Level 3 Lower GI Procedures in Minnesota
What 38 hospitals in Minnesota charged and were paid for level 3 lower gi procedures (APC 5313), from 2024 Medicare claims.
Average charge
$11,461
Hospital list price billed
Average allowed
$2,709
Medicare's payment + patient's share
Medicare paid
$2,185
Average per service
State rank
#34 of 49
1 = lowest average payment
Hospitals in Minnesota billed an average of $11,461 for level 3 lower gi procedures, about 4.2 times the average medicare-allowed amount of $2,709. That payment is about the same as the U.S. average of $2,703.
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 $2,709Billed $11,461
About 24¢ was paid for every $1 hospitals in Minnesota billed for this service.
Minnesota hospitals: level 3 lower gi procedures
Every Minnesota hospital that billed Medicare for this service at least 11 times. Click a column to sort.
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
| North Memorial Medical CenterRobbinsdale, MN | $2,610 |
|---|---|
| Range Regional Health ServicesHibbing, MN | $2,613 |
| Regions HospitalSt Paul, MN | $2,616 |
| Park Nicollet Methodist HospitalSaint Louis Park, MN | $2,655 |
| St Lukes HospitalDuluth, MN | $2,662 |
Highest
| Mayo Clinic - Saint Marys HospitalRochester, MN | $2,783 |
|---|---|
| St Cloud HospitalSt Cloud, MN | $2,762 |
| Mayo Clinic Health System - MankatoMankato, MN | $2,757 |
| Fairview Southdale HospitalEdina, MN | $2,684 |
| Abbott Northwestern Hospital INCMinneapolis, MN | $2,683 |
Level 3 Lower GI Procedures in other states
Questions
How much does level 3 lower gi procedures cost in Minnesota?
In 2024 Medicare data, level 3 lower gi procedures (APC 5313) at 38 hospitals in Minnesota was billed at $11,461 on average, while the average medicare-allowed amount was $2,709, of which Medicare paid $2,185. 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 4.2 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.