Heart Failure & Shock With Major Complication
Inpatient admission for decompensated heart failure with major complication or comorbidity — one of the most common Medicare admissions.
Typical insured price · Colorado
What hospitals actually accept from insurers, between the 25th and 75th percentile of per-hospital medians — half of reporting hospitals’ median rates fall in this window with a median of $15,200.
Cash price (median)
$16,556
What you'd pay self-pay
Gross charge (median)
$21,733
The chargemaster sticker
vs Medicare
—
Coming with enrichment
Sourced from 42 Colorado hospitals publishing under 45 CFR §180.50.
At a glance
- Code
- MS-DRG 291
- Code system
- MS-DRG (Medicare Severity Diagnosis-Related Group)
- Typical setting
- an inpatient setting
- Hospitals reporting
- 42
How they price Heart Failure & Shock With Major Complication
Across 42 Colorado hospitals that publish a commercial negotiated rate for MS-DRG 291, the typical insured price for Heart Failure & Shock With Major Complication runs $12,907 to $18,753 (the 25th-to-75th percentile of per-hospital medians). The Colorado median is $15,200 — half of reporting hospitals are at or below that figure. The median discounted cash price across the same hospitals is $16,556, against a median gross charge of $21,733.
What affects the price
Structural and contractual factors that move the price for this code — not clinical reasons.
- Inpatient stays are bundled by MS-DRG — most hospital services land in a single negotiated payment, though independent physicians may still bill separately.
- In-network vs out-of-network status — out-of-network claims rarely use the negotiated rates shown here.
- Facility fee — many hospitals add a separate facility fee in addition to the procedure rate; ask explicitly when calling.
- Bundled vs unbundled billing — the rate may or may not include radiology read, anesthesia, or pathology. Ask which professional services are included.
Where to get it
Sorted by median negotiated rate, low to high. The bar shows each hospital’s position in the Colorado range.
42 hospitals listed
Medians shown combine all commercial payers; your plan's rate may differ. Choose your insurance carrier to filter.
Carriers named by their MRF label. Confirm in-network status with your insurer before scheduling.
| Compare | Hospital | Metro | Position · Median | Your carrier's rate | Negotiated band | Cash | Payers |
|---|---|---|---|---|---|---|---|
Grand River Health Rifle
| Rest of Colorado | $4,823 | — | $4,611 – $6,488 | — | 3 | |
San Luis Valley Health Conejos County Hospital
| Rest of Colorado | $8,255 | — | $8,255 – $12,707 | — | 3 | |
Hca Healthone Rose Medical Center
| Denver Metro | $10,929 | — | $8,953 – $11,639 | — | 22 | |
Community Hospital Grand Junction
| Rest of Colorado | $11,055 | — | $11,055 – $11,773 | — | 7 | |
Hca Healthone Swedish Medical Center
| Denver Metro | $11,424 | — | $8,625 – $11,730 | — | 21 | |
Hca Healthone Sky Ridge Medical Center
| Denver Metro | $11,489 | — | $10,800 – $11,834 | — | 20 | |
Hca Healthone Presbyterian St Luke S Medical Center
| Denver Metro | $11,601 | — | $11,195 – $12,181 | — | 23 | |
Hca Healthone Aurora Medical Center of Aurora
| Denver Metro | $11,956 | — | $8,625 – $12,314 | — | 21 | |
Banner Fort Collins Medical Center
| Fort Collins | $12,330 | — | $11,743 – $26,421 | $14,590 | 16 | |
Hca Healthone Mountain Ridge Thornton
| Denver Metro | $12,783 | — | $8,238 – $12,911 | — | 23 | |
Commonspirit Mercy Hospital Durango
| Rest of Colorado | $12,899 | — | $12,899 – $12,899 | — | 11 | |
Commonspirit St Elizabeth Hospital Fort Morgan
| Rest of Colorado | $12,929 | — | $12,929 – $12,929 | — | 8 | |
Commonspirit Longmont United Hospital
| Boulder | $13,489 | — | $12,173 – $31,459 | — | 13 | |
Valley View Hospital Glenwood Springs
| Rest of Colorado | $13,554 | — | $13,554 – $13,554 | — | 3 | |
Commonspirit St Francis Hospital
| Colorado Springs | $13,651 | — | $10,583 – $30,272 | — | 12 | |
Commonspirit St Mary Corwin Hospital Pueblo
| Rest of Colorado | $14,213 | — | $14,213 – $14,213 | — | 10 | |
Uchealth Grandview Hospital Colorado Springs
| Colorado Springs | $14,341 | — | $11,544 – $20,565 | — | 8 | |
Banner North Colorado Medical Center
| Rest of Colorado | $14,471 | — | $12,060 – $28,943 | $16,457 | 15 | |
Commonspirit Orthocolorado Hospital
| Denver Metro | $14,569 | — | $9,725 – $25,524 | — | 12 | |
Pikes Peak Regional Hospital Woodland Park
| Colorado Springs | $14,705 | — | $14,081 – $15,467 | — | 3 | |
Commonspirit St Anthony North Hospital
| Denver Metro | $14,806 | — | $12,946 – $30,140 | — | 14 | |
| Heart of the Rockies Regional Medical Center Salida Gross charge $16,416
| Rest of Colorado | $15,595 | — | $14,446 – $15,595 | $13,953 | 10 | |
Sterling Regional Medcenter
| Rest of Colorado | $15,621 | — | $15,621 – $16,324 | $16,656 | 11 | |
Uchealth Yampa Valley Medical Center Steamboat Springs
| Rest of Colorado | $15,655 | — | $15,655 – $15,655 | — | 8 | |
Commonspirit St Anthony Hospital Lakewood
| Denver Metro | $16,925 | — | $11,161 – $31,180 | — | 11 | |
Uchealth Medical Center of the Rockies Loveland
