Price AtlasInteractive atlas · All states · techysurgeon.comHeart failure (hospital stay): what insurers pay
A hospital stay for heart failure (MS-DRG 291 with a major complication). Commercial negotiated rates by hospital and market, next to Medicare for the same code.
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MS-DRG 291: Heart Failure and Shock With McC
1615 hospitals in 83 markets. National Medicare rate $9,342.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 23 | $10,893 | $12,949 | $15,550 | $5,310–$31,067 |
| Alaska (statewide) | 4 | — | — | — | $11,479–$43,146 |
| Arizona (statewide) | 29 | $15,562 | $22,528 | $26,615 | $6,602–$32,856 |
| Arkansas (statewide) | 12 | $10,994 | $11,958 | $13,130 | $7,650–$15,072 |
| Atlanta GA | 9 | $23,548 | $24,244 | $24,586 | $23,548–$38,417 |
| Austin TX | 13 | $8,098 | $12,957 | $15,579 | $7,606–$18,189 |
| Boston MA | 15 | $11,158 | $11,917 | $13,234 | $9,104–$26,635 |
| California (statewide) | 54 | $15,012 | $18,195 | $22,643 | $8,273–$57,186 |
| Charlotte NC | 8 | $19,866 | $21,515 | $25,097 | $14,402–$25,097 |
| Chicago IL | 10 | $16,164 | $18,764 | $21,458 | $12,394–$23,879 |
| Cleveland OH | 11 | $15,897 | $17,763 | $19,743 | $14,230–$31,250 |
| Colorado (statewide) | 16 | $15,871 | $24,838 | $29,686 | $7,866–$40,364 |
| Columbus OH | 3 | — | — | — | $26,095–$34,402 |
| Connecticut (statewide) | 6 | $24,560 | $25,110 | $27,414 | $16,238–$29,174 |
| Dallas-Fort Worth TX | 15 | $13,346 | $15,386 | $17,428 | $11,984–$26,422 |
| Delaware (statewide) | 2 | — | — | — | $16,754–$25,038 |
| Denver CO | 15 | $12,691 | $13,984 | $25,500 | $11,292–$33,948 |
| Detroit MI | 16 | $17,586 | $17,685 | $24,178 | $13,911–$29,262 |
| Florida (statewide) | 90 | $13,082 | $15,218 | $25,714 | $9,740–$38,984 |
| Georgia (statewide) | 43 | $18,320 | $24,586 | $28,902 | $10,802–$38,417 |
| Hawaii (statewide) | 11 | $25,889 | $28,514 | $31,573 | $22,146–$33,542 |
| Houston TX | 19 | $13,542 | $17,419 | $20,400 | $12,304–$33,494 |
| Idaho (statewide) | 16 | $19,706 | $27,212 | $30,920 | $12,640–$42,404 |
| Illinois (statewide) | 47 | $12,681 | $14,341 | $19,526 | $8,642–$51,995 |
| Indiana (statewide) | 57 | $14,732 | $17,922 | $21,572 | $6,983–$28,063 |
| Indianapolis IN | 6 | $14,799 | $19,250 | $27,702 | $13,700–$29,102 |
| Iowa (statewide) | 25 | $13,749 | $14,562 | $18,418 | $11,090–$23,384 |
| Kansas (statewide) | 35 | $12,574 | $13,792 | $16,701 | $5,814–$33,483 |
| Kentucky (statewide) | 41 | $11,476 | $15,859 | $17,290 | $7,936–$30,095 |
| Las Vegas NV | 1 | — | — | — | $21,373–$21,373 |
| Los Angeles CA | 18 | $22,288 | $23,891 | $25,055 | $17,170–$30,375 |
| Louisiana (statewide) | 25 | $10,235 | $12,105 | $14,826 | $6,443–$17,378 |
| Maine (statewide) | 15 | $22,530 | $34,814 | $38,052 | $8,157–$38,817 |
| Maryland (statewide) | 1 | — | — | — | $9,138–$9,138 |
| Massachusetts (statewide) | 8 | $11,915 | $16,344 | $18,050 | $8,500–$21,512 |
| Miami-Fort Lauderdale FL | 3 | — | — | — | $13,381–$16,593 |
| Michigan (statewide) | 39 | $14,413 | $17,178 | $20,888 | $8,661–$26,703 |
| Minneapolis-St. Paul MN | 15 | $18,757 | $21,753 | $22,410 | $14,098–$24,217 |
| Minnesota (statewide) | 24 | $16,273 | $16,401 | $22,188 | $7,048–$32,704 |
