Heart failure and shock with major complications
What 2,587 hospitals in the U.S. charged and were paid for a Medicare hospital stay for heart failure and shock with major complications (DRG 291), from 2024 Medicare claims.
Average charge
$56,495
Hospital list price billed
Average payment
$12,050
Medicare + patient + other payers
Medicare paid
$10,022
Average per stay
Volume
304,694
Medicare hospital stays
Hospitals in the U.S. billed an average of $56,495 for heart failure and shock with major complications, about 4.7 times the average total payment of $12,050.
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 $12,050Billed $56,495
About 21¢ 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
| Marietta Memorial HospitalMarietta, OH | $6,454 |
|---|---|
| Central Vermont Medical CenterGraniteville-East Barre, VT | $6,463 |
| Rutland Regional Medical CenterRutland, VT | $6,818 |
| Pelham Medical CenterGreer, SC | $7,167 |
| Acadian Medical CenterEunice, LA | $7,485 |
| Highland Community HospitalPicayune, MS | $7,557 |
| East Ohio Regional HospitalMartins Ferry, OH | $7,558 |
| St Mary's Jefferson Memorial HospitalJefferson City, TN | $7,617 |
| Arkansas Heart HospitalLittle Rock, AR | $7,700 |
| Piedmont Columbus Regional NorthsideColumbus, GA | $7,724 |
Highest
| Harris County Hospital DistrictHouston, TX | $124,840 |
|---|---|
| Kaiser Foundation HospitalSanta Clara, CA | $76,791 |
| John H Stroger Jr HospitalChicago, IL | $65,164 |
| University of Maryland Medical CenterBaltimore, MD | $56,026 |
| Parkland Health and Hospital SystemDallas, TX | $52,862 |
| Queens Hospital CenterJamaica, NY | $50,901 |
| Kings County Hospital CenterBrooklyn, NY | $50,219 |
| Metropolitan Hospital CenterNew York, NY | $48,551 |
| Woodhull Medical and Mental Health CenterBrooklyn, NY | $47,805 |
| Bellevue Hospital CenterNew York, NY | $45,671 |
Heart failure and shock with major 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 | 49 | $44,647 | $9,996 | $7,980 – $17,263 |
| Alaska | 7 | $89,856 | $16,280 | $12,031 – $24,462 |
| Arizona | 48 | $59,948 | $11,458 | $9,046 – $28,494 |
| Arkansas | 34 | $37,259 | $9,415 | $7,700 – $13,628 |
| California | 245 | $100,999 | $15,543 | $8,848 – $76,791 |
| Colorado | 38 | $71,912 | $11,055 | $9,201 – $18,765 |
| Connecticut | 25 | $51,456 | $13,920 | $10,908 – $20,635 |
| Delaware | 6 | $37,607 | $11,734 | $10,319 – $13,026 |
| Florida | 162 | $67,705 | $10,713 | $7,986 – $27,968 |
| Georgia | 78 | $53,013 | $11,997 | $7,724 – $26,754 |
| Hawaii | 11 | $51,873 | $16,278 | $13,715 – $20,618 |
| Idaho | 11 | $47,246 | $10,635 | $8,543 – $12,754 |
| Illinois | 105 | $46,278 | $11,807 | $8,728 – $86,722 |
| Indiana | 71 | $40,847 | $10,316 | $8,614 – $18,566 |
| Iowa | 28 | $34,893 | $9,839 | $7,745 – $15,596 |
| Kansas | 32 | $53,034 | $10,293 | $7,731 – $14,398 |
| Kentucky | 53 | $40,751 | $9,551 | $7,561 – $13,092 |
| Louisiana | 51 | $41,669 | $9,739 | $7,485 – $21,168 |
| Maine | 16 | $40,435 | $11,929 | $8,816 – $19,747 |
| Maryland | 41 | $18,459 | $16,644 | $11,007 – $56,026 |
| Massachusetts | 51 | $30,373 | $12,996 | $9,596 – $23,713 |
| Michigan | 79 | $35,869 | $11,569 | $8,515 – $18,660 |
| Minnesota | 45 | $40,341 | $11,754 | $8,637 – $18,165 |
| Mississippi | 39 | $43,663 | $9,460 | $7,557 – $15,271 |
