How much does Heart Failure (severe) cost?
MS-DRG 291 · Inpatient stay · 2,587 U.S. hospitals publish a price
Cheapest quarter
under $30,640
Typical charge
$43,409
Dearest quarter
over $65,014
Actually paid
$12,078
The middle U.S. hospital bills $43,409 for Heart Failure (severe). The dearest hospitals charge about 4.3x what the cheapest do for the same coded work. Medicare actually paid about $12,078 per case.
These are charges, not quotes. What you pay depends on your insurance and your own case. The figures matter because the charge is where an uninsured or out-of-network bill starts.
Heart Failure (severe) cost by state
The middle charge in each state where at least three hospitals publish a price, cheapest first.
| State | Hospitals | Typical charge | Range |
|---|---|---|---|
| Maryland | 41 | $16,949 | $11,986 – $62,385 |
| Massachusetts | 51 | $22,230 | $13,977 – $94,327 |
| Mississippi | 39 | $28,386 | $8,827 – $124,289 |
| Iowa | 28 | $29,146 | $17,478 – $76,938 |
| Vermont | 6 | $30,744 | $21,090 – $39,573 |
| Wyoming | 8 | $31,102 | $27,322 – $59,350 |
| Michigan | 79 | $31,138 | $13,457 – $87,223 |
| North Dakota | 6 | $31,153 | $27,294 – $36,130 |
| Oklahoma | 48 | $31,292 | $14,385 – $111,034 |
| Arkansas | 34 | $31,402 | $10,575 – $91,417 |
| Montana | 10 | $31,977 | $22,684 – $47,595 |
| Minnesota | 45 | $32,525 | $15,622 – $75,212 |
| Rhode Island | 9 | $33,048 | $27,522 – $60,082 |
| North Carolina | 76 | $33,058 | $14,196 – $65,365 |
| Alabama | 49 | $33,923 | $11,255 – $144,862 |
| Wisconsin | 58 | $34,440 | $19,085 – $58,495 |
| Ohio | 107 | $34,975 | $11,208 – $78,374 |
| Louisiana | 51 | $35,330 | $12,218 – $82,984 |
| Kansas | 32 | $35,369 | $11,261 – $112,185 |
| Maine | 16 | $35,497 | $18,395 – $64,551 |
| West Virginia | 21 | $35,562 | $17,112 – $59,281 |
| Delaware | 6 | $36,051 | $20,203 – $41,251 |
| New Hampshire | 13 | $36,717 | $27,992 – $69,700 |
| Virginia | 69 | $36,727 | $18,484 – $102,347 |
| South Carolina | 47 | $37,339 | $22,628 – $102,575 |
| Indiana | 71 | $38,080 | $20,061 – $83,839 |
| Nebraska | 20 | $38,289 | $20,302 – $47,952 |
| Utah | 23 | $38,629 | $21,632 – $60,775 |
| Missouri | 59 | $38,641 | $16,396 – $128,469 |
| Kentucky | 53 | $38,659 | $16,928 – $93,889 |
| Oregon | 28 | $39,043 | $23,764 – $67,862 |
| South Dakota | 11 | $39,840 | $16,177 – $52,658 |
| Tennessee | 62 | $41,511 | $16,483 – $92,416 |
| Georgia | 78 | $43,462 | $18,155 – $100,797 |
| Illinois | 105 | $44,002 | $20,977 – $96,150 |
| New Mexico | 19 | $44,136 | $18,071 – $99,725 |
| Pennsylvania | 118 | $44,807 | $13,380 – $169,901 |
| Hawaii | 11 | $45,526 | $30,713 – $63,446 |
| New York | 121 | $47,631 | $14,457 – $179,043 |
| Idaho | 11 | $49,188 | $32,983 – $60,801 |
| Connecticut | 25 | $49,550 | $24,440 – $69,399 |
| Washington | 44 | $51,579 | $19,871 – $97,906 |
| Texas | 194 | $57,011 | $16,869 – $156,012 |
| Arizona | 48 | $57,789 | $17,620 – $117,866 |
| District of Columbia | 6 | $58,602 | $47,798 – $134,734 |
| Colorado | 38 | $64,728 | $18,956 – $210,041 |
| Florida | 162 | $65,678 | $12,106 – $177,913 |
| California | 245 | $80,698 | $33,633 – $300,529 |
| Alaska | 7 | $85,619 | $53,799 – $112,014 |
| New Jersey | 60 | $91,852 | $46,113 – $437,712 |
