facebook tracking Hip replacement with principal diagnosis of hip fracture without major complications cost in Minnesota: 20 hospitals compared (DRG 522)

Hip replacement with principal diagnosis of hip fracture without major complications in Minnesota

What 20 hospitals in Minnesota charged and were paid for a Medicare hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522), from 2024 Medicare claims.

DRG 522 Inpatient 2024 Medicare data
Average charge $63,434 Hospital list price billed
Average payment $18,325 Medicare + patient + other payers
Medicare paid $15,689 Average per stay
State rank #33 of 50 1 = lowest average payment

Hospitals in Minnesota billed an average of $63,434 for hip replacement with principal diagnosis of hip fracture without major complications, about 3.5 times the average total payment of $18,325. That payment is about the same as the U.S. average of $18,301.

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 $18,325Billed $63,434

About 29¢ 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 without 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 69 $71,469 $25,511 $20,800
Essentia Health St Mary's Medical CenterDuluth 55 $52,304 $16,373 $13,951
Park Nicollet Methodist HospitalSaint Louis Park 50 $61,762 $16,561 $14,913
Mercy HospitalCoon Rapids 50 $69,418 $16,610 $13,801
Fairview Southdale HospitalEdina 34 $74,438 $15,453 $13,859
St Cloud HospitalSt Cloud 32 $55,465 $20,301 $18,714
Mayo Clinic Health System - MankatoMankato 30 $50,762 $19,234 $15,340
Lakeview Memorial HospitalStillwater 26 $50,131 $14,730 $13,286
Abbott Northwestern Hospital INCMinneapolis 21 $81,432 $17,645 $15,549
United HospitalSt Paul 20 $73,534 $15,498 $13,934
St Lukes HospitalDuluth 20 $54,008 $15,690 $14,237
Regions HospitalSt Paul 18 $65,523 $19,002 $15,912
Essentia Health St Joseph's Medical CenterBrainerd 17 $50,682 $18,390 $14,790
Hennepin County Medical CenterMinneapolis 15 $81,054 $26,301 $21,991
Sanford Bemidji Medical CenterBemidji 15 $48,260 $17,071 $13,445
Alomere HealthAlexandria 14 $52,700 $18,412 $16,896
North Memorial Medical CenterRobbinsdale 13 $76,507 $18,271 $13,851
Ridgeview Medical CenterWaconia 13 $54,578 $14,913 $13,407
Fairview Ridges HospitalBurnsville 13 $71,784 $15,861 $14,229
Healtheast Woodwinds HospitalWoodbury 13 $77,821 $16,110 $14,730
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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

Lakeview Memorial HospitalStillwater, MN$14,730
Ridgeview Medical CenterWaconia, MN$14,913
Fairview Southdale HospitalEdina, MN$15,453
United HospitalSt Paul, MN$15,498
St Lukes HospitalDuluth, MN$15,690

Highest

Hennepin County Medical CenterMinneapolis, MN$26,301
Mayo Clinic - Saint Marys HospitalRochester, MN$25,511
St Cloud HospitalSt Cloud, MN$20,301
Mayo Clinic Health System - MankatoMankato, MN$19,234
Regions HospitalSt Paul, MN$19,002

Hip replacement with principal diagnosis of hip fracture without major complications in other states

Questions

How much does hip replacement with principal diagnosis of hip fracture without major complications cost in Minnesota?

In 2024 Medicare data, a hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522) at 20 hospitals in Minnesota was billed at $63,434 on average, while the average total payment was $18,325, of which Medicare paid $15,689. 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 3.5 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.