Other circulatory system operating room procedures in Minnesota
What 4 hospitals in Minnesota charged and were paid for a Medicare hospital stay for other circulatory system operating room procedures (DRG 264), from 2024 Medicare claims.
Average charge
$107,293
Hospital list price billed
Average payment
$37,019
Medicare + patient + other payers
Medicare paid
$30,474
Average per stay
State rank
#17 of 21
1 = lowest average payment
Hospitals in Minnesota billed an average of $107,293 for other circulatory system operating room procedures, about 2.9 times the average total payment of $37,019. That payment is 4% above the U.S. average of $35,518.
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 $37,019Billed $107,293
About 35¢ was paid for every $1 hospitals in Minnesota billed for this stay.
Minnesota hospitals: other circulatory system operating room procedures
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 | 30 | $136,193 | $51,628 | $40,814 |
| Abbott Northwestern Hospital INCMinneapolis | 19 | $123,377 | $27,117 | $24,679 |
| St Cloud HospitalSt Cloud | 13 | $65,300 | $27,601 | $23,082 |
| Essentia Health St Mary's Medical CenterDuluth | 11 | $50,325 | $25,413 | $21,020 |
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
| Essentia Health St Mary's Medical CenterDuluth, MN | $25,413 |
|---|---|
| Abbott Northwestern Hospital INCMinneapolis, MN | $27,117 |
| St Cloud HospitalSt Cloud, MN | $27,601 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $51,628 |
Highest
| Mayo Clinic - Saint Marys HospitalRochester, MN | $51,628 |
|---|---|
| St Cloud HospitalSt Cloud, MN | $27,601 |
| Abbott Northwestern Hospital INCMinneapolis, MN | $27,117 |
| Essentia Health St Mary's Medical CenterDuluth, MN | $25,413 |
Other circulatory system operating room procedures in other states
Questions
How much does other circulatory system operating room procedures cost in Minnesota?
In 2024 Medicare data, a hospital stay for other circulatory system operating room procedures (DRG 264) at 4 hospitals in Minnesota was billed at $107,293 on average, while the average total payment was $37,019, of which Medicare paid $30,474. 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 2.9 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.