Inpatient stays / DRG 292
MS-DRG 292 · 294 hospitals · 12,912 stays
DRG 292: Heart Failure and Shock with CC
Medicare patients had 12,912 stays in DRG 292 in 2024. Hospitals charged an average of $38,952 per stay and were paid $8,859 — a ratio of 4.4 to 1 — of which Medicare's own share averaged $6,821. Average charges ran from $7,471 at the least expensive hospital to $210,851 at the most; half of hospitals charged between $25,591 and $49,935.
- 1Average charge $38,952
- 2Average paid $8,859
- 3Reporting hospitals 294
- 4Medicare stays 12,912
By state
Average charges for DRG 292 were highest in California ($71,864) and lowest in Maryland ($13,294). Payments vary far less than charges, because Medicare sets them: they range across states from $6,423 to $12,993.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| California | 1,118 | $71,864 | $11,796 | 6.1× |
| New Jersey | 306 | $70,435 | $8,658 | 8.1× |
| Nevada | 81 | $67,916 | $8,338 | 8.1× |
| New York | 639 | $52,275 | $11,182 | 4.7× |
| Pennsylvania | 670 | $51,007 | $8,257 | 6.2× |
| Colorado | 139 | $49,333 | $8,061 | 6.1× |
| District of Columbia | 33 | $47,350 | $11,805 | 4× |
| Alaska | 44 | $45,842 | $12,993 | 3.5× |
| Florida | 864 | $45,091 | $8,096 | 5.6× |
| Arizona | 305 | $43,282 | $8,255 | 5.2× |
| Texas | 727 | $42,296 | $9,307 | 4.5× |
| Washington | 186 | $39,475 | $9,341 | 4.2× |
| Kansas | 103 | $37,915 | $7,222 | 5.2× |
| Illinois | 580 | $37,551 | $9,649 | 3.9× |
| Hawaii | 31 | $36,136 | $12,252 | 2.9× |
| Connecticut | 108 | $34,366 | $9,430 | 3.6× |
| New Mexico | 73 | $34,222 | $9,136 | 3.7× |
| Missouri | 321 | $34,097 | $7,990 | 4.3× |
| Ohio | 500 | $34,064 | $7,414 | 4.6× |
| Minnesota | 208 | $33,840 | $8,773 | 3.9× |
| Idaho | 48 | $33,696 | $7,230 | 4.7× |
| Wisconsin | 198 | $33,456 | $8,155 | 4.1× |
| Tennessee | 253 | $32,588 | $7,685 | 4.2× |
| Georgia | 299 | $32,179 | $9,069 | 3.5× |
| Kentucky | 295 | $32,154 | $6,709 | 4.8× |
| Indiana | 294 | $31,775 | $7,108 | 4.5× |
| Oregon | 92 | $31,751 | $9,370 | 3.4× |
| Delaware | 64 | $31,433 | $8,093 | 3.9× |
| South Dakota | 50 | $31,415 | $7,527 | 4.2× |
| Vermont | 39 | $31,336 | $7,145 | 4.4× |
| Oklahoma | 221 | $31,239 | $7,396 | 4.2× |
| South Carolina | 219 | $31,053 | $7,552 | 4.1× |
| Rhode Island | 70 | $30,828 | $8,663 | 3.6× |
| New Hampshire | 67 | $30,607 | $7,965 | 3.8× |
| Virginia | 321 | $29,561 | $7,907 | 3.7× |
| Iowa | 144 | $28,955 | $7,390 | 3.9× |
| Alabama | 310 | $28,913 | $7,410 | 3.9× |
| Maine | 67 | $27,588 | $8,223 | 3.4× |
| Utah | 85 | $27,477 | $8,742 | 3.1× |
| North Carolina | 522 | $27,412 | $8,263 | 3.3× |
| West Virginia | 105 | $27,220 | $6,926 | 3.9× |
| Louisiana | 251 | $26,914 | $6,933 | 3.9× |
| Nebraska | 67 | $26,268 | $7,481 | 3.5× |
| Mississippi | 172 | $25,783 | $7,282 | 3.5× |
| Michigan | 317 | $25,586 | $8,529 | 3× |
| Wyoming | 34 | $24,762 | $10,226 | 2.4× |
| North Dakota | 42 | $24,377 | $7,358 | 3.3× |
| Arkansas | 165 | $22,972 | $6,423 | 3.6× |
| Montana | 73 | $22,221 | $6,951 | 3.2× |
| Massachusetts | 396 | $21,342 | $9,106 | 2.3× |
| Maryland | 596 | $13,294 | $12,046 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Los Angeles General Medical Center Los Angeles, CA · 11 stays | $210,851 | $69,377 |
| Doctors Medical Center Modesto, CA · 13 stays | $162,284 | $9,355 |
| Stanford Health Care Stanford, CA · 22 stays | $155,570 | $15,334 |
| Cedars-Sinai Medical Center Los Angeles, CA · 19 stays | $150,053 | $12,207 |
| Hospital of Univ of Pennsylvania Philadelphia, PA · 48 stays | $134,013 | $14,418 |
| John Muir Medical Center - Walnut Creek Campus Walnut Creek, CA · 12 stays | $128,597 | $9,506 |
| Westchester Medical Center Valhalla, NY · 12 stays | $117,761 | $10,995 |
| Enloe Health Chico, CA · 13 stays | $110,121 | $8,165 |
| University of California Davis Medical Center Sacramento, CA · 16 stays | $109,533 | $15,433 |
| NYU Langone Hospitals New York, NY · 19 stays | $109,481 | $14,118 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Meritus Medical Center Hagerstown, MD · 18 stays | $7,471 | $6,891 |
| U P M C Western Maryland Cumberland, MD · 13 stays | $9,193 | $8,198 |
| Johns Hopkins Howard County Medical Center Columbia, MD · 15 stays | $9,427 | $8,686 |
| Arkansas Heart Hospital, LLC Little Rock, AR · 11 stays | $9,561 | $5,295 |
| University of MD St Joseph Medical Center Towson, MD · 25 stays | $9,939 | $8,892 |
| Frederick Health Hospital Frederick, MD · 28 stays | $9,976 | $9,012 |
| Baxter Health Mountain Home, AR · 16 stays | $10,107 | $5,482 |
| Holy Cross Germantown Hospital Germantown, MD · 11 stays | $10,262 | $9,385 |
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · 53 stays | $10,610 | $9,807 |
| Umd Baltimore Washington Medical Center Glen Burnie, MD · 13 stays | $10,942 | $10,087 |
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.