| Mississippi (statewide) | 21 | $12,838 | $13,480 | $14,028 | $8,167–$21,269 |
| Missouri (statewide) | 37 | $11,901 | $13,857 | $17,000 | $6,635–$26,371 |
| Montana (statewide) | 7 | $13,090 | $21,512 | $28,515 | $6,229–$43,237 |
| Nashville TN | 8 | $11,644 | $12,753 | $16,403 | $11,064–$25,052 |
| Nebraska (statewide) | 15 | $21,868 | $22,824 | $25,948 | $15,276–$30,661 |
| Nevada (statewide) | 5 | $16,850 | $18,005 | $25,336 | $14,692–$25,497 |
| New Hampshire (statewide) | 8 | $15,211 | $17,624 | $21,520 | $12,704–$30,195 |
| New Jersey (statewide) | 21 | $21,526 | $24,966 | $29,262 | $12,179–$37,683 |
| New Mexico (statewide) | 11 | $11,018 | $13,588 | $20,632 | $6,133–$39,294 |
| New York (statewide) | 48 | $14,758 | $17,290 | $23,618 | $9,314–$41,843 |
| New York City | 8 | $23,352 | $24,402 | $28,498 | $11,630–$39,528 |
| North Carolina (statewide) | 35 | $11,973 | $14,848 | $23,044 | $8,069–$34,624 |
| North Dakota (statewide) | 7 | $16,052 | $16,772 | $20,320 | $13,729–$24,945 |
| Ohio (statewide) | 57 | $16,689 | $19,771 | $24,431 | $8,246–$38,900 |
| Oklahoma (statewide) | 30 | $9,478 | $10,320 | $13,302 | $6,838–$25,106 |
| Oregon (statewide) | 14 | $20,962 | $24,150 | $27,067 | $11,453–$34,694 |
| Pennsylvania (statewide) | 62 | $14,922 | $19,386 | $23,438 | $8,884–$36,943 |
| Philadelphia PA | 11 | $22,556 | $24,396 | $28,062 | $21,269–$37,683 |
| Phoenix AZ | 11 | $21,369 | $21,369 | $23,929 | $20,724–$25,844 |
| Pittsburgh PA | 7 | $15,060 | $15,990 | $17,807 | $12,488–$20,523 |
| Portland OR | 9 | $26,631 | $28,860 | $32,104 | $26,245–$33,057 |
| Research Triangle NC | 9 | $13,506 | $17,354 | $18,520 | $11,528–$19,800 |
| Rhode Island (statewide) | 7 | $16,558 | $20,728 | $25,814 | $13,156–$27,798 |
| Richmond VA | 7 | $16,154 | $25,474 | $28,380 | $14,838–$30,889 |
| Rio Grande Valley TX | 6 | $14,326 | $15,656 | $15,919 | $13,465–$17,835 |
| Salt Lake City UT | 9 | $25,864 | $25,864 | $25,864 | $25,607–$25,864 |
| San Antonio TX | 3 | — | — | — | $12,525–$34,364 |
| San Diego CA | 7 | $15,818 | $18,370 | $20,370 | $15,099–$21,728 |
| San Francisco Bay Area CA | 2 | — | — | — | $15,920–$24,514 |
| Seattle-Tacoma WA | 16 | $28,552 | $28,997 | $29,484 | $25,651–$37,029 |
| South Carolina (statewide) | 31 | $21,359 | $23,893 | $32,531 | $6,856–$38,906 |
| South Dakota (statewide) | 4 | — | — | — | $14,122–$20,881 |
| St. Louis MO | 7 | $17,000 | $18,068 | $18,068 | $6,560–$19,903 |
| Tampa FL | 11 | $25,403 | $26,375 | $26,502 | $19,848–$28,473 |
| Tennessee (statewide) | 33 | $11,055 | $13,096 | $15,114 | $9,517–$25,052 |
| Texas (statewide) | 90 | $12,668 | $15,200 | $20,462 | $6,572–$33,927 |
| Utah (statewide) | 6 | $21,618 | $30,449 | $36,098 | $9,417–$36,452 |
| Vermont (statewide) | 3 | — | — | — | $16,313–$36,058 |
| Virginia (statewide) | 34 | $16,194 | $24,532 | $26,656 | $12,214–$39,907 |
| Washington (statewide) | 14 | $20,411 | $24,644 | $27,050 | $10,770–$54,506 |
| Washington DC | 11 | $19,955 | $25,582 | $26,370 | $13,321–$27,032 |
| West Virginia (statewide) | 16 | $6,812 | $7,912 | $21,497 | $5,811–$30,922 |
| Wisconsin (statewide) | 55 | $15,695 | $24,097 | $26,558 | $11,622–$30,879 |
| Wyoming (statewide) | 2 | — | — | — | $20,380–$28,528 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Flowers Hospital | Alabama (statewide) | $5,310 | 0.7× | 1 | 2026-04-01 |
