facebook tracking Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit cost in Minnesota: 3 hospitals compared (DRG 216)

Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit in Minnesota

What 3 hospitals in Minnesota charged and were paid for a Medicare hospital stay for cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit (DRG 216), from 2024 Medicare claims.

DRG 216 Inpatient 2024 Medicare data
Average charge $337,751 Hospital list price billed
Average payment $111,449 Medicare + patient + other payers
Medicare paid $92,772 Average per stay
State rank #14 of 20 1 = lowest average payment

Hospitals in Minnesota billed an average of $337,751 for cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit, about 3.0 times the average total payment of $111,449. That payment is 4% above the U.S. average of $107,634.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $111,449Billed $337,751

About 33¢ was paid for every $1 hospitals in Minnesota billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Minnesota:

Minnesota hospitals: cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit

Every Minnesota hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Mayo Clinic - Saint Marys HospitalRochester 60 $292,436 $127,215 $96,789
Abbott Northwestern Hospital INCMinneapolis 33 $413,810 $92,644 $89,658
United HospitalSt Paul 11 $356,749 $81,868 $80,201
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Lowest and highest payments in Minnesota

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

United HospitalSt Paul, MN$81,868
Abbott Northwestern Hospital INCMinneapolis, MN$92,644
Mayo Clinic - Saint Marys HospitalRochester, MN$127,215

Highest

Mayo Clinic - Saint Marys HospitalRochester, MN$127,215
Abbott Northwestern Hospital INCMinneapolis, MN$92,644
United HospitalSt Paul, MN$81,868

Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit in other states

Questions

How much does cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit cost in Minnesota?

In 2024 Medicare data, a hospital stay for cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit (DRG 216) at 3 hospitals in Minnesota was billed at $337,751 on average, while the average total payment was $111,449, of which Medicare paid $92,772. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Minnesota, average charges were 3.0 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.