▸ Procedure · inpatient · MS-DRG 293

Heart failure & shock w/o CC/MCC

What US hospitals charge for heart failure & shock w/o cc/mcc — negotiated rates by payer + state-by-state pricing.

Hospitals
1,401
Rate rows
29,553
Neg. median
$6,213.17
Neg. min
$15.19
Neg. max
$350,165
Cash median
$5,748

Across 1,401 US hospitals publishing MRFs, the negotiated rate for Heart failure & shock w/o CC/MCC ranges from $15.19 to $350,165, with a median of $6,213.17. Half of all rates fall between $4,564.67 and $9,860.16. Cash-pay patients typically pay $5,748; hospital list (gross) prices median $17,554.

By payer

Top 30 payers by hospital coverage for this code.

PayerHospitalsRatesMedian rate
UnitedHealthcare9372775$7,313.07
Blue Cross Blue Shield8643799$7,732.98
Aetna8632034$6,061.14
Humana7201034$5,254.45
Cigna6761528$8,148.56
WellCare351422$5,191.47
Molina338463$5,708.51
Medicare222805$4,840.18
Ambetter218242$7,268.96
Anthem BCBS160477$9,152.86
Multiplan120122$90
devoted health116127$5,134.83
First Health105131$74.3
Kaiser Permanente102143$6,669.67
CareSource101118$6,226
amerihealth93143$8,187.8
amerigroup93116$4,405.77
Oscar Health8490$8,394.5
Health Net81222$8,922.35
upmc health plan80158$5,641.4
amerihealth caritas7882$5,113.71
TRICARE7099$3,900.13
Medicare Advantage5887$5,484.21
medica58262$8,300
pa health & wellness5355$5,117.58
upmc work partners5254$10,293
the health plan5170$5,697.31
medical mutual of ohio51115$7,526.52
clover health5151$5,493.03
alliance4747$5,477.53

By state

States with ≥2 reporting hospitals.

StateHospitalsMedian rate
AK8$21,012
AL33$5,614.2
AR6$3,641.37
AZ16$5,333.28
CA63$7,091.59
CO2$14,449
DE2$5,587.81
FL4$11,438
GA14$9,181.55
HI13$6,130.47
IA21$4,822.59
IL58$5,567.66
IN16$13,965
KS12$4,693.44
KY11$4,888.39
LA7$3,864.94
MA10$6,169.87
MD4$5,711.62
ME4$6,672.56
MI23$5,248.36
MN30$5,189.64
MO12$80
MS5$5,400
NC27$5,210.56
NE2$6,289.7
NJ22$8,558.67
NM2$4,967.9
NV9$6,542.98
NY10$8,429.47
OH35$6,145.46
OK3$3,982.35
PA62$6,322.56
RI3$6,006.82
SC16$4,369.96
TN20$6,213.17
TX67$6,228.72
VA11$7,824.91
VT5$6,299.12
WA11$6,865.3
WI39$10,151
WV9$7,702.13

Top 20 by lowest negotiated rate

Lowest median negotiated rate among hospitals publishing for this code.

HospitalCitySTNegotiated median
Uh Geauga Medical CenterCHARDONOH$50.67
University Hospitals Regional Hospitals - Geauga Medical Center——$50.67
Uh Regional HospitalsRICHMOND HEIGHTSOH$50.67
Spartanburg Hospital for Restorative Care——$57.1
OSF Saint Clare Medical Center——$64.7
Osf Saint Clare Medical CenterPRINCETONIL$64.7
IOWA LUTHERAN HOSPITALDES MOINESIA$71.25
Osf Holy Family Medical CenterMONMOUTHIL$73.4
Parkland Health CenterFARMINGTONMO$75
MERCY CONTINUING CARE HOSPITALCHESTERFIELDMO$75
Parkland Health Center——$75
AULTMAN ORRVILLE HOSPITALORRVILLEOH$75.45
NOVANT HEALTH BALLANTYNE MEDICAL CTRCHARLOTTENC$76.5
Novant Health Presbyterian Medical CenterCHARLOTTENC$76.5
Novant Health Mint Hill Medical Center——$76.5
Novant Health Matthews Medical CenterMATTHEWSNC$76.5
Novant Health Charlotte Orthopedic Hospital——$76.5
Novant Health Huntersville Medical Center——$76.5
Novant Health Mint Hill Medical CenterCHARLOTTENC$76.5
Novant Health Huntersville Medical CenterHUNTERSVILLENC$76.5