| Wetzel County Hospital | West Virginia (statewide) | $5,811 | 0.7× | 2 | 2026-07-10 |
| Mcpherson Hospital Inc | Kansas (statewide) | $5,814 | 0.7× | 3 | 2026-06-08 |
| Los Alamos Medical Center | New Mexico (statewide) | $6,133 | 0.7× | 3 | 2026-07-10 |
| Mccone County Health Center | Montana (statewide) | $6,229 | 0.7× | 1 | 2026-01-01 |
| Springhill Medical Center | Louisiana (statewide) | $6,443 | 0.8× | 1 | 2026-04-02 |
| Stormont Vail Health Flint Hills, Llc | Kansas (statewide) | $6,495 | 0.8× | 3 | 2025-12-19 |
| Mercy Hospital South | St. Louis MO | $6,560 | 0.7× | 1 | 2026-06-10 |
| Memorial Medical Center | Texas (statewide) | $6,572 | 0.7× | 1 | 2026-09-14 |
| Northern Cochise Community Hospital, Inc. | Arizona (statewide) | $6,602 | 0.7× | 1 | 2026-07-29 |
| Lafayette Regional Health Center | Missouri (statewide) | $6,635 | 0.7× | 4 | 2026-09-01 |
| Weirton Medical Center, Inc | West Virginia (statewide) | $6,639 | 0.8× | 2 | 2026-07-10 |
| Children'S Hospital Colorado | Colorado (statewide) | $39,718 | 4.1× | 4 | 2026-04-17 |
| Carilion New River Valley Medical Center | Virginia (statewide) | $39,907 | 4.5× | 1 | 2025-12-15 |
| Intermountain Health St. Mary'S Regional Hospital | Colorado (statewide) | $40,364 | 4.2× | 4 | 2026-03-22 |
| Mason District Hospital | Illinois (statewide) | $40,895 | 4.2× | 2 | 2026-03-10 |
| Montefiore Mount Vernon Hospital | New York (statewide) | $41,843 | 3.6× | 10 | 2026-04-01 |
| St Luke'S Wood River Medical Center | Idaho (statewide) | $42,404 | 4.7× | 2 | 2026-03-25 |
| Providence Alaska Medical Center | Alaska (statewide) | $43,146 | 4.2× | 4 | 2026-04-01 |
| Providence St Joseph Medical Center | Montana (statewide) | $43,237 | 4.6× | 1 | 2026-04-01 |
| Hammond Henry Hospital | Illinois (statewide) | $51,995 | 5.3× | 1 | 2026-01-22 |
| Providence Centralia Hospital | Washington (statewide) | $54,506 | 5.3× | 2 | 2026-04-01 |
| Lac/Olive View-Ucla Medical Center | California (statewide) | $56,412 | 4.7× | 1 | 2026-03-12 |
| Lac/Harbor-Ucla Med Center | California (statewide) | $57,186 | 4.8× | 1 | 2026-03-12 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
MS-DRG 292: Heart Failure and Shock With Cc
1571 hospitals in 83 markets. National Medicare rate $6,178.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 22 | $7,236 | $8,861 | $9,950 | $4,353–$20,505 |
| Alaska (statewide) | 4 | — | — | — | $7,678–$28,478 |
| Arizona (statewide) | 29 | $11,152 | $15,406 | $19,415 | $5,316–$26,380 |
| Arkansas (statewide) | 9 | $7,275 | $7,912 | $8,663 | $6,635–$9,153 |
| Atlanta GA | 10 | $15,543 | $16,206 | $16,551 | $15,543–$25,357 |
| Austin TX | 13 | $5,666 | $9,366 | $10,303 | $5,386–$12,017 |
| Boston MA | 14 | $7,309 | $7,988 | $8,901 | $5,660–$14,180 |
| California (statewide) | 54 | $10,234 | $12,344 | $15,915 | $5,461–$45,454 |
| Charlotte NC | 8 | $13,113 | $14,200 | $16,597 | $9,524–$16,597 |
| Chicago IL | 10 | $10,675 | $12,384 | $14,169 | $8,180–$15,791 |
| Cleveland OH | 11 | $11,036 | $11,747 | $12,584 | $10,588–$21,500 |
| Colorado (statewide) | 16 | $10,496 | $16,578 | $19,632 | $5,202–$26,693 |
| Columbus OH | 2 | — | — | — | $17,257–$22,751 |
| Connecticut (statewide) | 6 | $16,866 | $21,784 | $25,255 | $16,184–$26,598 |
