Extensive operating room procedures unrelated to principal diagnosis with major complications in Minnesota
What 12 hospitals in Minnesota charged and were paid for a Medicare hospital stay for extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 981), from 2024 Medicare claims.
Average charge
$165,095
Hospital list price billed
Average payment
$49,742
Medicare + patient + other payers
Medicare paid
$42,506
Average per stay
State rank
#34 of 42
1 = lowest average payment
Hospitals in Minnesota billed an average of $165,095 for extensive operating room procedures unrelated to principal diagnosis with major complications, about 3.3 times the average total payment of $49,742. That payment is 6% above the U.S. average of $47,051.
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 $49,742Billed $165,095
About 30¢ was paid for every $1 hospitals in Minnesota billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Minnesota:
Minnesota hospitals: extensive operating room procedures unrelated to principal diagnosis 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 | 80 | $174,617 | $70,649 | $53,486 |
| Abbott Northwestern Hospital INCMinneapolis | 41 | $184,833 | $39,618 | $34,770 |
| St Cloud HospitalSt Cloud | 31 | $101,966 | $45,113 | $44,174 |
| United HospitalSt Paul | 25 | $164,218 | $36,419 | $35,215 |
| Mercy HospitalCoon Rapids | 24 | $183,075 | $38,991 | $37,826 |
| Essentia Health St Mary's Medical CenterDuluth | 21 | $108,388 | $37,010 | $28,420 |
| North Memorial Medical CenterRobbinsdale | 19 | $150,534 | $46,673 | $44,669 |
| St Lukes HospitalDuluth | 19 | $93,805 | $33,919 | $29,556 |
| Fairview Southdale HospitalEdina | 15 | $230,630 | $47,941 | $46,385 |
| University of Minnesota Medical Center, FairviewMinneapolis | 14 | $349,880 | $76,197 | $58,527 |
| Regions HospitalSt Paul | 14 | $134,733 | $42,842 | $40,940 |
| Park Nicollet Methodist HospitalSaint Louis Park | 11 | $133,581 | $36,707 | $35,390 |
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
| St Lukes HospitalDuluth, MN | $33,919 |
|---|---|
| United HospitalSt Paul, MN | $36,419 |
| Park Nicollet Methodist HospitalSaint Louis Park, MN | $36,707 |
| Essentia Health St Mary's Medical CenterDuluth, MN | $37,010 |
| Mercy HospitalCoon Rapids, MN | $38,991 |
Highest
| University of Minnesota Medical Center, FairviewMinneapolis, MN | $76,197 |
|---|---|
| Mayo Clinic - Saint Marys HospitalRochester, MN | $70,649 |
| Fairview Southdale HospitalEdina, MN | $47,941 |
| North Memorial Medical CenterRobbinsdale, MN | $46,673 |
| St Cloud HospitalSt Cloud, MN | $45,113 |
Extensive operating room procedures unrelated to principal diagnosis with major complications in other states
Questions
How much does extensive operating room procedures unrelated to principal diagnosis with major complications cost in Minnesota?
In 2024 Medicare data, a hospital stay for extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 981) at 12 hospitals in Minnesota was billed at $165,095 on average, while the average total payment was $49,742, of which Medicare paid $42,506. 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 3.3 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.