▸ Procedure · inpatient · MS-DRG 291
Heart failure & shock w MCC
What US hospitals charge for heart failure & shock w mcc — negotiated rates by payer + state-by-state pricing.
Hospitals
1,538
Rate rows
32,054
Neg. median
$12,784
Neg. min
$1.28
Neg. max
$350,165
Cash median
$12,503
Across 1,538 US hospitals publishing MRFs, the negotiated rate for Heart failure & shock w MCC ranges from $1.28 to $350,165, with a median of $12,784. Half of all rates fall between $9,644.48 and $19,436. Cash-pay patients typically pay $12,503; hospital list (gross) prices median $30,228.
By payer
Top 30 payers by hospital coverage for this code.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| UnitedHealthcare | 1036 | 3033 | $14,777 |
| Blue Cross Blue Shield | 934 | 4027 | $15,128 |
| Aetna | 930 | 2171 | $12,472 |
| Humana | 800 | 1131 | $11,019 |
| Cigna | 707 | 1595 | $15,662 |
| WellCare | 368 | 448 | $11,511 |
| Molina | 348 | 475 | $12,105 |
| Medicare | 267 | 944 | $10,408 |
| Ambetter | 222 | 246 | $15,600 |
| Anthem BCBS | 199 | 614 | $15,964 |
| Multiplan | 138 | 140 | $90 |
| devoted health | 116 | 127 | $10,693 |
| First Health | 111 | 142 | $76.15 |
| CareSource | 101 | 118 | $14,122 |
| Kaiser Permanente | 99 | 140 | $13,580 |
| amerihealth | 94 | 147 | $13,349 |
| amerigroup | 93 | 116 | $10,306 |
| Oscar Health | 85 | 91 | $18,102 |
| Health Net | 82 | 227 | $18,977 |
| TRICARE | 81 | 112 | $9,120.92 |
| upmc health plan | 80 | 158 | $12,604 |
| amerihealth caritas | 78 | 82 | $12,969 |
| Medicare Advantage | 64 | 127 | $10,083 |
| medica | 59 | 264 | $14,368 |
| the health plan | 55 | 78 | $11,180 |
| pa health & wellness | 53 | 55 | $11,410 |
| upmc work partners | 52 | 54 | $9,495.41 |
| clover health | 52 | 52 | $12,879 |
| medical mutual of ohio | 51 | 115 | $16,568 |
| Medicaid | 51 | 299 | $3,900.91 |
By state
States with ≥2 reporting hospitals.
| State | Hospitals | Median rate |
|---|---|---|
| AK | 8 | $32,884 |
| AL | 35 | $10,468 |
| AR | 6 | $8,301.1 |
| AZ | 16 | $11,270 |
| CA | 64 | $15,232 |
| CO | 3 | $17,470 |
| DE | 2 | $11,632 |
| FL | 4 | $12,504 |
| GA | 15 | $15,576 |
| HI | 13 | $13,255 |
| IA | 23 | $10,731 |
| IL | 60 | $11,875 |
| IN | 18 | $13,965 |
| KS | 13 | $9,403.09 |
| KY | 19 | $11,088 |
| LA | 7 | $8,766.46 |
| MA | 18 | $12,784 |
| MD | 5 | $12,342 |
| ME | 4 | $15,617 |
| MI | 31 | $10,686 |
| MN | 33 | $10,859 |
| MO | 15 | $75.25 |
| MS | 11 | $10,249 |
| NC | 30 | $12,029 |
| NE | 2 | $12,971 |
| NH | 2 | $11,119 |
| NJ | 22 | $17,061 |
| NM | 3 | $9,974.46 |
| NV | 11 | $12,801 |
| NY | 11 | $18,092 |
| OH | 38 | $11,271 |
| OK | 4 | $8,897.39 |
| PA | 65 | $12,531 |
| RI | 3 | $12,944 |
| SC | 18 | $10,213 |
| SD | 2 | $11,974 |
| TN | 20 | $10,900 |
| TX | 68 | $13,032 |
| VA | 15 | $21,590 |
| VT | 5 | $14,795 |
| WA | 12 | $14,064 |
| WI | 49 | $21,788 |
| WV | 11 | $12,175 |
Top 20 by lowest negotiated rate
Lowest median negotiated rate among hospitals publishing for this code.
| Hospital | City | ST | Negotiated median |
|---|---|---|---|
| University Hospitals Regional Hospitals - Geauga Medical Center | — | — | $50.67 |
| Uh Geauga Medical Center | CHARDON | OH | $50.67 |
| Uh Regional Hospitals | RICHMOND HEIGHTS | OH | $50.67 |
| Spartanburg Hospital for Restorative Care | — | — | $57.1 |
| Osf Saint Clare Medical Center | PRINCETON | IL | $64.7 |
| OSF Saint Clare Medical Center | — | — | $64.7 |
| IOWA LUTHERAN HOSPITAL | DES MOINES | IA | $71.25 |
| Osf Holy Family Medical Center | MONMOUTH | IL | $73.4 |
| MISSOURI BAPTIST HOSPITAL SULLIVAN | SULLIVAN | MO | $74.3 |
| Missouri Baptist Sullivan Hospital | SULLIVAN | MO | $74.3 |
| MERCY CONTINUING CARE HOSPITAL | CHESTERFIELD | MO | $75 |
| Parkland Health Center | FARMINGTON | MO | $75 |
| Parkland Health Center | — | — | $75 |
| AULTMAN ORRVILLE HOSPITAL | ORRVILLE | OH | $75.45 |
| St Louis Childrens Hospital | ST. LOUIS | MO | $75.5 |
| St. Louis Childrens Hospital | — | — | $75.5 |
| Novant Health Matthews Medical Center | MATTHEWS | NC | $76.5 |
| Novant Health Mint Hill Medical Center | CHARLOTTE | NC | $76.5 |
| Novant Health Huntersville Medical Center | HUNTERSVILLE | NC | $76.5 |
| Novant Health Huntersville Medical Center | — | — | $76.5 |