| Dallas-Fort Worth TX | 15 | $9,586 | $10,175 | $12,125 | $8,296–$19,371 |
| Delaware (statewide) | 2 | — | — | — | $11,280–$17,267 |
| Denver CO | 15 | $8,490 | $9,510 | $16,864 | $7,697–$22,432 |
| Detroit MI | 17 | $11,630 | $11,762 | $16,088 | $9,521–$19,680 |
| Florida (statewide) | 90 | $9,424 | $11,344 | $17,248 | $6,428–$25,732 |
| Georgia (statewide) | 39 | $12,016 | $16,146 | $21,794 | $7,781–$25,357 |
| Hawaii (statewide) | 11 | $23,860 | $27,056 | $28,514 | $14,645–$30,672 |
| Houston TX | 19 | $10,174 | $11,792 | $13,415 | $8,224–$25,961 |
| Idaho (statewide) | 16 | $13,362 | $16,490 | $19,664 | $8,760–$23,552 |
| Illinois (statewide) | 45 | $8,640 | $9,466 | $12,699 | $5,714–$26,956 |
| Indiana (statewide) | 54 | $10,005 | $12,840 | $14,732 | $4,414–$18,559 |
| Indianapolis IN | 6 | $14,799 | $15,270 | $18,320 | $13,700–$19,246 |
| Iowa (statewide) | 24 | $8,362 | $9,669 | $13,113 | $5,037–$16,923 |
| Kansas (statewide) | 32 | $6,983 | $7,778 | $10,733 | $4,670–$17,302 |
| Kentucky (statewide) | 38 | $7,628 | $10,036 | $11,434 | $5,326–$22,476 |
| Las Vegas NV | 1 | — | — | — | $14,107–$14,107 |
| Los Angeles CA | 18 | $14,652 | $15,820 | $16,701 | $11,355–$20,049 |
| Louisiana (statewide) | 24 | $6,893 | $7,864 | $9,884 | $5,904–$11,564 |
| Maine (statewide) | 13 | $17,480 | $23,023 | $25,670 | $6,546–$25,670 |
| Maryland (statewide) | 1 | — | — | — | $11,460–$11,460 |
| Massachusetts (statewide) | 8 | $5,831 | $9,308 | $11,510 | $4,909–$14,452 |
| Miami-Fort Lauderdale FL | 3 | — | — | — | $9,435–$10,918 |
| Michigan (statewide) | 39 | $9,994 | $11,410 | $14,254 | $6,662–$17,659 |
| Minneapolis-St. Paul MN | 15 | $12,298 | $14,385 | $14,792 | $9,440–$16,015 |
| Minnesota (statewide) | 24 | $10,757 | $10,841 | $14,792 | $4,661–$21,586 |
| Mississippi (statewide) | 21 | $7,672 | $8,933 | $9,706 | $3,415–$14,065 |
| Missouri (statewide) | 33 | $8,502 | $10,011 | $11,223 | $5,070–$24,521 |
| Montana (statewide) | 7 | $10,205 | $14,488 | $19,110 | $4,111–$29,149 |
| Nashville TN | 8 | $8,390 | $9,498 | $12,584 | $7,614–$16,535 |
| Nebraska (statewide) | 15 | $14,433 | $15,094 | $17,900 | $10,082–$20,277 |
| Nevada (statewide) | 5 | $11,554 | $13,055 | $16,862 | $9,697–$17,354 |
| New Hampshire (statewide) | 8 | $9,844 | $11,634 | $14,223 | $8,402–$19,968 |
| New Jersey (statewide) | 21 | $14,655 | $16,777 | $20,567 | $8,112–$25,314 |
| New Mexico (statewide) | 11 | $7,446 | $9,030 | $13,760 | $4,048–$25,936 |
| New York (statewide) | 48 | $9,760 | $11,470 | $15,556 | $6,160–$33,011 |
| New York City | 8 | $15,607 | $16,138 | $18,846 | $7,676–$26,140 |
| North Carolina (statewide) | 35 | $7,958 | $11,978 | $15,240 | $5,326–$26,562 |
| North Dakota (statewide) | 7 | $10,604 | $11,082 | $13,422 | $10,162–$23,564 |
| Ohio (statewide) | 55 | $10,942 | $12,803 | $15,536 | $5,454–$26,700 |
| Oklahoma (statewide) | 26 | $6,282 | $8,209 | $10,088 | $4,301–$16,603 |
| Oregon (statewide) | 11 | $13,961 | $16,895 | $19,454 | $7,574–$22,914 |
| Pennsylvania (statewide) | 60 | $10,040 | $12,866 | $16,003 | $6,314–$24,406 |
| Philadelphia PA | 11 | $14,954 | $16,134 | $18,664 | $14,065–$25,314 |
| Phoenix AZ | 11 | $14,132 | $15,032 | $16,894 | $14,132–$18,890 |
