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Heart Failure and Shock with major complications
Medicare DRG 291. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$52,860
Avg total payment
$12,076
Avg Medicare pays
$10,148
Hospitals reporting
2,566
The "charge" is the hospital's list price — almost nobody pays it. "Total payment" is what the hospital actually received (Medicare plus patient copays and other payers). These figures cover Medicare fee-for-service inpatient stays only.
| State | Hospitals | Avg charge | Avg Medicare payment |
|---|---|---|---|
| New Jersey | 60 | $108,341 | $11,366 |
| Nevada | 18 | $103,590 | $10,597 |
| California | 243 | $90,587 | $13,157 |
| Alaska | 7 | $83,213 | $16,428 |
| Florida | 160 | $72,579 | $9,259 |
| Colorado | 38 | $71,163 | $9,575 |
| District of Columbia | 6 | $69,196 | $12,029 |
| Texas | 193 | $65,204 | $10,690 |
| Arizona | 48 | $61,977 | $9,998 |
| New York | 120 | $58,994 | $13,368 |
| Washington | 44 | $51,924 | $10,080 |
| Pennsylvania | 115 | $50,361 | $8,846 |
| Idaho | 11 | $49,042 | $9,257 |
| New Mexico | 19 | $48,938 | $9,676 |
| Georgia | 78 | $48,150 | $9,754 |
| Hawaii | 11 | $47,795 | $12,844 |
| Connecticut | 25 | $46,935 | $11,516 |
| Tennessee | 62 | $45,576 | $8,340 |
| Illinois | 104 | $44,820 | $10,714 |
| Missouri | 57 | $44,033 | $9,558 |
| Mississippi | 39 | $43,317 | $8,536 |
| South Carolina | 47 | $43,180 | $8,829 |
| Alabama | 49 | $43,102 | $8,174 |
| Oklahoma | 48 | $42,338 | $8,938 |
| New Hampshire | 13 | $41,970 | $9,499 |
| Kansas | 32 | $41,357 | $8,703 |
| Utah | 23 | $40,764 | $8,722 |
| Oregon | 28 | $40,741 | $11,127 |
| Kentucky | 53 | $40,440 | $8,321 |
| Indiana | 71 | $39,851 | $9,163 |
| Virginia | 69 | $39,354 | $8,870 |
| Rhode Island | 9 | $38,034 | $9,993 |
| South Dakota | 11 | $38,007 | $9,172 |
| Maine | 13 | $37,535 | $9,961 |
| Ohio | 106 | $37,532 | $8,693 |
| Louisiana | 51 | $37,306 | $8,313 |
| Nebraska | 20 | $37,029 | $8,977 |
| Arkansas | 33 | $36,036 | $8,107 |
| West Virginia | 21 | $35,523 | $8,064 |
| Wyoming | 7 | $35,198 | $13,573 |
| Wisconsin | 58 | $35,109 | $8,718 |
| Minnesota | 44 | $34,848 | $9,937 |
| Delaware | 6 | $34,604 | $9,898 |
| North Carolina | 75 | $34,488 | $9,183 |
| Montana | 10 | $33,498 | $9,244 |
| Michigan | 79 | $32,550 | $9,544 |
| Iowa | 28 | $31,442 | $8,450 |
| North Dakota | 6 | $31,294 | $8,924 |
| Vermont | 6 | $29,387 | $7,223 |
| Massachusetts | 51 | $28,043 | $10,962 |
| Maryland | 41 | $19,920 | $16,490 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service. A DRG (Diagnosis Related Group) is how Medicare classifies an inpatient stay for payment; the description is Medicare's, not a diagnosis for any individual.