Level 1 ICD and Similar Procedures in Minnesota
What 15 hospitals in Minnesota charged and were paid for level 1 icd and similar procedures (APC 5231), from 2024 Medicare claims.
Average charge
$73,984
Hospital list price billed
Average allowed
$23,386
Medicare's payment + patient's share
Medicare paid
$21,753
Average per service
State rank
#25 of 34
1 = lowest average payment
Hospitals in Minnesota billed an average of $73,984 for level 1 icd and similar procedures, about 3.2 times the average medicare-allowed amount of $23,386. That payment is 3% above the U.S. average of $22,647.
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 $23,386Billed $73,984
About 32¢ was paid for every $1 hospitals in Minnesota billed for this service.
Minnesota hospitals: level 1 icd and similar procedures
Every Minnesota hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Mayo Clinic - Saint Marys HospitalRochester | 19 | $72,767 | $24,216 | $22,584 |
| St Cloud HospitalSt Cloud | 13 | $75,762 | $22,173 | $20,539 |
| North Memorial Medical CenterRobbinsdale | – | – | – | – |
| Essentia Health St Mary's Medical CenterDuluth | – | – | – | – |
| United HospitalSt Paul | – | – | – | – |
| St Lukes HospitalDuluth | – | – | – | – |
| Park Nicollet Methodist HospitalSaint Louis Park | – | – | – | – |
| Abbott Northwestern Hospital INCMinneapolis | – | – | – | – |
| Fairview Southdale HospitalEdina | – | – | – | – |
| University of Minnesota Medical Center, FairviewMinneapolis | – | – | – | – |
| Mayo Clinic Health System - MankatoMankato | – | – | – | – |
| Sanford Bemidji Medical CenterBemidji | – | – | – | – |
| Regions HospitalSt Paul | – | – | – | – |
| Mercy HospitalCoon Rapids | – | – | – | – |
| St John's HospitalSt Paul | – | – | – | – |
Level 1 ICD and Similar Procedures in other states
Questions
How much does level 1 icd and similar procedures cost in Minnesota?
In 2024 Medicare data, level 1 icd and similar procedures (APC 5231) at 15 hospitals in Minnesota was billed at $73,984 on average, while the average medicare-allowed amount was $23,386, of which Medicare paid $21,753. 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 service 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 Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.