| Pittsburgh PA | 7 | $10,178 | $10,766 | $12,007 | $8,258–$14,043 |
| Portland OR | 9 | $18,545 | $20,000 | $21,643 | $17,323–$22,320 |
| Research Triangle NC | 9 | $10,138 | $11,454 | $13,094 | $7,609–$13,288 |
| Rhode Island (statewide) | 7 | $10,939 | $13,831 | $17,072 | $8,908–$18,384 |
| Richmond VA | 7 | $13,365 | $16,813 | $18,768 | $10,152–$20,427 |
| Rio Grande Valley TX | 6 | $10,020 | $10,918 | $11,759 | $9,806–$14,498 |
| Salt Lake City UT | 9 | $19,681 | $19,681 | $19,681 | $19,486–$19,681 |
| San Antonio TX | 3 | — | — | — | $8,403–$29,009 |
| San Diego CA | 7 | $10,704 | $12,148 | $13,850 | $10,311–$14,879 |
| San Francisco Bay Area CA | 2 | — | — | — | $10,686–$16,180 |
| Seattle-Tacoma WA | 16 | $18,882 | $19,138 | $19,915 | $17,112–$24,441 |
| South Carolina (statewide) | 31 | $15,184 | $17,341 | $22,869 | $4,878–$25,729 |
| South Dakota (statewide) | 4 | — | — | — | $9,339–$13,809 |
| St. Louis MO | 7 | $12,484 | $12,966 | $14,338 | $4,338–$16,852 |
| Tampa FL | 11 | $16,782 | $17,408 | $17,526 | $13,126–$18,830 |
| Tennessee (statewide) | 33 | $7,366 | $8,643 | $11,152 | $6,104–$16,535 |
| Texas (statewide) | 90 | $8,463 | $10,484 | $14,586 | $4,125–$23,617 |
| Utah (statewide) | 6 | $15,134 | $23,170 | $27,469 | $6,228–$27,739 |
| Vermont (statewide) | 3 | — | — | — | $10,767–$23,799 |
| Virginia (statewide) | 32 | $11,376 | $16,208 | $17,543 | $8,077–$26,391 |
| Washington (statewide) | 14 | $14,052 | $16,274 | $17,911 | $7,179–$36,113 |
| Washington DC | 11 | $13,197 | $16,885 | $17,404 | $8,981–$17,877 |
| West Virginia (statewide) | 15 | $5,917 | $6,468 | $15,018 | $5,084–$20,449 |
| Wisconsin (statewide) | 52 | $11,880 | $15,932 | $17,586 | $7,765–$20,421 |
| Wyoming (statewide) | 2 | — | — | — | $13,478–$19,031 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Winston Medical Center & Swingbed | Mississippi (statewide) | $3,415 | 0.7× | 1 | 2026-09-18 |
| Los Alamos Medical Center | New Mexico (statewide) | $4,048 | 0.7× | 3 | 2026-07-10 |
| Mccone County Health Center | Montana (statewide) | $4,111 | 0.7× | 1 | 2026-01-01 |
| Sweeny Community Hospital | Texas (statewide) | $4,125 | 0.7× | 1 | 2026-09-08 |
| Weatherford Regional Hospital, Inc Of Weatherford | Oklahoma (statewide) | $4,301 | 0.7× | 4 | 2026-06-24 |
| Carnegie Tri-County Municipal Hospital | Oklahoma (statewide) | $4,301 | 0.7× | 4 | 2026-09-01 |
| Memorial Medical Center | Texas (statewide) | $4,334 | 0.7× | 1 | 2026-09-14 |
| Mercy Hospital South | St. Louis MO | $4,338 | 0.7× | 1 | 2026-06-10 |
| Flowers Hospital | Alabama (statewide) | $4,353 | 0.8× | 1 | 2026-04-01 |
| Dukes Memorial Hospital | Indiana (statewide) | $4,414 | 0.7× | 12 | 2026-04-01 |
| Putnam County Hospital | Indiana (statewide) | $4,618 | 0.7× | 2 | 2026-06-30 |
| Grand Itasca Clinic And Hospital | Minnesota (statewide) | $4,661 | 0.8× | 1 | 2026-01-28 |
| Intermountain Health Heber Valley Hospital | Utah (statewide) | $27,739 | 4.5× | 6 | 2026-08-05 |
| Providence Alaska Medical Center | Alaska (statewide) | $28,478 | 4.2× | 4 | 2026-04-01 |
| Kohala Hospital | Hawaii (statewide) | $28,514 | 3.9× | 1 | 2026-06-15 |
| Samuel Mahelona Memorial Hospital | Hawaii (statewide) | $28,514 | 3.9× | 1 | 2026-06-15 |
| Honoka'A Hospital And Skilled Nursing | Hawaii (statewide) | $28,514 | 3.9× | 1 | 2026-06-15 |
