Lower extremity and humerus procedures except hip, foot and femur with complications in Minnesota
What 14 hospitals in Minnesota charged and were paid for a Medicare hospital stay for lower extremity and humerus procedures except hip, foot and femur with complications (DRG 493), from 2024 Medicare claims.
Average charge
$70,440
Hospital list price billed
Average payment
$21,852
Medicare + patient + other payers
Medicare paid
$17,790
Average per stay
State rank
#27 of 40
1 = lowest average payment
Hospitals in Minnesota billed an average of $70,440 for lower extremity and humerus procedures except hip, foot and femur with complications, about 3.2 times the average total payment of $21,852. That payment is 4% below the U.S. average of $22,820.
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 $21,852Billed $70,440
About 31¢ was paid for every $1 hospitals in Minnesota billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Minnesota:
Minnesota hospitals: lower extremity and humerus procedures except hip, foot and femur with 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 |
|---|---|---|---|---|
| Park Nicollet Methodist HospitalSaint Louis Park | 40 | $56,611 | $19,132 | $15,975 |
| Mayo Clinic - Saint Marys HospitalRochester | 39 | $89,141 | $32,402 | $22,236 |
| St Cloud HospitalSt Cloud | 33 | $66,303 | $22,699 | $19,690 |
| Essentia Health St Mary's Medical CenterDuluth | 32 | $57,023 | $18,152 | $15,402 |
| Mercy HospitalCoon Rapids | 27 | $74,622 | $18,193 | $16,770 |
| Regions HospitalSt Paul | 24 | $65,842 | $22,189 | $18,443 |
| North Memorial Medical CenterRobbinsdale | 18 | $74,535 | $18,891 | $16,660 |
| United HospitalSt Paul | 16 | $70,714 | $20,110 | $14,740 |
| University of Minnesota Medical Center, FairviewMinneapolis | 14 | $118,927 | $25,447 | $20,543 |
| Lakeview Memorial HospitalStillwater | 13 | $41,693 | $15,870 | $14,489 |
| Hennepin County Medical CenterMinneapolis | 12 | $88,092 | $30,829 | $23,381 |
| St Lukes HospitalDuluth | 12 | $59,118 | $17,812 | $14,529 |
| Mayo Clinic Health System - MankatoMankato | 11 | $52,154 | $20,060 | $18,458 |
| Fairview Ridges HospitalBurnsville | 11 | $82,180 | $17,073 | $14,423 |
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 | $15,870 |
|---|---|
| Fairview Ridges HospitalBurnsville, MN | $17,073 |
| St Lukes HospitalDuluth, MN | $17,812 |
| Essentia Health St Mary's Medical CenterDuluth, MN | $18,152 |
| Mercy HospitalCoon Rapids, MN | $18,193 |
Highest
| Mayo Clinic - Saint Marys HospitalRochester, MN | $32,402 |
|---|---|
| Hennepin County Medical CenterMinneapolis, MN | $30,829 |
| University of Minnesota Medical Center, FairviewMinneapolis, MN | $25,447 |
| St Cloud HospitalSt Cloud, MN | $22,699 |
| Regions HospitalSt Paul, MN | $22,189 |
Lower extremity and humerus procedures except hip, foot and femur with complications in other states
Questions
How much does lower extremity and humerus procedures except hip, foot and femur with complications cost in Minnesota?
In 2024 Medicare data, a hospital stay for lower extremity and humerus procedures except hip, foot and femur with complications (DRG 493) at 14 hospitals in Minnesota was billed at $70,440 on average, while the average total payment was $21,852, of which Medicare paid $17,790. 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 3.2 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.