facebook tracking Major hematological and immunological diagnoses except sickle cell crisis and coagulatio cost in Minnesota: 5 hospitals compared (DRG 809)

Major hematological and immunological diagnoses except sickle cell crisis and coagulatio in Minnesota

What 5 hospitals in Minnesota charged and were paid for a Medicare hospital stay for major hematological and immunological diagnoses except sickle cell crisis and coagulatio (DRG 809), from 2024 Medicare claims.

DRG 809 Inpatient 2024 Medicare data
Average charge $54,203 Hospital list price billed
Average payment $15,761 Medicare + patient + other payers
Medicare paid $10,972 Average per stay
State rank #15 of 25 1 = lowest average payment

Hospitals in Minnesota billed an average of $54,203 for major hematological and immunological diagnoses except sickle cell crisis and coagulatio, about 3.4 times the average total payment of $15,761. That payment is 3% above the U.S. average of $15,246.

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 $15,761Billed $54,203

About 29¢ was paid for every $1 hospitals in Minnesota billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Minnesota:

Minnesota hospitals: major hematological and immunological diagnoses except sickle cell crisis and coagulatio

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
Mayo Clinic - Saint Marys HospitalRochester 37 $50,491 $18,393 $11,546
University of Minnesota Medical Center, FairviewMinneapolis 19 $98,762 $21,003 $12,916
Mercy HospitalCoon Rapids 15 $43,480 $9,332 $8,460
St Cloud HospitalSt Cloud 12 $21,261 $11,371 $9,706
Regions HospitalSt Paul 11 $40,284 $11,407 $10,488
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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

Mercy HospitalCoon Rapids, MN$9,332
St Cloud HospitalSt Cloud, MN$11,371
Regions HospitalSt Paul, MN$11,407
Mayo Clinic - Saint Marys HospitalRochester, MN$18,393
University of Minnesota Medical Center, FairviewMinneapolis, MN$21,003

Highest

University of Minnesota Medical Center, FairviewMinneapolis, MN$21,003
Mayo Clinic - Saint Marys HospitalRochester, MN$18,393
Regions HospitalSt Paul, MN$11,407
St Cloud HospitalSt Cloud, MN$11,371
Mercy HospitalCoon Rapids, MN$9,332

Major hematological and immunological diagnoses except sickle cell crisis and coagulatio in other states

Questions

How much does major hematological and immunological diagnoses except sickle cell crisis and coagulatio cost in Minnesota?

In 2024 Medicare data, a hospital stay for major hematological and immunological diagnoses except sickle cell crisis and coagulatio (DRG 809) at 5 hospitals in Minnesota was billed at $54,203 on average, while the average total payment was $15,761, of which Medicare paid $10,972. 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 3.4 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.