| University Health System | San Antonio TX | $29,009 | 4.8× | 10 | 2025-10-14 |
| Providence St Joseph Medical Center | Montana (statewide) | $29,149 | 4.7× | 1 | 2026-04-01 |
| Kauai Veterans Memorial Hospital | Hawaii (statewide) | $30,672 | 4.2× | 1 | 2026-06-15 |
| Stony Brook University Hospital | New York (statewide) | $33,011 | 4.3× | 1 | 2026-06-10 |
| Providence Centralia Hospital | Washington (statewide) | $36,113 | 5.3× | 2 | 2026-04-01 |
| Lac/Harbor-Ucla Med Center | California (statewide) | $44,070 | 5.5× | 1 | 2026-03-12 |
| Lac/Olive View-Ucla Medical Center | California (statewide) | $45,454 | 5.7× | 1 | 2026-03-12 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
MS-DRG 293: Heart Failure and Shock Without Cc/McC
1484 hospitals in 83 markets. National Medicare rate $4,119.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 21 | $4,738 | $6,101 | $7,279 | $3,792–$13,064 |
| Alaska (statewide) | 4 | — | — | — | $5,119–$18,152 |
| Arizona (statewide) | 28 | $8,790 | $10,063 | $12,474 | $4,442–$22,816 |
| Arkansas (statewide) | 9 | $4,811 | $5,275 | $5,775 | $4,227–$5,948 |
| Atlanta GA | 10 | $9,907 | $10,832 | $11,182 | $9,907–$16,163 |
| Austin TX | 13 | $3,778 | $7,033 | $7,606 | $3,546–$7,830 |
| Boston MA | 12 | $4,784 | $5,236 | $6,588 | $4,252–$9,454 |
| California (statewide) | 51 | $7,032 | $8,707 | $10,710 | $4,487–$37,623 |
| Charlotte NC | 8 | $8,354 | $9,048 | $11,065 | $6,349–$11,065 |
| Chicago IL | 10 | $6,886 | $7,892 | $9,124 | $5,214–$10,528 |
| Cleveland OH | 11 | $7,059 | $7,779 | $7,888 | $6,148–$14,900 |
| Colorado (statewide) | 16 | $7,158 | $10,924 | $13,088 | $3,468–$17,796 |
| Columbus OH | 2 | — | — | — | $7,902–$11,505 |
| Connecticut (statewide) | 4 | — | — | — | $10,632–$24,821 |
| Dallas-Fort Worth TX | 15 | $6,648 | $7,165 | $8,768 | $5,895–$12,949 |
| Delaware (statewide) | 2 | — | — | — | $8,407–$15,076 |
| Denver CO | 15 | $5,833 | $6,507 | $11,242 | $5,330–$14,668 |
| Detroit MI | 13 | $7,753 | $7,841 | $9,845 | $7,106–$11,468 |
| Florida (statewide) | 90 | $6,672 | $8,946 | $11,640 | $4,096–$17,159 |
| Georgia (statewide) | 44 | $8,512 | $10,964 | $13,892 | $5,534–$22,201 |
| Hawaii (statewide) | 11 | $23,010 | $24,879 | $28,514 | $9,764–$34,672 |
| Houston TX | 19 | $6,968 | $8,088 | $9,762 | $5,300–$21,058 |
| Idaho (statewide) | 14 | $9,502 | $12,488 | $13,723 | $5,840–$18,538 |
| Illinois (statewide) | 40 | $5,593 | $6,415 | $8,759 | $3,810–$33,784 |
| Indiana (statewide) | 48 | $7,956 | $9,286 | $12,002 | $3,079–$15,894 |
| Indianapolis IN | 5 | $12,831 | $13,700 | $14,732 | $10,361–$15,000 |
| Iowa (statewide) | 20 | $5,181 | $6,246 | $8,140 | $3,635–$11,750 |
| Kansas (statewide) | 27 | $5,462 | $5,868 | $7,997 | $2,977–$18,152 |
| Kentucky (statewide) | 36 | $4,953 | $6,360 | $7,547 | $2,265–$14,681 |
| Las Vegas NV | 1 | — | — | — | $8,988–$8,988 |
| Los Angeles CA | 18 | $9,932 | $10,466 | $11,000 | $7,570–$12,780 |
| Louisiana (statewide) | 24 | $4,840 | $5,137 | $6,288 | $3,776–$7,602 |
| Maine (statewide) | 13 | $11,137 | $15,349 | $17,114 | $4,364–$17,114 |
| Maryland (statewide) | 1 | — | — | — | $7,807–$7,807 |
| Massachusetts (statewide) | 7 | $5,036 | $5,848 | $7,786 | $4,035–$11,076 |
