How much does Heart Failure (with complications) cost?
MS-DRG 292 · Inpatient stay · 294 U.S. hospitals publish a price
Cheapest quarter
under $25,730
Typical charge
$33,084
Dearest quarter
over $49,832
Actually paid
$9,457
The middle U.S. hospital bills $33,084 for Heart Failure (with complications). The dearest hospitals charge about 4.3x what the cheapest do for the same coded work. Medicare actually paid about $9,457 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 (with complications) 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 | 27 | $11,761 | $7,471 – $19,506 |
| Arkansas | 5 | $15,278 | $9,561 – $38,361 |
| Oklahoma | 5 | $22,000 | $14,751 – $58,151 |
| Mississippi | 4 | $22,311 | $17,652 – $72,785 |
| Massachusetts | 12 | $23,080 | $14,154 – $50,365 |
| Nebraska | 3 | $23,105 | $20,588 – $27,090 |
| Alabama | 4 | $26,116 | $14,779 – $57,769 |
| North Carolina | 14 | $27,138 | $12,677 – $39,413 |
| Louisiana | 7 | $28,467 | $23,467 – $40,403 |
| Tennessee | 5 | $29,540 | $16,278 – $49,463 |
| South Carolina | 5 | $29,924 | $26,018 – $33,956 |
| Michigan | 7 | $30,639 | $19,748 – $37,112 |
| Virginia | 4 | $31,343 | $27,678 – $38,676 |
| Indiana | 7 | $31,687 | $23,364 – $33,960 |
| Iowa | 3 | $32,643 | $21,270 – $63,061 |
| Ohio | 11 | $33,735 | $17,388 – $58,104 |
| Missouri | 8 | $34,174 | $28,097 – $54,811 |
| Minnesota | 4 | $34,748 | $27,137 – $44,300 |
| Kentucky | 5 | $34,999 | $25,416 – $41,613 |
| Florida | 27 | $35,652 | $18,575 – $66,337 |
| Georgia | 4 | $35,976 | $23,750 – $48,424 |
| Illinois | 9 | $36,874 | $16,612 – $101,766 |
| Texas | 15 | $37,322 | $26,968 – $71,204 |
| Arizona | 7 | $41,877 | $29,496 – $51,208 |
| Wisconsin | 3 | $43,072 | $39,516 – $45,348 |
| Pennsylvania | 15 | $53,732 | $13,012 – $134,013 |
| Colorado | 3 | $60,008 | $50,168 – $65,403 |
| New Jersey | 6 | $62,427 | $38,234 – $83,369 |
| California | 29 | $65,311 | $32,687 – $210,851 |
| New York | 15 | $66,490 | $13,752 – $117,761 |
Where Heart Failure (with complications) is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Meritus Medical Center
Hagerstown, MD |
$7,471 | $6,891 |
|
Western Maryland Regional Medical Center
Cumberland, MD |
$9,193 | $8,198 |
|
Johns Hopkins Howard County Medical Center
Columbia, MD |
$9,427 | $8,686 |
|
Arkansas Heart Hospital, Llc
Little Rock, AR |
$9,561 | $5,295 |
|
University Of Md St Joseph Medical Center
Towson, MD |
$9,939 | $8,892 |
|
Frederick Health Hospital
Frederick, MD |
$9,976 | $9,012 |
|
Baxter Health
Mountain Home, AR |
$10,107 | $5,482 |
|
Holy Cross Germantown Hospital
Germantown, MD |
$10,262 | $9,385 |
|
Luminis Health Anne Arundel Medical Center, Inc
Annapolis, MD |
$10,610 | $9,807 |
|
University Of Md Baltimore Washington Medical Center
Glen Burnie, MD |
$10,942 | $10,087 |
|
Umd Upper Chesapeake Medical Center
Bel Air, MD |
$11,305 | $10,389 |
|
Carroll Hospital Center
Westminster, MD |
$11,305 | $10,116 |
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 |
|---|---|---|
|
Los Angeles General Medical Center
Los Angeles, CA |
$210,851 | $69,377 |
|
Doctors Medical Center
Modesto, CA |
$162,284 | $9,355 |
|
Stanford Health Care
Stanford, CA |
$155,570 | $15,334 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$150,053 | $12,207 |
|
Hospital Of Univ Of Pennsylvania
Philadelphia, PA |
$134,013 | $14,418 |
|
John Muir Medical Center - Walnut Creek Campus
Walnut Creek, CA |
$128,597 | $9,506 |
|
Westchester Medical Center
Valhalla, NY |
$117,761 | $10,995 |
|
Enloe Health
Chico, CA |
$110,121 | $8,165 |
|
University Of California Davis Medical Center
Sacramento, CA |
$109,533 | $15,433 |
|
Nyu Langone Hospitals
New York, NY |
$109,481 | $14,118 |
|
Pennsylvania Hospital
Philadelphia, PA |
$108,594 | $8,997 |
|
John Muir Medical Center - Concord Campus
Concord, CA |
$105,904 | $12,844 |
Questions people ask
How much does Heart Failure (with complications) cost in the United States?
Across 294 U.S. hospitals, the middle charge for Heart Failure (with complications) is $33,084. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $25,730 and the dearest quarter over $49,832.
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 (with complications), 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. $9,457 is roughly what Medicare actually paid per case, against an average charge of $41,317. 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 292: “HEART FAILURE AND SHOCK WITH CC”. 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.