| Fort Collins | $17,089 | — | $10,338 – $31,117 | — | 8 | |
Uchealth Highlands Ranch Hospital
| Denver Metro | $17,582 | — | $10,276 – $23,460 | — | 8 | |
Uchealth Memorial Hospital Central Colorado Springs
| Colorado Springs | $17,796 | — | $11,140 – $26,829 | — | 9 | |
Uchealth Memorial Hospital North Colorado Springs
| Colorado Springs | $17,796 | — | $11,140 – $26,829 | — | 9 | |
Uchealth Poudre Valley Hospital Fort Collins
| Fort Collins | $18,412 | — | $11,749 – $31,117 | — | 8 | |
Boulder Community Health Foothills Hospital
| Boulder | $18,514 | — | $10,634 – $26,562 | — | 12 | |
Uchealth University of Colorado Hospital Aurora
| Denver Metro | $18,833 | — | $15,721 – $28,357 | — | 11 | |
Uchealth Longs Peak Hospital Longmont
| Boulder | $18,959 | — | $10,967 – $24,076 | — | 9 | |
| Spanish Peaks Regional Health Center Walsenburg Gross charge $21,733
| Rest of Colorado | $20,212 | — | $19,560 – $31,900 | $19,560 | 13 | |
Commonspirit St Anthony Summit Medical Center
| Rest of Colorado | $20,214 | — | $20,214 – $24,731 | — | 9 | |
Uchealth Greeley Hospital
| Rest of Colorado | $21,613 | — | $11,015 – $30,950 | — | 8 | |
Uchealth Parkview Medical Center Pueblo
| Rest of Colorado | $21,775 | — | $11,851 – $25,607 | — | 7 | |
Denver Health Medical Center
| Denver Metro | $27,501 | — | $25,612 – $34,379 | — | 5 | |
| Montrose Regional Health Gross charge $31,129
| Rest of Colorado | $29,572 | — | $26,459 – $29,572 | $23,346 | 13 | |
Commonspirit St Francis Hospital Interquest
| Colorado Springs | $31,738 | — | $25,315 – $40,534 | — | 7 | |
Children S Hospital Colorado Colorado Springs
| Colorado Springs | $33,440 | — | $29,347 – $42,477 | — | 5 | |
Commonspirit St Thomas More Hospital Ca on City
| Rest of Colorado | $39,576 | — | $31,372 – $61,994 | — | 3 |
0 of 3 hospitals selected
Prices by metro: Denver MetroColorado SpringsFort CollinsBoulderRest of Colorado
What to do next
Ask the hospital for a Good Faith Estimate — under the federal No Surprises Act, hospitals must give uninsured and self-pay patients a written estimate for scheduled care. If you're insured, ask your insurer for your expected cost-sharing in advance, confirm the hospital is in-network, and bring your insurance card.
Common questions
Short answers, derived from the data on this page. See the full FAQ for site-wide questions.
How much does Heart Failure & Shock With Major Complication cost in Colorado?
Across 42 Colorado hospitals that publish a commercial negotiated rate, the median is $15,200. The middle half of hospitals fall between $12,907 and $18,753 — the 25th-to-75th percentile of per-hospital medians.
Is the doctor's fee included in these prices?
For inpatient stays like this one, the price is bundled per admission — most hospital services land in one payment. The physicians who treat you (your surgeon, or the anesthesiologist) may still bill separately depending on how the hospital employs them. Ask whether physician fees are included before you schedule.
Does insurance change what I'd pay?
Yes. The negotiated rate depends on which insurer and plan you have, and what you actually pay depends on your deductible, coinsurance, and whether the hospital is in your network. Colorado hospitals publish negotiated rates for Heart Failure & Shock With Major Complication under 80 different payer names. Verify coverage with your insurer before scheduling. Choose your insurance carrier above the hospital table to see per-insurer rates.
What's the cash price for Heart Failure & Shock With Major Complication if I don't have insurance?
The median discounted cash price across reporting Colorado hospitals is $16,556. Hospitals are required to publish any discounted cash price they offer self-pay patients — often less than the gross "chargemaster" charge but typically more than the lowest negotiated rate — the per-hospital table on this page shows the full spread.
Is this a price quote?
No. These are rates hospitals have published under the federal price-transparency rule — they show what insurers have negotiated, not what you will be billed. Your bill depends on your plan, deductible, in-network status, and clinical circumstances. Verify the price with the hospital and confirm coverage with your insurer before scheduling.
What are my rights if the bill doesn't match?
If you're uninsured or paying cash, the federal No Surprises Act gives you the right to a written Good Faith Estimate before scheduled care — and if the final bill is at least $400 over that estimate, you can dispute it. Most insured patients are also protected from surprise bills for emergency care and certain out-of-network care at in-network facilities.
What does MS-DRG 291 mean?
MS-DRG 291 is the MS-DRG (Medicare Severity Diagnosis-Related Group) code for Heart Failure & Shock With Major Complication. It identifies the procedure for billing and price-disclosure purposes — every hospital's machine-readable file reports rates against this code.
Browse related collections
The same procedure shows up under several useful lenses. Each collection groups it with peers that get shopped together.