| Miami-Fort Lauderdale FL | 3 | — | — | — | $6,372–$7,279 |
| Michigan (statewide) | 36 | $7,001 | $7,742 | $8,891 | $3,554–$11,773 |
| Minneapolis-St. Paul MN | 13 | $9,087 | $9,429 | $9,590 | $7,418–$10,677 |
| Minnesota (statewide) | 22 | $7,104 | $7,223 | $9,273 | $3,107–$11,773 |
| Mississippi (statewide) | 18 | $5,670 | $5,956 | $6,996 | $4,280–$9,377 |
| Missouri (statewide) | 28 | $5,788 | $7,080 | $8,064 | $3,045–$18,992 |
| Montana (statewide) | 7 | $6,803 | $9,916 | $12,989 | $2,619–$18,929 |
| Nashville TN | 8 | $6,239 | $7,662 | $9,764 | $5,560–$10,535 |
| Nebraska (statewide) | 15 | $9,224 | $9,794 | $11,522 | $6,424–$13,518 |
| Nevada (statewide) | 5 | $8,106 | $9,138 | $11,241 | $6,178–$12,160 |
| New Hampshire (statewide) | 8 | $6,654 | $7,415 | $9,368 | $5,601–$13,312 |
| New Jersey (statewide) | 21 | $10,012 | $11,448 | $25,404 | $5,464–$31,575 |
| New Mexico (statewide) | 9 | $6,006 | $6,327 | $8,791 | $3,850–$16,532 |
| New York (statewide) | 47 | $6,498 | $7,584 | $10,156 | $4,106–$33,011 |
| New York City | 8 | $10,491 | $10,758 | $12,564 | $4,892–$17,428 |
| North Carolina (statewide) | 31 | $4,909 | $7,781 | $11,014 | $3,393–$21,314 |
| North Dakota (statewide) | 8 | $6,803 | $7,103 | $8,125 | $5,671–$13,087 |
| Ohio (statewide) | 52 | $7,340 | $8,970 | $10,584 | $3,446–$18,500 |
| Oklahoma (statewide) | 24 | $4,314 | $5,812 | $7,326 | $3,369–$11,633 |
| Oregon (statewide) | 9 | $9,352 | $11,500 | $11,952 | $6,289–$14,811 |
| Pennsylvania (statewide) | 58 | $6,732 | $9,004 | $11,213 | $4,119–$15,950 |
| Philadelphia PA | 11 | $9,936 | $10,756 | $12,905 | $9,377–$17,104 |
| Phoenix AZ | 11 | $9,421 | $10,021 | $11,301 | $9,421–$12,474 |
| Pittsburgh PA | 7 | $8,192 | $8,582 | $9,709 | $6,122–$11,677 |
| Portland OR | 9 | $12,689 | $13,688 | $14,203 | $11,259–$14,984 |
| Research Triangle NC | 9 | $7,067 | $8,536 | $8,729 | $4,848–$9,100 |
| Rhode Island (statewide) | 7 | $7,599 | $8,902 | $11,382 | $6,143–$12,256 |
| Richmond VA | 7 | $9,048 | $10,712 | $12,512 | $8,863–$13,202 |
| Rio Grande Valley TX | 6 | $7,224 | $8,111 | $9,334 | $6,934–$10,986 |
| Salt Lake City UT | 9 | $14,016 | $14,016 | $14,016 | $13,877–$14,016 |
| San Antonio TX | 3 | — | — | — | $5,670–$18,990 |
| San Diego CA | 7 | $7,378 | $8,099 | $9,594 | $7,195–$10,444 |
| San Francisco Bay Area CA | 2 | — | — | — | $7,280–$10,314 |
| Seattle-Tacoma WA | 16 | $12,062 | $12,657 | $12,792 | $11,176–$15,632 |
| South Carolina (statewide) | 30 | $10,592 | $11,506 | $15,706 | $3,939–$17,153 |
| South Dakota (statewide) | 3 | — | — | — | $7,282–$9,206 |
| St. Louis MO | 6 | $8,860 | $8,860 | $8,860 | $8,860–$10,464 |
| Tampa FL | 11 | $10,931 | $11,091 | $11,684 | $10,138–$12,553 |
| Tennessee (statewide) | 31 | $4,822 | $5,634 | $8,240 | $3,601–$11,707 |
| Texas (statewide) | 89 | $6,428 | $7,606 | $10,886 | $3,306–$21,142 |
| Utah (statewide) | 6 | $10,137 | $16,501 | $19,563 | $4,152–$19,755 |
| Vermont (statewide) | 3 | — | — | — | $6,860–$15,163 |
| Virginia (statewide) | 23 | $9,760 | $11,039 | $11,724 | $5,908–$17,594 |
| Washington (statewide) | 12 | $10,056 | $10,816 | $12,478 | $8,078–$23,252 |
| Washington DC | 11 | $8,798 | $10,758 | $11,089 | $5,832–$11,918 |
| West Virginia (statewide) | 14 | $2,871 | $3,074 | $11,486 | $2,485–$13,633 |
