facebook tracking Level 2 ICD and Similar Procedures cost in Minnesota: 15 hospitals compared (APC 5232)

Level 2 ICD and Similar Procedures in Minnesota

What 15 hospitals in Minnesota charged and were paid for level 2 icd and similar procedures (APC 5232), from 2024 Medicare claims.

APC 5232 Outpatient 2024 Medicare data
Average charge $119,232 Hospital list price billed
Average allowed $31,840 Medicare's payment + patient's share
Medicare paid $30,205 Average per service
State rank #33 of 47 1 = lowest average payment

Hospitals in Minnesota billed an average of $119,232 for level 2 icd and similar procedures, about 3.7 times the average medicare-allowed amount of $31,840. That payment is 3% above the U.S. average of $31,009.

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 $31,840Billed $119,232

About 27¢ was paid for every $1 hospitals in Minnesota billed for this service.

Minnesota hospitals: level 2 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 93 $97,208 $33,489 $31,855
Abbott Northwestern Hospital INCMinneapolis 62 $119,665 $30,873 $29,241
St Cloud HospitalSt Cloud 58 $110,290 $32,777 $31,143
Essentia Health St Mary's Medical CenterDuluth 45 $114,359 $31,005 $29,371
United HospitalSt Paul 40 $103,028 $30,561 $28,929
Mercy HospitalCoon Rapids 25 $116,379 $31,353 $29,718
St John's HospitalSt Paul 25 $153,584 $31,353 $29,712
University of Minnesota Medical Center, FairviewMinneapolis 24 $157,305 $29,625 $27,983
Mayo Clinic Health System - MankatoMankato 24 $90,059 $33,618 $31,986
Park Nicollet Methodist HospitalSaint Louis Park 22 $228,596 $31,353 $29,721
Regions HospitalSt Paul 16 $135,830 $31,353 $29,721
St Lukes HospitalDuluth 13 $72,368 $31,117 $29,479
Fairview Southdale HospitalEdina 12 $159,543 $31,353 $29,721
Sanford Bemidji Medical CenterBemidji 11 $106,536 $32,698 $31,066
North Memorial Medical CenterRobbinsdale – – – –
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Lowest and highest allowed amounts in Minnesota

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Highest

Mayo Clinic Health System - MankatoMankato, MN$33,618
Mayo Clinic - Saint Marys HospitalRochester, MN$33,489
St Cloud HospitalSt Cloud, MN$32,777
Sanford Bemidji Medical CenterBemidji, MN$32,698
St John's HospitalSt Paul, MN$31,353

Level 2 ICD and Similar Procedures in other states

Questions

How much does level 2 icd and similar procedures cost in Minnesota?

In 2024 Medicare data, level 2 icd and similar procedures (APC 5232) at 15 hospitals in Minnesota was billed at $119,232 on average, while the average medicare-allowed amount was $31,840, of which Medicare paid $30,205. 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 3.7 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.