Hip replacement with principal diagnosis of hip fracture with major complications in Minnesota
What 9 hospitals in Minnesota charged and were paid for a Medicare hospital stay for hip replacement with principal diagnosis of hip fracture with major complications (DRG 521), from 2024 Medicare claims.
Average charge
$87,990
Hospital list price billed
Average payment
$26,885
Medicare + patient + other payers
Medicare paid
$23,658
Average per stay
State rank
#32 of 40
1 = lowest average payment
Hospitals in Minnesota billed an average of $87,990 for hip replacement with principal diagnosis of hip fracture with major complications, about 3.3 times the average total payment of $26,885. That payment is 4% above the U.S. average of $25,727.
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 $26,885Billed $87,990
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: hip replacement with principal diagnosis of hip fracture 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 | 32 | $118,424 | $41,294 | $32,486 |
| Essentia Health St Mary's Medical CenterDuluth | 30 | $70,743 | $21,880 | $20,301 |
| North Memorial Medical CenterRobbinsdale | 15 | $87,596 | $23,089 | $21,536 |
| Regions HospitalSt Paul | 14 | $65,932 | $22,418 | $20,623 |
| Fairview Southdale HospitalEdina | 13 | $86,430 | $20,478 | $19,008 |
| St Cloud HospitalSt Cloud | 12 | $78,140 | $27,292 | $24,862 |
| Park Nicollet Methodist HospitalSaint Louis Park | 12 | $93,444 | $22,529 | $20,788 |
| Mayo Clinic Health System - MankatoMankato | 11 | $79,715 | $26,158 | $24,611 |
| St John's HospitalSt Paul | 11 | $90,013 | $22,081 | $20,255 |
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 | $20,478 |
|---|---|
| Essentia Health St Mary's Medical CenterDuluth, MN | $21,880 |
| St John's HospitalSt Paul, MN | $22,081 |
| Regions HospitalSt Paul, MN | $22,418 |
| Park Nicollet Methodist HospitalSaint Louis Park, MN | $22,529 |
Highest
| Mayo Clinic - Saint Marys HospitalRochester, MN | $41,294 |
|---|---|
| St Cloud HospitalSt Cloud, MN | $27,292 |
| Mayo Clinic Health System - MankatoMankato, MN | $26,158 |
| North Memorial Medical CenterRobbinsdale, MN | $23,089 |
| Park Nicollet Methodist HospitalSaint Louis Park, MN | $22,529 |
Hip replacement with principal diagnosis of hip fracture with major complications in other states
Questions
How much does hip replacement with principal diagnosis of hip fracture with major complications cost in Minnesota?
In 2024 Medicare data, a hospital stay for hip replacement with principal diagnosis of hip fracture with major complications (DRG 521) at 9 hospitals in Minnesota was billed at $87,990 on average, while the average total payment was $26,885, of which Medicare paid $23,658. 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.