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Heart Failure and Shock with Complications

California rates for MS-DRG 292

Heart Failure and Shock with CC

Rates data updated July 2026.

How much does Heart Failure and Shock with Complications cost?

$21,380

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $21,380 for this service. Most negotiated rates run $16,218 to $30,903.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $21,380 · 10th to 90th $11,749 to $35,481
$200$500$1K$2K$5K$10K$20Kfacility $21,380

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
$13,182.57
Median
$19,498.45
Typical High
$36,307.81
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$21,379.62
Typical High
$35,481.34
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$14,791.08
Typical High
$31,622.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$17,782.79
Typical High
$33,884.42
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
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
$12,022.64
Median
$19,498.45
Typical High
$37,153.52
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$15,488.17
Typical High
$33,113.11

Where California sits

The same service costs 7.2 times more in Montana than in New Mexico. 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.

California· 4th of 51

$21,380

MT $48,978NM $6,761

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.