Heart failure and shock with complications
What 294 hospitals in the U.S. charged and were paid for a Medicare hospital stay for heart failure and shock with complications (DRG 292), from 2024 Medicare claims.
Average charge
$41,317
Hospital list price billed
Average payment
$9,533
Medicare + patient + other payers
Medicare paid
$7,089
Average per stay
Volume
5,135
Medicare hospital stays
Hospitals in the U.S. billed an average of $41,317 for heart failure and shock with complications, about 4.3 times the average total payment of $9,533.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $9,533Billed $41,317
About 23¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them:
Lowest and highest payments
Among hospitals with at least 20 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Baptist Hospital EastLouisville, KY | $5,570 |
|---|---|
| Martin Memorial Health SystemsStuart, FL | $5,702 |
| Central Baptist HospitalLexington, KY | $5,834 |
| Floyd Memorial Hospital and Health ServicesNew Albany, IN | $5,943 |
| Hillcrest HospitalCleveland, OH | $6,041 |
| Chester County HospitalWest Chester, PA | $6,175 |
| Norton Healthcare PavilionLouisville, KY | $6,264 |
| Boca Raton Regional HospitalBoca Raton, FL | $6,276 |
| St Elizabeth Boardman Health CenterYoungstown, OH | $6,345 |
| Margaret R Pardee Mem HospitalHendersonville, NC | $6,401 |
Highest
| Jackson Health SystemMiami, FL | $16,529 |
|---|---|
| The Johns Hopkins HospitalBaltimore, MD | $16,476 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $15,923 |
| Stanford HospitalPalo Alto, CA | $15,334 |
| Northwest Hospital CenterRandallstown, MD | $15,234 |
| Barnes Jewish HospitalSt Louis, MO | $14,806 |
| Good Samaritan HospitalBaltimore, MD | $14,802 |
| University of Virginia Medical CenterCharlottesville, VA | $14,489 |
| Hospital of the Univ of PaPhiladelphia, PA | $14,418 |
| New York-Presbyterian HospitalNew York, NY | $14,324 |
Heart failure and shock with complications cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg payment | Range |
|---|---|---|---|---|
| Alabama | 4 | $34,768 | $8,487 | $6,591 – $12,799 |
| Alaska | 1 | $49,639 | $12,910 | – |
| Arizona | 7 | $38,471 | $8,660 | $6,253 – $12,963 |
| Arkansas | 5 | $18,485 | $6,234 | $5,295 – $7,317 |
| California | 29 | $80,582 | $13,784 | $6,202 – $69,377 |
| Colorado | 3 | $59,360 | $8,131 | $6,807 – $10,500 |
| Connecticut | 1 | $37,708 | $11,263 | – |
| Delaware | 1 | $33,889 | $7,777 | – |
| Florida | 27 | $38,181 | $8,596 | $5,499 – $18,810 |
| Georgia | 4 | $35,557 | $11,502 | $7,990 – $13,524 |
| Idaho | 1 | $26,291 | $6,425 | – |
| Illinois | 9 | $49,004 | $11,004 | $6,936 – $18,992 |
| Indiana | 7 | $30,513 | $6,715 | $5,943 – $8,351 |
| Iowa | 3 | $41,981 | $8,466 | $6,190 – $10,690 |
| Kansas | 1 | $62,045 | $10,663 | – |
| Kentucky | 5 | $35,325 | $5,891 | $5,570 – $6,454 |
| Louisiana | 7 | $29,805 | $7,013 | $5,601 – $8,366 |
| Maine | 1 | $31,750 | $8,333 | – |
| Maryland | 27 | $12,796 | $11,503 | $6,891 – $17,908 |
| Massachusetts | 12 | $27,533 | $10,371 | $6,976 – $17,379 |
| Michigan | 7 | $31,350 | $10,182 | $5,920 – $13,439 |
| Minnesota | 4 | $36,845 | $10,846 | $7,422 – $15,923 |
