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Heart Failure and Shock with Major Complications

Pennsylvania rates for MS-DRG 291

Heart Failure and Shock with MCC

Rates data updated July 2026.

How much does Heart Failure and Shock with Major Complications cost?

$19,498

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $19,498 for this service. Most negotiated rates run $14,125 to $25,704.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $19,498 · 10th to 90th $10,965 to $32,359
$5K$10K$20K$50Kfacility $19,498

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$21,379.62
Typical High
$33,113.11
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$18,620.87
Median
$28,183.83
Typical High
$42,657.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$20,892.96
Typical High
$28,840.32
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$22,387.21
Median
$22,387.21
Typical High
$27,542.29
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$21,877.62
Typical High
$26,915.35
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$19,498.45
Typical High
$31,622.78
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$19,498.45
Typical High
$30,199.52
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$12,589.25
Typical High
$20,417.38
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$16,595.87
Typical High
$30,199.52

Where Pennsylvania sits

The same service costs 7.1 times more in Montana than in Mississippi. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 30th of 51

$19,498

MT $72,444MS $10,233

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.