| Nevada | 19 | $104,842 | $26,008 – $196,532 |
Where Heart Failure (severe) is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Beacham Memorial Hospital
Magnolia, MS |
$8,827 | $7,763 |
|
Chambers Memorial Hospital
Danville, AR |
$10,575 | $9,842 |
|
Mena Regional Health System
Mena, AR |
$11,073 | $10,005 |
|
Pomerene Hospital
Millersburg, OH |
$11,208 | $9,306 |
|
Mizell Memorial Hospital
Opp, AL |
$11,255 | $9,933 |
|
Kansas Medical Center Llc
Andover, KS |
$11,261 | $7,731 |
|
Johns Hopkins Howard County Medical Center
Columbia, MD |
$11,986 | $11,007 |
|
Jackson Hospital
Marianna, FL |
$12,106 | $10,593 |
|
St Charles Parish Hospital
Luling, LA |
$12,218 | $8,914 |
|
Wayne General Hospital
Waynesboro, MS |
$12,455 | $9,441 |
|
Meritus Medical Center
Hagerstown, MD |
$12,834 | $11,844 |
|
Atlantic General Hospital
Berlin, MD |
$13,221 | $12,132 |
Where it is charged most
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Capital Health Regional Medical Center
Trenton, NJ |
$437,712 | $15,888 |
|
Capital Health Medical Center - Hopewell
Pennington, NJ |
$365,219 | $13,287 |
|
Stanford Health Care
Stanford, CA |
$300,529 | $32,903 |
|
Carepoint Health-Hoboken University Medical Center
Hoboken, NJ |
$261,287 | $18,270 |
|
Heights University Hospital
Jersey City, NJ |
$259,824 | $13,246 |
|
Doctors Medical Center
Modesto, CA |
$259,631 | $13,827 |
|
Carepoint Health - Bayonne Medical Center
Bayonne, NJ |
$250,418 | $15,252 |
|
Regional Medical Center Of San Jose
San Jose, CA |
$250,300 | $15,756 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$233,054 | $19,504 |
|
San Ramon Regional Medical Center
San Ramon, CA |
$223,931 | $13,919 |
|
Uci Health-Lakewood
Lakewood, CA |
$211,897 | $14,263 |
|
Hca Healthone Presbyterian St. Lukes
Denver, CO |
$210,041 | $12,058 |
Questions people ask
How much does Heart Failure (severe) cost in the United States?
Across 2,587 U.S. hospitals, the middle charge for Heart Failure (severe) is $43,409. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $30,640 and the dearest quarter over $65,014.
Why do hospitals charge such different amounts for the same procedure?
Because a hospital charge is a list price it sets itself, not a regulated rate. For Heart Failure (severe), the hospitals in the dearest tenth charge about 4.3x what the cheapest tenth charge for the same coded work. Insurers negotiate their own rates from those lists, which is why the charge and what is actually paid can be very far apart.
Is that what I would actually pay?
No. $12,078 is roughly what Medicare actually paid per case, against an average charge of $56,495. If you have insurance, your plan pays a negotiated rate and you pay your deductible and coinsurance. If you are uninsured or out of network, the hospital's charge is where your bill starts — which is why the gap matters. Ask for a written good-faith estimate before treatment.
What this code covers
CMS records this work as MS-DRG 291: “HEART FAILURE AND SHOCK WITH MCC”. A DRG covers a whole inpatient stay rather than a single item, so the charge includes the room, the procedure and the care around it. Codes that mention complications carry a different, usually higher price.