facebook tracking Hip and femur procedures except major joint with major complications cost in Minnesota: 15 hospitals compared (DRG 480)

Hip and femur procedures except major joint with major complications in Minnesota

What 15 hospitals in Minnesota charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with major complications (DRG 480), from 2024 Medicare claims.

DRG 480 Inpatient 2024 Medicare data
Average charge $122,857 Hospital list price billed
Average payment $31,617 Medicare + patient + other payers
Medicare paid $28,878 Average per stay
State rank #42 of 46 1 = lowest average payment

Hospitals in Minnesota billed an average of $122,857 for hip and femur procedures except major joint with major complications, about 3.9 times the average total payment of $31,617. That payment is 20% above the U.S. average of $26,284.

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 $31,617Billed $122,857

About 26¢ was paid for every $1 hospitals in Minnesota billed for this stay.

Minnesota hospitals: hip and femur procedures except major joint 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 52 $102,507 $35,082 $30,165
Regions HospitalSt Paul 39 $90,017 $25,596 $22,966
North Memorial Medical CenterRobbinsdale 38 $87,224 $22,516 $21,108
St Cloud HospitalSt Cloud 38 $66,821 $28,883 $26,101
Essentia Health St Mary's Medical CenterDuluth 37 $65,591 $21,749 $20,492
St Lukes HospitalDuluth 20 $61,816 $21,246 $19,801
Fairview Southdale HospitalEdina 18 $106,781 $20,669 $19,201
Park Nicollet Methodist HospitalSaint Louis Park 17 $85,341 $20,984 $19,299
Mayo Clinic Health System - MankatoMankato 17 $69,031 $27,004 $25,490
Mercy HospitalCoon Rapids 17 $97,867 $22,130 $19,078
University of Minnesota Medical Center, FairviewMinneapolis 14 $1,054,267 $184,408 $171,783
Essentia Health St Joseph's Medical CenterBrainerd 13 $69,241 $24,144 $22,640
United HospitalSt Paul 12 $88,897 $22,230 $20,715
Fairview Ridges HospitalBurnsville 12 $100,311 $20,940 $19,580
St John's HospitalSt Paul 11 $101,448 $21,922 $20,481
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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

Fairview Southdale HospitalEdina, MN$20,669
Fairview Ridges HospitalBurnsville, MN$20,940
Park Nicollet Methodist HospitalSaint Louis Park, MN$20,984
St Lukes HospitalDuluth, MN$21,246
Essentia Health St Mary's Medical CenterDuluth, MN$21,749

Highest

University of Minnesota Medical Center, FairviewMinneapolis, MN$184,408
Mayo Clinic - Saint Marys HospitalRochester, MN$35,082
St Cloud HospitalSt Cloud, MN$28,883
Mayo Clinic Health System - MankatoMankato, MN$27,004
Regions HospitalSt Paul, MN$25,596

Hip and femur procedures except major joint with major complications in other states

Questions

How much does hip and femur procedures except major joint with major complications cost in Minnesota?

In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with major complications (DRG 480) at 15 hospitals in Minnesota was billed at $122,857 on average, while the average total payment was $31,617, of which Medicare paid $28,878. 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 3.9 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.