| Missouri | 59 | $46,567 | $10,532 | $8,061 – $26,352 |
| Montana | 10 | $30,606 | $10,441 | $9,675 – $12,715 |
| Nebraska | 20 | $36,928 | $10,527 | $8,053 – $14,121 |
| Nevada | 19 | $102,739 | $12,427 | $10,406 – $16,378 |
| New Hampshire | 13 | $39,842 | $11,075 | $9,430 – $17,091 |
| New Jersey | 60 | $97,483 | $12,802 | $9,626 – $26,695 |
| New Mexico | 19 | $49,505 | $11,284 | $7,744 – $16,489 |
| New York | 121 | $81,247 | $16,039 | $10,541 – $50,901 |
| North Carolina | 76 | $35,824 | $11,304 | $8,084 – $19,791 |
| North Dakota | 6 | $30,965 | $10,494 | $9,513 – $11,295 |
| Ohio | 107 | $42,995 | $10,650 | $6,454 – $17,561 |
| Oklahoma | 48 | $45,035 | $9,999 | $7,804 – $16,173 |
| Oregon | 28 | $40,690 | $12,977 | $10,376 – $17,828 |
| Pennsylvania | 118 | $57,410 | $11,113 | $7,810 – $20,596 |
| Rhode Island | 9 | $37,534 | $12,554 | $9,875 – $16,270 |
| South Carolina | 47 | $45,757 | $10,691 | $7,167 – $16,718 |
| South Dakota | 11 | $44,345 | $11,071 | $8,685 – $12,808 |
| Tennessee | 62 | $46,322 | $10,310 | $7,617 – $20,090 |
| Texas | 194 | $68,207 | $11,821 | $7,631 – $124,840 |
| Utah | 23 | $44,385 | $11,493 | $7,963 – $15,272 |
| Vermont | 6 | $31,756 | $8,624 | $6,463 – $15,361 |
| Virginia | 69 | $40,772 | $11,030 | $8,076 – $22,298 |
| Washington | 44 | $53,436 | $12,124 | $10,454 – $20,474 |
| West Virginia | 21 | $39,105 | $10,504 | $8,111 – $13,088 |
| Wisconsin | 58 | $39,597 | $10,871 | $8,212 – $16,783 |
| Wyoming | 8 | $33,617 | $14,218 | $11,958 – $19,135 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Adventhealth OrlandoOrlando, FL | 1,217 | $84,093 | $11,391 |
| New York-Presbyterian HospitalNew York, NY | 958 | $152,227 | $20,822 |
| Methodist HospitalSan Antonio, TX | 831 | $96,092 | $10,167 |
| Lehigh Valley HospitalAllentown, PA | 830 | $67,971 | $11,706 |
| Christiana Care Health Services, INC.Newark, DE | 803 | $41,251 | $12,433 |
| NYU Hospitals CenterNew York, NY | 785 | $128,516 | $19,264 |
| Norton Healthcare PavilionLouisville, KY | 778 | $45,655 | $9,299 |
| Anne Arundel Medical CenterAnnapolis, MD | 741 | $15,203 | $14,105 |
| Southcoast Hospital Group, INCFall River, MA | 716 | $26,277 | $11,002 |
| St Francis Hospital, RoslynRoslyn, NY | 644 | $74,872 | $11,541 |
| South Shore HospitalSouth Weymouth, MA | 641 | $19,319 | $10,420 |
| Morristown Memorial HospitalMorristown, NJ | 628 | $113,063 | $13,853 |
| Mem Hermann Southwest HospHouston, TX | 617 | $49,869 | $12,420 |
| Baystate Medical CenterSpringfield, MA | 601 | $24,149 | $14,553 |
| Baptist Medical CenterJacksonville, FL | 593 | $73,308 | $11,255 |
Questions
How much does heart failure and shock with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for heart failure and shock with major complications (DRG 291) at 2,587 hospitals in the U.S. was billed at $56,495 on average, while the average total payment was $12,050, of which Medicare paid $10,022. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for heart failure and shock with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($16,644), Alaska ($16,280), Hawaii ($16,278) and lowest in Vermont ($8,624), Arkansas ($9,415), Mississippi ($9,460).
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 4.7 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.