What 15 hospitals in Minnesota charged and were paid for level 2 icd and similar procedures (APC 5232), from 2024 Medicare claims.
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.
About 27¢ was paid for every $1 hospitals in Minnesota billed for this service.
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 | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| University of Minnesota Medical Center, FairviewMinneapolis, MN | $29,625 |
|---|---|
| United HospitalSt Paul, MN | $30,561 |
| Abbott Northwestern Hospital INCMinneapolis, MN | $30,873 |
| Essentia Health St Mary's Medical CenterDuluth, MN | $31,005 |
| St Lukes HospitalDuluth, MN | $31,117 |
| 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 |
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.
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.