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 2,501–2,550. 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
Fairbanks Memorial HospitalFairbanks, AK · CCN 020012	48	$20,532	70% above the national average	$19,495	$53,799
Howard University Hospital CorpWashington, DC · CCN 090003	57	$20,567	71% above the national average	$14,568	$52,501
Hospital Of University Of PennsylvaniaPhiladelphia, PA · CCN 390111	146	$20,596	71% above the national average	$14,554	$169,901
Maui Memorial Medical CenterWailuku, HI · CCN 120002	73	$20,618	71% above the national average	$18,693	$42,696
John Dempsey Hospital Of The University Of ConnectFarmington, CT · CCN 070036	142	$20,635	71% above the national average	$16,933	$55,486
New York-Presbyterian HospitalNew York, NY · CCN 330101	958	$20,822	73% above the national average	$15,537	$152,227
University Of Illinois Hospital And ClinicsChicago, IL · CCN 140150	82	$20,841	73% above the national average	$14,642	$54,565
Sinai Hospital Of BaltimoreBaltimore, MD · CCN 210012	178	$20,854	73% above the national average	$19,621	$23,986
University Of Maryland Charles Regional Medical CenterLa Plata, MD · CCN 210035	124	$20,963	74% above the national average	$19,946	$19,018
Loma Linda University Medical CenterLoma Linda, CA · CCN 050327	189	$20,965	74% above the national average	$16,469	$84,343
Kaiser Foundation Hospital - Baldwin ParkBaldwin Park, CA · CCN 050723	25	$21,072	75% above the national average	$9,766	$47,519
Kaiser Foundation Hospital - SacramentoSacramento, CA · CCN 050425	54	$21,113	75% above the national average	$12,178	$69,550
University Medical Center New OrleansNew Orleans, LA · CCN 190005	53	$21,168	76% above the national average	$18,020	$72,058
Kaiser Foundation Hospital South SacramentoSacramento, CA · CCN 050674	37	$21,232	76% above the national average	$17,926	$93,187
Maimonides Medical CenterBrooklyn, NY · CCN 330194	362	$21,373	77% above the national average	$16,777	$126,442
University Of Virginia Medical CenterCharlottesville, VA · CCN 490009	269	$21,418	78% above the national average	$13,660	$66,105
Tufts Medical CenterBoston, MA · CCN 220116	121	$21,528	79% above the national average	$15,133	$45,334
South Brooklyn HealthBrooklyn, NY · CCN 330196	188	$21,686	80% above the national average	$18,382	$71,111
Uci Health-OrangeOrange, CA · CCN 050348	137	$21,706	80% above the national average	$17,915	$96,845
California Pacific Medical Center- Van Ness CampusSan Francisco, CA · CCN 050047	127	$21,967	82% above the national average	$16,500	$70,495
Cambridge Health AllianceCambridge, MA · CCN 220011	85	$22,034	83% above the national average	$19,694	$26,435
Jackson Health SystemMiami, FL · CCN 100022	346	$22,060	83% above the national average	$18,802	$65,145
Santa Clara Valley Medical CenterSan Jose, CA · CCN 050038	285	$22,182	84% above the national average	$20,269	$114,368
Medical College Of Virginia HospitalsRichmond, VA · CCN 490032	230	$22,298	85% above the national average	$11,682	$76,701
Larkin Community HospitalSouth Miami, FL · CCN 100181	28	$22,637	88% above the national average	$14,844	$97,579
Kaiser Foundation Hospital MantecaManteca, CA · CCN 050748	20	$22,771	89% above the national average	$8,605	$80,234
Johns Hopkins Bayview Medical CenterBaltimore, MD · CCN 210029	204	$22,797	89% above the national average	$21,163	$25,939
Kaiser Foundation Hospital - South BayHarbor City, CA · CCN 050411	29	$23,058	91% above the national average	$10,191	$76,904
Brooklyn Hospital Center - Downtown CampusBrooklyn, NY · CCN 330056	33	$23,067	91% above the national average	$15,983	$109,589
Dell Seton Medical Center At The University Of TxAustin, TX · CCN 450124	12	$23,212	93% above the national average	$21,167	$100,054
Bronxcare Hospital CenterBronx, NY · CCN 330009	54	$23,266	93% above the national average	$20,488	$33,412
Kaiser Foundation Hospital - DowneyDowney, CA · CCN 050139	31	$23,330	94% above the national average	$13,308	$86,041
MedStar Union Memorial HospitalBaltimore, MD · CCN 210024	185	$23,449	95% above the national average	$21,668	$27,174
University Of California Davis Medical CenterSacramento, CA · CCN 050599	257	$23,484	95% above the national average	$16,240	$128,967
Kaiser Foundation Hospital - RosevilleRoseville, CA · CCN 050772	37	$23,513	95% above the national average	$15,741	$132,407
Boston Medical CenterBoston, MA · CCN 220031	152	$23,713	97% above the national average	$19,671	$38,089
Highland HospitalOakland, CA · CCN 050320	112	$23,977	99% above the national average	$22,373	$103,803
Montefiore Medical CenterBronx, NY · CCN 330059	390	$24,163	101% above the national average	$15,597	$169,882
Bartlett Regional HospitalJuneau, AK · CCN 020008	21	$24,462	103% above the national average	$22,959	$69,054
Kaiser Foundation Hospital - Oakland/RichmondOakland, CA · CCN 050075	87	$24,843	106% above the national average	$16,277	$80,698
Keck Hospital Of USCLos Angeles, CA · CCN 050696	50	$24,963	107% above the national average	$16,472	$103,201
Truman Medical Center Hospital HillKansas City, MO · CCN 260048	32	$25,096	108% above the national average	$22,977	$22,468
Mount Sinai HospitalNew York, NY · CCN 330024	307	$25,110	108% above the national average	$17,472	$133,647
University Medical Center Of El PasoEl Paso, TX · CCN 450024	42	$25,257	110% above the national average	$23,497	$39,728
UCSan Diego Health Hillcrest - Hillcrest Medical CenterSan Diego, CA · CCN 050025	237	$25,704	113% above the national average	$17,251	$100,370
St John's Episcopal Hospital At South ShoreFar Rockaway, NY · CCN 330395	53	$25,793	114% above the national average	$17,337	$84,748
Zuckerberg San Francisco General Hospital & Trauma CenterSan Francisco, CA · CCN 050228	88	$25,859	115% above the national average	$23,402	$102,497
University Of Maryland Medical Center Midtown CampusBaltimore, MD · CCN 210038	35	$26,134	117% above the national average	$25,248	$28,918
University Of Maryland Shore Medical Center At ChestertownChestertown, MD · CCN 210030	14	$26,253	118% above the national average	$25,204	$28,793
University Health Lakewood Medical CenterKansas City, MO · CCN 260102	14	$26,352	119% above the national average	$22,657	$16,396

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.