MS-DRG · 291

HEART FAILURE AND SHOCK WITH MCC

Medicare inpatient claims for MS-DRG 291. National volume + top hospitals + geographic distribution. Sourced from CMS Medicare Inpatient Hospitals by Provider; refreshed annually.

624,396
DISCHARGES (NATIONAL)
2,672
HOSPITALS REPORTING
$51K
AVG SUBMITTED CHARGE
$10K
AVG MEDICARE PAYMENT
▸ OVERVIEW

What is MS-DRG 291?

MS-DRG 291 is the Medicare Severity Diagnosis-Related Group for HEART FAILURE AND SHOCK WITH MCC. When a Medicare patient is discharged, the hospital stay is grouped into a single MS-DRG, and Medicare reimburses the hospital a fixed, predetermined amount for that group rather than itemizing each service.

Across the CMS Medicare Inpatient Hospitals by Provider dataset, 2,672 hospitals reported 624,396 discharges for MS-DRG 291. The average hospital submitted charge was $51K, while the average amount Medicare actually paid was $10K — a 5.2× gap between list price and reimbursement, which is typical for Medicare inpatient claims.

▸ TOP 25 HOSPITALS BY VOLUME

Highest-volume hospitals for MS-DRG 291

#HospitalLocationDischargesAvg chargeAvg payment
1Adventhealth OrlandoOrlando, FL1,315$76K$8K
2Adventhealth OrlandoOrlando, FL1,217$84K$9K
3New York Presbyterian HospitalNew York, NY1,022$147K$16K
4New York Presbyterian HospitalNew York, NY958$152K$16K
5Christiana Care Health SystemWilmington, DE856$39K$10K
6Methodist HospitalSan Antonio, TX831$96K$8K
7Lehigh ValleyAllentown, PA830$68K$10K
8Christiana Care Health SystemWilmington, DE803$41K$10K
9Lehigh ValleyAllentown, PA800$69K$9K
10Nyu Langone HospitalsNew York, NY791$121K$15K
11Nyu Langone HospitalsNew York, NY785$129K$15K
12Methodist HospitalSan Antonio, TX785$95K$8K
13Norton Hospitals IncLouisville, KY778$46K$8K
14Anne Arundel Medical Center Inc.Annapolis, MD741$15K$13K
15Southcoast Hospitals Group IncFall River, MA718$25K$9K
16Southcoast Hospitals Group IncFall River, MA716$26K$10K
17St. Francis HospitalRoslyn, NY695$72K$9K
18Anne Arundel Medical Center Inc.Annapolis, MD670$14K$12K
19Baystate Medical CenterSpringfield, MA669$26K$12K
20Norton Hospitals IncLouisville, KY662$44K$8K
21St. Francis HospitalRoslyn, NY644$75K$10K
22South Shore HospitalSouth Weymouth, MA641$19K$9K
23Morristown Medical CenterMorristown, NJ628$113K$12K
24Memorial Hermann Hospital SysHouston, TX617$50K$11K
25William Beaumont Hospital - TroyTroy, MI612$37K$8K