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 — half of negotiated 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 — facility costs, professional fees, and most ancillary services land in a single payment that varies more by hospital than by procedure.
- · 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, anaesthesia, 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
| Hospital | Position · Median | Negotiated band | Cash | Payers |
|---|---|---|---|---|
Grand River Health Rifle
| $4,823 | $4,611 – $6,488 | — | 3 |
San Luis Valley Health Conejos County Hospital
| $8,255 | $8,255 – $12,707 | — | 3 |
Hca Healthone Rose Medical Center
| $10,929 | $8,953 – $11,639 | — | 22 |
Community Hospital Grand Junction
| $11,055 | $11,055 – $11,773 | — | 7 |
Hca Healthone Swedish Medical Center
| $11,424 | $8,625 – $11,730 | — | 21 |
Hca Healthone Sky Ridge Medical Center
| $11,489 | $10,800 – $11,834 | — | 20 |
Hca Healthone Presbyterian St Luke S Medical Center
| $11,601 | $11,195 – $12,181 | — | 23 |
Hca Healthone Aurora Medical Center of Aurora
| $11,956 | $8,625 – $12,314 | — | 21 |
Banner Fort Collins Medical Center
| $12,330 | $11,743 – $26,421 | $14,590 | 16 |
Hca Healthone Mountain Ridge Thornton
| $12,783 | $8,238 – $12,911 | — | 23 |
Commonspirit Mercy Hospital Durango
| $12,899 | $12,899 – $12,899 | — | 11 |
Commonspirit St Elizabeth Hospital Fort Morgan
| $12,929 | $12,929 – $12,929 | — | 8 |
Commonspirit Longmont United Hospital
| $13,489 | $12,173 – $31,459 | — | 13 |
Valley View Hospital Glenwood Springs
| $13,554 | $13,554 – $13,554 | — | 3 |
Commonspirit St Francis Hospital
| $13,651 | $10,583 – $30,272 | — | 12 |
Commonspirit St Mary Corwin Hospital Pueblo
| $14,213 | $14,213 – $14,213 | — | 10 |
Uchealth Grandview Hospital Colorado Springs
| $14,341 | $11,544 – $20,565 | — | 8 |
Banner North Colorado Medical Center
| $14,471 | $12,060 – $28,943 | $16,457 | 15 |
Commonspirit Orthocolorado Hospital
| $14,569 | $9,725 – $25,524 | — | 12 |
Pikes Peak Regional Hospital Woodland Park
| $14,705 | $14,081 – $15,467 | — | 3 |
Commonspirit St Anthony North Hospital
| $14,806 | $12,946 – $30,140 | — | 14 |
| Heart of the Rockies Regional Medical Center Salida Gross charge $16,416
| $15,595 | $14,446 – $15,595 | $13,953 | 10 |
Sterling Regional Medcenter
| $15,621 | $15,621 – $16,324 | $16,656 | 11 |
Uchealth Yampa Valley Medical Center Steamboat Springs
| $15,655 | $15,655 – $15,655 | — | 8 |
Commonspirit St Anthony Hospital Lakewood
| $16,925 | $11,161 – $31,180 | — | 11 |
Uchealth Medical Center of the Rockies Loveland
| $17,089 | $10,338 – $31,117 | — | 8 |
Uchealth Highlands Ranch Hospital
| $17,582 | $10,276 – $23,460 | — | 8 |
Uchealth Memorial Hospital Central Colorado Springs
| $17,796 | $11,140 – $26,829 | — | 9 |
Uchealth Memorial Hospital North Colorado Springs
| $17,796 | $11,140 – $26,829 | — | 9 |
Uchealth Poudre Valley Hospital Fort Collins
| $18,412 | $11,749 – $31,117 | — | 8 |
Boulder Community Health Foothills Hospital
| $18,514 | $10,634 – $26,562 | — | 12 |
Uchealth University of Colorado Hospital Aurora
| $18,833 | $15,721 – $28,357 | — | 11 |
Uchealth Longs Peak Hospital Longmont
| $18,959 | $10,967 – $24,076 | — | 9 |
| Spanish Peaks Regional Health Center Walsenburg Gross charge $21,733
| $20,212 | $19,560 – $31,900 | $19,560 | 13 |
Commonspirit St Anthony Summit Medical Center
| $20,214 | $20,214 – $24,731 | — | 9 |
Uchealth Greeley Hospital
| $21,613 | $11,015 – $30,950 | — | 8 |
Uchealth Parkview Medical Center Pueblo
| $21,775 | $11,851 – $25,607 | — | 7 |
Denver Health Medical Center
| $27,501 | $25,612 – $34,379 | — | 5 |
| Montrose Regional Health Gross charge $31,129
| $29,572 | $26,459 – $29,572 | $23,346 | 13 |
Commonspirit St Francis Hospital Interquest
| $31,738 | $25,315 – $40,534 | — | 7 |
Children S Hospital Colorado Colorado Springs
| $33,440 | $29,347 – $42,477 | — | 5 |
Commonspirit St Thomas More Hospital Ca on City
| $39,576 | $31,372 – $61,994 | — | 3 |
Common questions
Short answers, derived from the data on this page. See the full FAQ for site-wide questions.
- What is the typical price for Heart Failure & Shock With Major Complication in Colorado?
- Across 42 Colorado hospitals reporting a commercial negotiated rate for MS-DRG 291, the 25th-to-75th percentile band runs $12,907 to $18,753 per hospital median. The 50th-percentile (Colorado median) is $15,200.
- 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 offer a self-pay rate that's 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.
- 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 MRF 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.