facebook tracking Coronary bypass without cardiac catheterization with major complications cost in Minnesota: 7 hospitals compared (DRG 235)

Coronary bypass without cardiac catheterization with major complications in Minnesota

What 7 hospitals in Minnesota charged and were paid for a Medicare hospital stay for coronary bypass without cardiac catheterization with major complications (DRG 235), from 2024 Medicare claims.

DRG 235 Inpatient 2024 Medicare data
Average charge $213,925 Hospital list price billed
Average payment $66,394 Medicare + patient + other payers
Medicare paid $49,743 Average per stay
State rank #31 of 37 1 = lowest average payment

Hospitals in Minnesota billed an average of $213,925 for coronary bypass without cardiac catheterization with major complications, about 3.2 times the average total payment of $66,394. That payment is 18% above the U.S. average of $56,401.

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 $66,394Billed $213,925

About 31¢ 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: coronary bypass without cardiac catheterization with major complications

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 72 $189,545 $75,387 $58,609
Fairview Southdale HospitalEdina 19 $226,548 $63,306 $29,040
University of Minnesota Medical Center, FairviewMinneapolis 18 $328,508 $72,828 $56,662
Abbott Northwestern Hospital INCMinneapolis 16 $213,583 $52,978 $42,421
Essentia Health St Mary's Medical CenterDuluth 13 $175,463 $47,709 $46,010
St John's HospitalSt Paul 12 $287,821 $62,739 $40,203
North Memorial Medical CenterRobbinsdale 11 $129,534 $47,915 $41,617
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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

Highest

Coronary bypass without cardiac catheterization with major complications in other states

Questions

How much does coronary bypass without cardiac catheterization with major complications cost in Minnesota?

In 2024 Medicare data, a hospital stay for coronary bypass without cardiac catheterization with major complications (DRG 235) at 7 hospitals in Minnesota was billed at $213,925 on average, while the average total payment was $66,394, of which Medicare paid $49,743. 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 3.2 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.