| Wisconsin (statewide) | 48 | $8,932 | $10,680 | $11,773 | $5,177–$15,215 |
| Wyoming (statewide) | 1 | — | — | — | $12,477–$12,477 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Pineville Community Health Center, Inc | Kentucky (statewide) | $2,265 | 0.6× | 1 | 2026-01-24 |
| Wetzel County Hospital | West Virginia (statewide) | $2,485 | 0.6× | 2 | 2026-07-10 |
| Mccone County Health Center | Montana (statewide) | $2,619 | 0.6× | 1 | 2026-01-01 |
| Weirton Medical Center, Inc | West Virginia (statewide) | $2,840 | 0.7× | 2 | 2026-07-10 |
| Camden Clark Medical Center | West Virginia (statewide) | $2,840 | 0.7× | 2 | 2026-07-09 |
| Reynolds Memorial Hospital, Inc | West Virginia (statewide) | $2,850 | 0.7× | 3 | 2026-07-09 |
| Thomas Memorial Hospital | West Virginia (statewide) | $2,935 | 0.8× | 3 | 2026-07-10 |
| United Hospital Center, Inc | West Virginia (statewide) | $2,948 | 0.8× | 3 | 2026-07-10 |
| Stormont Vail Health Flint Hills, Llc | Kansas (statewide) | $2,977 | 0.8× | 3 | 2025-12-19 |
| Wheeling Hospital, Inc | West Virginia (statewide) | $2,985 | 0.8× | 3 | 2026-07-09 |
| Lafayette Regional Health Center | Missouri (statewide) | $3,045 | 0.8× | 4 | 2026-09-01 |
| Putnam County Hospital | Indiana (statewide) | $3,079 | 0.7× | 2 | 2026-06-30 |
| Chilton Medical Center | New Jersey (statewide) | $27,274 | 6.0× | 20 | 2026-04-01 |
| Kohala Hospital | Hawaii (statewide) | $28,514 | 5.9× | 1 | 2026-06-15 |
| Samuel Mahelona Memorial Hospital | Hawaii (statewide) | $28,514 | 5.9× | 1 | 2026-06-15 |
| Honoka'A Hospital And Skilled Nursing | Hawaii (statewide) | $28,514 | 5.9× | 1 | 2026-06-15 |
| Centrastate Medical Center | New Jersey (statewide) | $29,262 | 6.4× | 13 | 2026-01-01 |
| Kauai Veterans Memorial Hospital | Hawaii (statewide) | $30,672 | 6.3× | 1 | 2026-06-15 |
| Morristown Medical Center | New Jersey (statewide) | $31,575 | 6.9× | 4 | 2026-04-01 |
| Stony Brook University Hospital | New York (statewide) | $33,011 | 6.4× | 1 | 2026-06-10 |
| Taylorville Memorial Hospital | Illinois (statewide) | $33,784 | 7.8× | 1 | 2026-09-17 |
| Wilcox Memorial Hospital | Hawaii (statewide) | $34,672 | 7.2× | 2 | 2026-02-12 |
| Lac/Harbor-Ucla Med Center | California (statewide) | $34,725 | 6.6× | 1 | 2026-03-12 |
| Lac/Olive View-Ucla Medical Center | California (statewide) | $37,623 | 7.1× | 1 | 2026-03-12 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Questions
How much do commercial insurers pay hospitals for heart failure (hospital stay)?
Across 1615 hospitals in 83 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for inpatient stay (MS-DRG 291) is $17,586, 1.9× the same hospital's local Medicare base rate. The middle half of hospitals runs $13,511 to $24,593. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for heart failure (hospital stay)?
Medicare's national inpatient base rate for MS-DRG 291 is $9,342, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for heart failure (hospital stay)?
Lowest medians: Flowers Hospital ($5,310), Wetzel County Hospital ($5,811), Mcpherson Hospital Inc ($5,814). Highest: Lac/Harbor-Ucla Med Center ($57,186), Lac/Olive View-Ucla Medical Center ($56,412), Providence Centralia Hospital ($54,506). Coverage: every hospital whose price file we could read.