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Heart Failure and Shock without Complications

California rates for MS-DRG 293

Heart Failure and Shock without CC/MCC

Rates data updated July 2026.

How much does Heart Failure and Shock without Complications cost?

$14,125

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $14,125 for this service. Most negotiated rates run $10,965 to $20,417.

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 $14,125 · 10th to 90th $7,943 to $23,988
$200$500$1K$2K$5K$10K$20Kfacility $14,125

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
$8,709.64
Median
$13,182.57
Typical High
$23,988.33
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$14,125.38
Typical High
$23,988.33
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$10,000.00
Typical High
$21,379.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$11,748.98
Typical High
$22,908.68
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
$8,128.31
Median
$12,882.50
Typical High
$25,703.96
United
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$11,220.18
Typical High
$26,302.68

Where California sits

The same service costs 10.7 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· 6th of 51

$14,125

MT $48,978NM $4,571

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.