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Inpatient stay · MS-DRG 293

Heart failure and shock without CC/MCC

In 2024, Medicare and patients paid an average of $4,072 per stay at 1 hospitals. Half of hospitals averaged between $4,072 and $4,072.

Also known as: Heart failure, CHF

Limited data: use with caution

Only 1 hospital reported this in 2024 (11 stays). Medicare covers few patients for some procedures (births, for example), and CMS leaves out hospitals with fewer than 11 cases, so these figures may not represent typical costs.

National figures, 2024

Average payment per case
$4,072
Typical range (middle half of hospitals)
$4,072–$4,072
Medicare’s share
$3,33082% of the payment
Average billed charge
$8,677
Hospitals reporting
111 stays

Hospitals in Kentucky

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
Kentucky
Specific hospitals up to 10
Average payment (1 hospital)
$4,072National $4,072 · Kentucky $4,072
Too few hospitals to compare
An average across fewer than 3 hospitals says little about the area. Widen the distance or pick more hospitals.
Medicare stays
11

1 hospital reported at least 11 Medicare stays for this in 2024. Download as CSV

Medicare payments per case for Heart failure and shock without CC/MCC by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Monroe County Medical CenterTompkinsville, KY · CCN 18010511$4,072About average$3,330$8,677

National trend

Average payment and billed charge per stay, and how many Medicare stays were reported each year.

  • Average payment
  • Average billed charge
2020: 4,664 stays at 295 hospitals · 2021: 2,104 stays at 139 hospitals · 2022: 87 stays at 5 hospitals · 2023: 28 stays at 2 hospitals · 2024: 11 stays at 1 hospitals
View data as a table
National average payment and billed charge for Heart failure and shock without CC/MCC
Year of careAverage paymentAverage billed charge
2020$5,917$25K
2021$5,778$25K
2022$5,218$11K
2023$4,298$16K
2024$4,072$8,677

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 1 states
Average payment by state for Heart failure and shock without CC/MCC, 2024
StateHospitalsCasesAverage paymentTypical range
Kentucky111$4,072$4,072–$4,072

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.