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Heart Failure and Shock with Major Complications

Vermont 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?

$18,197

Typical facility fee. In Vermont, July 2026.

Insurers have agreed to pay about $18,197 for this service. Most negotiated rates run $16,596 to $35,481.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $18,197 · 10th to 90th $14,791 to $36,308
$20K$50Kfacility $18,197

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
BCBS
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$33,113.11
Typical High
$36,307.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$18,197.01
Typical High
$35,481.34
United
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$14,791.08
Typical High
$45,708.82

Where Vermont 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.

Vermont· 32nd of 51

$18,197

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.