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Heart Failure and Shock with Major Complications

Texas 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?

$16,596

Typical facility fee. In Texas, July 2026.

Insurers have agreed to pay about $16,596 for this service. Most negotiated rates run $11,749 to $21,878.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $16,596 · 10th to 90th $8,318 to $30,200
$5K$10K$20K$50Kfacility $16,596

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
$12,302.69
Median
$18,620.87
Typical High
$33,113.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,918.31
Median
$13,489.63
Typical High
$22,908.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$19,498.45
Typical High
$36,307.81
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$48,977.88
Median
$48,977.88
Typical High
$48,977.88
Providence
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$16,595.87
Typical High
$38,904.51
United
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$13,489.63
Typical High
$28,840.32

Where Texas 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.

Texas· 34th of 51

$16,596

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.