facebook tracking Concomitant aortic and mitral valve procedures cost in Minnesota: 2 hospitals compared (DRG 212)

Concomitant aortic and mitral valve procedures in Minnesota

What 2 hospitals in Minnesota charged and were paid for a Medicare hospital stay for concomitant aortic and mitral valve procedures (DRG 212), from 2024 Medicare claims.

DRG 212 Inpatient 2024 Medicare data
Average charge $374,711 Hospital list price billed
Average payment $127,867 Medicare + patient + other payers
Medicare paid $98,341 Average per stay
Volume 32 Medicare hospital stays

Hospitals in Minnesota billed an average of $374,711 for concomitant aortic and mitral valve procedures, about 2.9 times the average total payment of $127,867. That payment is 1% above the U.S. average of $126,075.

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 $127,867Billed $374,711

About 34¢ was paid for every $1 hospitals in Minnesota billed for this stay.

Minnesota hospitals: concomitant aortic and mitral valve procedures

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 20 $377,764 $150,552 $109,976
Abbott Northwestern Hospital INCMinneapolis 12 $369,622 $90,059 $78,948
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Concomitant aortic and mitral valve procedures in other states

Questions

How much does concomitant aortic and mitral valve procedures cost in Minnesota?

In 2024 Medicare data, a hospital stay for concomitant aortic and mitral valve procedures (DRG 212) at 2 hospitals in Minnesota was billed at $374,711 on average, while the average total payment was $127,867, of which Medicare paid $98,341. 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 2.9 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.