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Heart Failure and Shock without Complications

New York 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 New York, July 2026.

Insurers have agreed to pay about $14,125 for this service. Most negotiated rates run $9,120 to $18,621.

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 $14,125 · 10th to 90th $4,898 to $21,878
$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
$3,890.45
Median
$10,964.78
Typical High
$19,498.45
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$18,620.87
Typical High
$23,442.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$15,848.93
Typical High
$19,498.45
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$13,803.84
Typical High
$28,840.32
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$5,888.44
United
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$12,022.64
Typical High
$18,620.87

Where New York 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.

New York· 5th 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.