Pathological fractures and musculoskeletal and connective tissue malignancy with major complications in Minnesota
What 6 hospitals in Minnesota charged and were paid for a Medicare hospital stay for pathological fractures and musculoskeletal and connective tissue malignancy with major complications (DRG 542), from 2024 Medicare claims.
Average charge
$58,139
Hospital list price billed
Average payment
$20,971
Medicare + patient + other payers
Medicare paid
$15,424
Average per stay
State rank
#19 of 22
1 = lowest average payment
Hospitals in Minnesota billed an average of $58,139 for pathological fractures and musculoskeletal and connective tissue malignancy with major complications, about 2.8 times the average total payment of $20,971. That payment is 12% above the U.S. average of $18,732.
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 $20,971Billed $58,139
About 36¢ 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: pathological fractures and musculoskeletal and connective tissue malignancy 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 |
|---|---|---|---|---|
| Regions HospitalSt Paul | 32 | $49,911 | $17,215 | $15,306 |
| Mayo Clinic - Saint Marys HospitalRochester | 31 | $101,263 | $37,533 | $21,375 |
| North Memorial Medical CenterRobbinsdale | 20 | $41,975 | $14,765 | $12,140 |
| Park Nicollet Methodist HospitalSaint Louis Park | 19 | $39,108 | $13,708 | $12,107 |
| St Cloud HospitalSt Cloud | 13 | $37,425 | $17,923 | $14,888 |
| Fairview Ridges HospitalBurnsville | 11 | $47,289 | $12,659 | $11,326 |
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
| Fairview Ridges HospitalBurnsville, MN | $12,659 |
|---|---|
| Park Nicollet Methodist HospitalSaint Louis Park, MN | $13,708 |
| North Memorial Medical CenterRobbinsdale, MN | $14,765 |
| Regions HospitalSt Paul, MN | $17,215 |
| St Cloud HospitalSt Cloud, MN | $17,923 |
Highest
| Mayo Clinic - Saint Marys HospitalRochester, MN | $37,533 |
|---|---|
| St Cloud HospitalSt Cloud, MN | $17,923 |
| Regions HospitalSt Paul, MN | $17,215 |
| North Memorial Medical CenterRobbinsdale, MN | $14,765 |
| Park Nicollet Methodist HospitalSaint Louis Park, MN | $13,708 |
Pathological fractures and musculoskeletal and connective tissue malignancy with major complications in other states
Questions
How much does pathological fractures and musculoskeletal and connective tissue malignancy with major complications cost in Minnesota?
In 2024 Medicare data, a hospital stay for pathological fractures and musculoskeletal and connective tissue malignancy with major complications (DRG 542) at 6 hospitals in Minnesota was billed at $58,139 on average, while the average total payment was $20,971, of which Medicare paid $15,424. 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 2.8 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.