facebook tracking Other operating room procedures for injuries with major complications cost in Minnesota: 4 hospitals compared (DRG 907)

Other operating room procedures for injuries with major complications in Minnesota

What 4 hospitals in Minnesota charged and were paid for a Medicare hospital stay for other operating room procedures for injuries with major complications (DRG 907), from 2024 Medicare claims.

DRG 907 Inpatient 2024 Medicare data
Average charge $155,230 Hospital list price billed
Average payment $52,798 Medicare + patient + other payers
Medicare paid $41,487 Average per stay
State rank #24 of 26 1 = lowest average payment

Hospitals in Minnesota billed an average of $155,230 for other operating room procedures for injuries with major complications, about 2.9 times the average total payment of $52,798. That payment is 21% above the U.S. average of $43,774.

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 $52,798Billed $155,230

About 34¢ was paid for every $1 hospitals in Minnesota billed for this stay.

Minnesota hospitals: other operating room procedures for injuries with major 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 52 $151,926 $56,488 $44,650
University of Minnesota Medical Center, FairviewMinneapolis 17 $275,122 $63,466 $49,483
St Cloud HospitalSt Cloud 15 $84,705 $41,681 $33,053
Regions HospitalSt Paul 11 $81,734 $34,026 $25,682
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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

Regions HospitalSt Paul, MN$34,026
St Cloud HospitalSt Cloud, MN$41,681
Mayo Clinic - Saint Marys HospitalRochester, MN$56,488
University of Minnesota Medical Center, FairviewMinneapolis, MN$63,466

Highest

University of Minnesota Medical Center, FairviewMinneapolis, MN$63,466
Mayo Clinic - Saint Marys HospitalRochester, MN$56,488
St Cloud HospitalSt Cloud, MN$41,681
Regions HospitalSt Paul, MN$34,026

Other operating room procedures for injuries with major complications in other states

Questions

How much does other operating room procedures for injuries with major complications cost in Minnesota?

In 2024 Medicare data, a hospital stay for other operating room procedures for injuries with major complications (DRG 907) at 4 hospitals in Minnesota was billed at $155,230 on average, while the average total payment was $52,798, of which Medicare paid $41,487. 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.