Inpatient stays / DRG 291
MS-DRG 291 · 2,587 hospitals · 306,135 stays
DRG 291: Heart Failure and Shock with MCC
Medicare patients had 306,135 stays in DRG 291 in 2024. Hospitals charged an average of $56,380 per stay and were paid $12,053 — a ratio of 4.7 to 1 — of which Medicare's own share averaged $10,027. Average charges ran from $8,827 at the least expensive hospital to $437,712 at the most; half of hospitals charged between $30,639 and $65,019.
- 1Average charge $56,380
- 2Average paid $12,053
- 3Reporting hospitals 2,587
- 4Medicare stays 306,135
By state
Average charges for DRG 291 were highest in Nevada ($102,646) and lowest in Maryland ($18,481). Payments vary far less than charges, because Medicare sets them: they range across states from $8,624 to $16,664.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 2,328 | $102,646 | $12,417 | 8.3× |
| California | 26,744 | $100,739 | $15,556 | 6.5× |
| New Jersey | 11,046 | $97,469 | $12,811 | 7.6× |
| Alaska | 545 | $88,924 | $16,398 | 5.4× |
| New York | 16,532 | $81,161 | $16,034 | 5.1× |
| District of Columbia | 814 | $72,832 | $15,583 | 4.7× |
| Colorado | 2,570 | $71,240 | $11,134 | 6.4× |
| Texas | 20,334 | $67,944 | $11,820 | 5.7× |
| Florida | 23,522 | $67,659 | $10,715 | 6.3× |
| Arizona | 4,903 | $59,877 | $11,479 | 5.2× |
| Pennsylvania | 15,677 | $57,362 | $11,112 | 5.2× |
| Washington | 5,306 | $53,424 | $12,124 | 4.4× |
| Georgia | 9,170 | $52,781 | $12,005 | 4.4× |
| Kansas | 2,723 | $52,685 | $10,293 | 5.1× |
| Hawaii | 748 | $51,774 | $16,264 | 3.2× |
| Connecticut | 3,928 | $51,456 | $13,920 | 3.7× |
| New Mexico | 1,181 | $49,310 | $11,350 | 4.3× |
| Idaho | 894 | $47,013 | $10,637 | 4.4× |
| Missouri | 6,915 | $46,468 | $10,539 | 4.4× |
| Illinois | 15,192 | $46,293 | $11,813 | 3.9× |
| Tennessee | 6,712 | $46,128 | $10,346 | 4.5× |
| South Carolina | 5,989 | $45,682 | $10,696 | 4.3× |
| Oklahoma | 4,231 | $44,578 | $10,006 | 4.5× |
| South Dakota | 895 | $44,214 | $11,100 | 4× |
| Alabama | 4,332 | $43,997 | $10,010 | 4.4× |
| Utah | 1,271 | $43,793 | $11,505 | 3.8× |
| Mississippi | 3,688 | $43,650 | $9,475 | 4.6× |
| Ohio | 12,365 | $42,986 | $10,652 | 4× |
| Louisiana | 4,750 | $41,326 | $9,753 | 4.2× |
| Indiana | 7,343 | $40,842 | $10,315 | 4× |
| Virginia | 10,183 | $40,795 | $11,030 | 3.7× |
| Kentucky | 4,906 | $40,730 | $9,552 | 4.3× |
| Oregon | 2,492 | $40,542 | $12,978 | 3.1× |
| Minnesota | 4,298 | $40,341 | $11,754 | 3.4× |
| Maine | 1,036 | $40,287 | $11,946 | 3.4× |
| New Hampshire | 1,723 | $39,842 | $11,075 | 3.6× |
| Wisconsin | 4,876 | $39,564 | $10,862 | 3.6× |
| West Virginia | 2,080 | $39,062 | $10,517 | 3.7× |
| Delaware | 1,767 | $37,607 | $11,734 | 3.2× |
| Rhode Island | 927 | $37,534 | $12,554 | 3× |
| Arkansas | 3,317 | $37,089 | $9,423 | 3.9× |
| Nebraska | 1,742 | $36,928 | $10,527 | 3.5× |
| Michigan | 9,491 | $35,827 | $11,565 | 3.1× |
| North Carolina | 9,573 | $35,799 | $11,305 | 3.2× |
| Iowa | 2,917 | $34,817 | $9,846 | 3.5× |
| Wyoming | 493 | $33,507 | $14,204 | 2.4× |
| Vermont | 530 | $31,756 | $8,624 | 3.7× |
| North Dakota | 846 | $30,902 | $10,520 | 2.9× |
| Montana | 807 | $30,559 | $10,456 | 2.9× |
| Massachusetts | 11,540 | $30,373 | $12,996 | 2.3× |
| Maryland | 7,943 | $18,481 | $16,664 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Capital Health Regional Medical Center Trenton, NJ · 63 stays | $437,712 | $15,888 |
| Capital Health Medical Center - Hopewell Pennington, NJ · 135 stays | $365,219 | $13,287 |
| Stanford Health Care Stanford, CA · 309 stays | $300,529 | $32,903 |
| Carepoint Health-Hoboken University Medical Center Hoboken, NJ · 32 stays | $261,287 | $18,270 |
| Carepoint Health-Christ Hospital Jersey City, NJ · 22 stays | $259,824 | $13,246 |
| Doctors Medical Center Modesto, CA · 166 stays | $259,631 | $13,827 |
| Carepoint Health - Bayonne Medical Center Bayonne, NJ · 59 stays | $250,418 | $15,252 |
| Regional Medical Center of San Jose San Jose, CA · 107 stays | $250,300 | $15,756 |
| Cedars-Sinai Medical Center Los Angeles, CA · 575 stays | $233,054 | $19,504 |
| San Ramon Regional Medical Center San Ramon, CA · 66 stays | $223,931 | $13,919 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Beacham Memorial Hospital Magnolia, MS · 11 stays | $8,827 | $7,763 |
| Chambers Memorial Hospital Danville, AR · 39 stays | $10,575 | $9,842 |
| Mena Regional Health System Mena, AR · 12 stays | $11,073 | $10,005 |
| Pomerene Hospital Millersburg, OH · 22 stays | $11,208 | $9,306 |
| Mizell Memorial Hospital Opp, AL · 17 stays | $11,255 | $9,933 |
| Kansas Medical Center LLC Andover, KS · 26 stays | $11,261 | $7,731 |
| Johns Hopkins Howard County Medical Center Columbia, MD · 308 stays | $11,986 | $11,007 |
| Jackson Hospital Marianna, FL · 41 stays | $12,106 | $10,593 |
| St Charles Parish Hospital Luling, LA · 13 stays | $12,218 | $8,914 |
| Wayne General Hospital Waynesboro, MS · 22 stays | $12,455 | $9,440 |
These are averages over each hospital's Medicare stays in this DRG, which mix simple and complicated cases. A high average charge is the hospital's pricing, not a sign of better or worse care, and not what a patient pays: Medicare patients owe the inpatient deductible, and people with other coverage pay their plan's negotiated rate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024. Hospitals with fewer than 11 stays are suppressed by CMS. Checked 2026-10-24. Methodology.