Complex GI Procedures in Minnesota
What 26 hospitals in Minnesota charged and were paid for complex gi procedures (APC 5331), from 2024 Medicare claims.
Average charge
$25,442
Hospital list price billed
Average allowed
$5,385
Medicare's payment + patient's share
Medicare paid
$4,278
Average per service
State rank
#36 of 48
1 = lowest average payment
Hospitals in Minnesota billed an average of $25,442 for complex gi procedures, about 4.7 times the average medicare-allowed amount of $5,385. That payment is about the same as the U.S. average of $5,364.
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 $5,385Billed $25,442
About 21¢ was paid for every $1 hospitals in Minnesota billed for this service.
Minnesota hospitals: complex gi procedures
Every Minnesota hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Mayo Clinic - Saint Marys HospitalRochester | 370 | $26,776 | $5,599 | $4,437 |
| University of Minnesota Medical Center, FairviewMinneapolis | 202 | $28,062 | $4,966 | $3,951 |
| Abbott Northwestern Hospital INCMinneapolis | 40 | $19,660 | $5,448 | $4,341 |
| Park Nicollet Methodist HospitalSaint Louis Park | 35 | $28,341 | $5,448 | $4,341 |
| St Cloud HospitalSt Cloud | 28 | $16,605 | $5,377 | $4,284 |
| Regions HospitalSt Paul | 26 | $20,756 | $5,448 | $4,341 |
| Essentia Health St Mary's Medical CenterDuluth | 25 | $22,503 | $5,407 | $4,308 |
| Fairview Southdale HospitalEdina | 24 | $20,843 | $5,448 | $4,341 |
| North Memorial Medical CenterRobbinsdale | 16 | $19,753 | $5,448 | $4,341 |
| Mercy HospitalCoon Rapids | 13 | $16,373 | $5,029 | $4,007 |
| United HospitalSt Paul | 12 | $14,497 | $5,447 | $4,363 |
| Hennepin County Medical CenterMinneapolis | – | – | – | – |
| Fairview Red Wing HospitalRed Wing | – | – | – | – |
| Essentia Health DuluthDuluth | – | – | – | – |
| Winona Health ServicesWinona | – | – | – | – |
| St Lukes HospitalDuluth | – | – | – | – |
| Ridgeview Medical CenterWaconia | – | – | – | – |
| Itasca Medical CenterGrand Rapids | – | – | – | – |
| Owatonna HospitalOwatonna | – | – | – | – |
| Rice Memorial HospitalWillmar | – | – | – | – |
| Mayo Clinic Health System - MankatoMankato | – | – | – | – |
| Sanford Bemidji Medical CenterBemidji | – | – | – | – |
| Hutchinson Area Health CareHutchinson | – | – | – | – |
| Fairview Ridges HospitalBurnsville | – | – | – | – |
| St John's HospitalSt Paul | – | – | – | – |
| Maple Grove HospitalMaple Grove | – | – | – | – |
Lowest and highest allowed amounts in Minnesota
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| University of Minnesota Medical Center, FairviewMinneapolis, MN | $4,966 |
|---|---|
| Mercy HospitalCoon Rapids, MN | $5,029 |
| St Cloud HospitalSt Cloud, MN | $5,377 |
| Essentia Health St Mary's Medical CenterDuluth, MN | $5,407 |
| United HospitalSt Paul, MN | $5,447 |
Highest
| Mayo Clinic - Saint Marys HospitalRochester, MN | $5,599 |
|---|---|
| North Memorial Medical CenterRobbinsdale, MN | $5,448 |
| Park Nicollet Methodist HospitalSaint Louis Park, MN | $5,448 |
| Abbott Northwestern Hospital INCMinneapolis, MN | $5,448 |
| Fairview Southdale HospitalEdina, MN | $5,448 |
Complex GI Procedures in other states
Questions
How much does complex gi procedures cost in Minnesota?
In 2024 Medicare data, complex gi procedures (APC 5331) at 26 hospitals in Minnesota was billed at $25,442 on average, while the average medicare-allowed amount was $5,385, of which Medicare paid $4,278. 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 service in Minnesota, average charges were 4.7 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.