	785	$19,264	60% above the national average	$14,673	$128,516
Adventist Healthcare White Oak Medical CenterSilver Spring, MD · CCN 210016	219	$19,276	60% above the national average	$16,695	$21,298
Mount Sinai WestNew York, NY · CCN 330046	150	$19,498	62% above the national average	$15,920	$125,049
Cedars-Sinai Medical CenterLos Angeles, CA · CCN 050625	575	$19,504	62% above the national average	$15,364	$233,054
North Carolina Baptist HospitalWinston-Salem, NC · CCN 340047	207	$19,560	62% above the national average	$11,333	$39,937
Kaiser Foundation Hospital - Panorama CityPanorama City, CA · CCN 050137	23	$19,573	62% above the national average	$8,133	$61,562
Beth Israel Deaconess Medical CenterBoston, MA · CCN 220086	396	$19,693	63% above the national average	$14,255	$40,476
Northwest Hospital CenterRandallstown, MD · CCN 210040	176	$19,700	63% above the national average	$18,343	$22,192
University Of Maryland Capital Region Medical CenterUpper Marlboro, MD · CCN 210003	82	$19,702	63% above the national average	$17,960	$20,435
Newark Beth Israel Medical CenterNewark, NJ · CCN 310002	68	$19,708	64% above the national average	$15,546	$134,505
Northern Light Inland HospitalWaterville, ME · CCN 200041	17	$19,747	64% above the national average	$18,887	$43,712
Lenox Hill HospitalNew York, NY · CCN 330119	171	$19,778	64% above the national average	$15,102	$148,632
UNC HospitalsChapel Hill, NC · CCN 340061	147	$19,791	64% above the national average	$12,780	$44,739
Larkin Community Hospital Palm Springs CampusHialeah, FL · CCN 100050	44	$19,815	64% above the national average	$13,282	$83,471
Jamaica Hospital Medical CenterJamaica, NY · CCN 330014	73	$19,884	65% above the national average	$15,486	$26,796
Strong Memorial HospitalRochester, NY · CCN 330285	145	$20,067	67% above the national average	$14,998	$47,631
Vanderbilt University Medical CenterNashville, TN · CCN 440039	182	$20,090	67% above the national average	$10,583	$75,047
Central Peninsula General HospitalSoldotna, AK · CCN 020024	80	$20,129	67% above the national average	$18,477	$54,099
Nassau University Medical CenterEast Meadow, NY · CCN 330027	33	$20,236	68% above the national average	$16,053	$90,371
Kona Community HospitalKealakekua, HI · CCN 120019	24	$20,323	69% above the national average	$19,099	$45,526
Harborview Medical CenterSeattle, WA · CCN 500064	24	$20,474	70% above the national average	$15,582	$97,906
Loyola University Medical CenterMaywood, IL · CCN 140276	154	$20,493	70% above the national average	$11,698	$61,394

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.