facebook tracking Other musculoskeletal system and connective tissue operating room procedures with complications cost in Minnesota: 6 hospitals compared (DRG 516)

Other musculoskeletal system and connective tissue operating room procedures with complications in Minnesota

What 6 hospitals in Minnesota charged and were paid for a Medicare hospital stay for other musculoskeletal system and connective tissue operating room procedures with complications (DRG 516), from 2024 Medicare claims.

DRG 516 Inpatient 2024 Medicare data
Average charge $55,765 Hospital list price billed
Average payment $19,505 Medicare + patient + other payers
Medicare paid $16,911 Average per stay
State rank #24 of 33 1 = lowest average payment

Hospitals in Minnesota billed an average of $55,765 for other musculoskeletal system and connective tissue operating room procedures with complications, about 2.9 times the average total payment of $19,505. That payment is 3% above the U.S. average of $18,981.

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 $19,505Billed $55,765

About 35¢ was paid for every $1 hospitals in Minnesota billed for this stay.

Minnesota hospitals: other musculoskeletal system and connective tissue operating room procedures 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
Mayo Clinic - Saint Marys HospitalRochester 56 $58,141 $23,725 $19,602
Abbott Northwestern Hospital INCMinneapolis 44 $45,156 $16,176 $14,472
Regions HospitalSt Paul 34 $61,642 $18,522 $16,694
St Cloud HospitalSt Cloud 28 $39,741 $19,526 $17,424
Park Nicollet Methodist HospitalSaint Louis Park 21 $76,667 $15,823 $14,491
University of Minnesota Medical Center, FairviewMinneapolis 14 $66,021 $20,945 $16,946
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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

Park Nicollet Methodist HospitalSaint Louis Park, MN$15,823
Abbott Northwestern Hospital INCMinneapolis, MN$16,176
Regions HospitalSt Paul, MN$18,522
St Cloud HospitalSt Cloud, MN$19,526
University of Minnesota Medical Center, FairviewMinneapolis, MN$20,945

Highest

Mayo Clinic - Saint Marys HospitalRochester, MN$23,725
University of Minnesota Medical Center, FairviewMinneapolis, MN$20,945
St Cloud HospitalSt Cloud, MN$19,526
Regions HospitalSt Paul, MN$18,522
Abbott Northwestern Hospital INCMinneapolis, MN$16,176

Other musculoskeletal system and connective tissue operating room procedures with complications in other states

Questions

How much does other musculoskeletal system and connective tissue operating room procedures with complications cost in Minnesota?

In 2024 Medicare data, a hospital stay for other musculoskeletal system and connective tissue operating room procedures with complications (DRG 516) at 6 hospitals in Minnesota was billed at $55,765 on average, while the average total payment was $19,505, of which Medicare paid $16,911. 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.