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.

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Year of care

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 1–50. 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
Palomar Medical Center PowayPoway, CA · CCN 050636	76	$8,848	27% below the national average	$7,797	$90,702
Palomar Health Downtown CampusEscondido, CA · CCN 050115	153	$10,128	16% below the national average	$8,960	$105,283
USC Arcadia HospitalArcadia, CA · CCN 050238	208	$10,679	11% below the national average	$9,431	$93,514
Kaiser Foundation Hospital - San MarcosSan Marcos, CA · CCN 050855	15	$11,219	About average	$10,242	$78,582
Goleta Valley Cottage HospitalSanta Barbara, CA · CCN 050357	13	$11,245	About average	$10,032	$38,353
Kaiser Foundation Hospital - Woodland HillsWoodland Hills, CA · CCN 050677	15	$11,413	About average	$10,158	$53,990
French Hospital Medical CenterSan Luis Obispo, CA · CCN 050232	120	$11,470	About average	$10,283	$68,393
USC Verdugo Hills HospitalGlendale, CA · CCN 050124	96	$11,561	About average	$10,649	$79,150
Adventist Health Twin CitiesTempleton, CA · CCN 050633	110	$11,779	About average	$10,637	$127,685
Chapman Global Medical CenterOrange, CA · CCN 050745	13	$11,845	About average	$10,496	$49,230
Huntington Beach HospitalHuntington Beach, CA · CCN 050526	25	$11,981	About average	$10,937	$49,211
Emanate Health Foothill Presbyterian HospitalGlendora, CA · CCN 050597	53	$11,983	About average	$10,916	$57,022
MemorialCare Saddleback Medical CenterLaguna Hills, CA · CCN 050603	137	$12,130	About average	$10,708	$95,834
Providence Mission HospitalMission Viejo, CA · CCN 050567	143	$12,173	About average	$10,964	$74,898
San Dimas Community HospitalSan Dimas, CA · CCN 050588	18	$12,179	About average	$11,114	$55,101
Hoag Memorial Hospital PresbyterianNewport Beach, CA · CCN 050224	341	$12,198	About average	$10,598	$55,678
Cedar-Sinai Marina Del Rey HospitalMarina Del Rey, CA · CCN 050740	72	$12,228	About average	$11,185	$95,059
Torrance Memorial Medical CenterTorrance, CA · CCN 050351	276	$12,307	About average	$11,119	$118,836
Adventist Health BakersfieldBakersfield, CA · CCN 050455	217	$12,317	About average	$11,264	$83,684
Tri-City Medical CenterOceanside, CA · CCN 050128	62	$12,323	About average	$11,334	$62,091
Enloe HealthChico, CA · CCN 050039	439	$12,339	About average	$11,360	$101,149
Adventist Health Simi ValleySimi Valley, CA · CCN 050236	112	$12,341	About average	$10,680	$105,743
Saint John's Health CenterSanta Monica, CA · CCN 050290	152	$12,342	About average	$10,743	$59,471
Scripps Memorial Hospital - EncinitasEncinitas, CA · CCN 050503	207	$12,379	About average	$10,928	$66,617
Sonoma Valley HospitalSonoma, CA · CCN 050090	21	$12,380	About average	$11,449	$66,194
Uci Health - Placentia LindaPlacentia, CA · CCN 050589	36	$12,396	About average	$11,354	$173,488
UCLA West Valley Medical CenterWest Hills, CA · CCN 050481	103	$12,439	About average	$11,488	$184,028
Uci Health - Los AlamitosLos Alamitos, CA · CCN 050551	103	$12,445	About average	$10,847	$165,329
Oroville HospitalOroville, CA · CCN 050030	107	$12,495	About average	$11,671	$33,633
Redlands Community HospitalRedlands, CA · CCN 050272	48	$12,567	About average	$11,151	$97,640
Encino Hospital Medical CenterEncino, CA · CCN 050158	20	$12,577	About average	$11,516	$51,301
MemorialCare Orange Coast Medical CenterFountain Valley, CA · CCN 050678	116	$12,591	About average	$10,658	$119,793
Adventist Health Sierra VistaSan Luis Obispo, CA · CCN 050506	29	$12,624	About average	$11,556	$151,364
Community Hospital Of Huntington ParkHuntington Park, CA · CCN 050091	48	$12,625	About average	$11,707	$65,957
Sharp Coronado Hospital And Healthcare CenterCoronado, CA · CCN 050234	32	$12,675	About average	$11,555	$76,491
Sutter Tracy Community HospitalTracy, CA · CCN 050313	59	$12,678	About average	$11,431	$59,231
Scripps Memorial Hospital La JollaLa Jolla, CA · CCN 050324	338	$12,695	About average	$11,181	$82,114
El Centro Regional Medical CenterEl Centro, CA · CCN 050045	75	$12,721	About average	$11,879	$50,138
Clovis Community Medical CenterClovis, CA · CCN 050492	259	$12,723	About average	$11,608	$81,563
Providence St. Jude Medical CenterFullerton, CA · CCN 050168	155	$12,730	About average	$10,638	$57,222
Mercy Hospital Of FolsomFolsom, CA · CCN 050414	125	$12,756	About average	$11,581	$88,091
Alhambra Hospital Medical CenterAlhambra, CA · CCN 050281	29	$12,782	About average	$11,770	$79,453
Marshall Medical CenterPlacerville, CA · CCN 050254	85	$12,829	About average	$11,543	$70,177
Providence Little Co Of Mary Medical Center San PedroSan Pedro, CA · CCN 050078	49	$12,852	About average	$11,107	$73,378
Foothill Regional Medical CenterTustin, CA · CCN 050780	58	$12,855	About average	$11,613	$90,125
St Johns Regional Medical CenterOxnard, CA · CCN 050082	219	$12,864	About average	$11,458	$74,331
PIH Health Hospital-WhittierWhittier, CA · CCN 050169	168	$12,877	About average	$11,774	$88,926
Sierra Nevada Memorial HospitalGrass Valley, CA · CCN 050150	89	$12,885	About average	$11,639	$75,041
Marian Regional Medical CenterSanta Maria, CA · CCN 050107	210	$12,943	About average	$11,445	$64,561
Palmdale Regional Medical CenterPalmdale, CA · CCN 050204	72	$12,963	About average	$11,837	$138,312

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.