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Heart Failure and Shock without Complications

Texas 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?

$7,413

Typical facility fee. In Texas, July 2026.

Insurers have agreed to pay about $7,413 for this service. Most negotiated rates run $5,370 to $10,000.

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 $7,413 · 10th to 90th $3,890 to $14,125
$5K$10K$20K$50Kfacility $7,413

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
$5,370.32
Median
$8,128.31
Typical High
$14,454.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$6,025.60
Typical High
$10,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$8,709.64
Typical High
$15,848.93
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
$5,128.61
Median
$7,413.10
Typical High
$17,782.79
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$7,413.10
Typical High
$16,218.10

Where Texas 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.

Texas· 35th of 51

$7,413

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.