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Heart Failure and Shock without Complications

Maine 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?

$11,220

Typical facility fee. In Maine, July 2026.

Insurers have agreed to pay about $11,220 for this service. Most negotiated rates run $9,120 to $12,023.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $11,220 · 10th to 90th $7,413 to $13,183
$10Kfacility $11,220

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
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$11,220.18
Typical High
$13,182.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$8,709.64
Typical High
$16,982.44
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$9,120.11
Typical High
$9,120.11
United
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$7,244.36

Where Maine 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.

Maine· 15th of 51

$11,220

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.