| Mississippi | 4 | $36,681 | $7,343 | $5,823 – $10,854 |
| Missouri | 8 | $39,808 | $8,276 | $5,695 – $14,806 |
| Montana | 2 | $20,842 | $7,200 | $7,024 – $7,287 |
| Nebraska | 3 | $23,864 | $7,674 | $6,700 – $9,965 |
| New Hampshire | 2 | $26,460 | $6,767 | $6,330 – $7,167 |
| New Jersey | 6 | $62,193 | $8,197 | $7,019 – $10,213 |
| New Mexico | 1 | $23,546 | $10,874 | – |
| New York | 15 | $69,791 | $10,971 | $7,456 – $14,324 |
| North Carolina | 14 | $26,605 | $8,965 | $6,401 – $17,141 |
| North Dakota | 1 | $26,090 | $6,301 | – |
| Ohio | 11 | $39,873 | $7,654 | $4,193 – $10,223 |
| Oklahoma | 5 | $28,577 | $8,101 | $5,646 – $11,330 |
| Oregon | 1 | $38,476 | $12,209 | – |
| Pennsylvania | 15 | $67,563 | $9,032 | $6,109 – $14,418 |
| Rhode Island | 2 | $35,744 | $9,558 | $8,549 – $10,727 |
| South Carolina | 5 | $30,439 | $8,028 | $5,774 – $11,993 |
| South Dakota | 1 | $30,464 | $7,465 | – |
| Tennessee | 5 | $33,311 | $8,942 | $6,012 – $13,038 |
| Texas | 15 | $40,618 | $8,105 | $5,688 – $12,086 |
| Utah | 1 | $37,889 | $11,860 | – |
| Vermont | 1 | $39,751 | $6,622 | – |
| Virginia | 4 | $33,275 | $9,327 | $6,676 – $14,489 |
| Washington | 1 | $47,779 | $12,574 | – |
| Wisconsin | 3 | $43,689 | $10,066 | $7,344 – $10,982 |
| Wyoming | 1 | $22,149 | $7,966 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Northwestern Memorial HospitalChicago, IL | 67 | $59,068 | $14,094 |
| Rex HospitalRaleigh, NC | 63 | $28,505 | $6,554 |
| Baptist Hospital EastLouisville, KY | 61 | $37,998 | $5,570 |
| Anne Arundel Medical CenterAnnapolis, MD | 53 | $10,610 | $9,807 |
| Chester County HospitalWest Chester, PA | 49 | $34,326 | $6,175 |
| Hospital of the Univ of PaPhiladelphia, PA | 48 | $134,013 | $14,418 |
| Huntsville HospitalHuntsville, AL | 45 | $29,281 | $6,591 |
| Cleveland Clinic - Main CampusCleveland, OH | 45 | $58,104 | $10,223 |
| New York-Presbyterian HospitalNew York, NY | 41 | $102,624 | $14,324 |
| Christiana Care Health Services, INC.Newark, DE | 40 | $33,889 | $7,777 |
| Floyd Memorial Hospital and Health ServicesNew Albany, IN | 38 | $32,285 | $5,943 |
| Univ of Michigan HospitalsAnn Arbor, MI | 38 | $37,112 | $11,929 |
| Froedtert Mem Lutheran HsptlMilwaukee, WI | 34 | $45,348 | $10,982 |
| Adventhealth OrlandoOrlando, FL | 33 | $54,266 | $8,958 |
| Evanston HospitalEvanston, IL | 33 | $29,419 | $7,963 |
Questions
How much does heart failure and shock with complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for heart failure and shock with complications (DRG 292) at 294 hospitals in the U.S. was billed at $41,317 on average, while the average total payment was $9,533, of which Medicare paid $7,089. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for heart failure and shock with complications?
Among states with at least three hospitals reporting, the average total payment was highest in California ($13,784), Maryland ($11,503), Georgia ($11,502) and lowest in Kentucky ($5,891), Arkansas ($6,234), Indiana ($6,715).
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in the U.S., average charges were 4.3 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.