Pathological fractures and musculoskeletal and connective tissue malignancy without complications/m in Minnesota
What 2 hospitals in Minnesota charged and were paid for a Medicare hospital stay for pathological fractures and musculoskeletal and connective tissue malignancy without complications/m (DRG 544), from 2024 Medicare claims.
Average charge
$23,635
Hospital list price billed
Average payment
$6,602
Medicare + patient + other payers
Medicare paid
$4,808
Average per stay
Volume
37
Medicare hospital stays
Hospitals in Minnesota billed an average of $23,635 for pathological fractures and musculoskeletal and connective tissue malignancy without complications/m, about 3.6 times the average total payment of $6,602. That payment is about the same as the U.S. average of $6,558.
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 $6,602Billed $23,635
About 28¢ 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 without complications/m
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 |
|---|---|---|---|---|
| Park Nicollet Methodist HospitalSaint Louis Park | 23 | $21,561 | $6,035 | $4,423 |
| Regions HospitalSt Paul | 14 | $27,042 | $7,535 | $5,441 |
Pathological fractures and musculoskeletal and connective tissue malignancy without complications/m in other states
Questions
How much does pathological fractures and musculoskeletal and connective tissue malignancy without complications/m cost in Minnesota?
In 2024 Medicare data, a hospital stay for pathological fractures and musculoskeletal and connective tissue malignancy without complications/m (DRG 544) at 2 hospitals in Minnesota was billed at $23,635 on average, while the average total payment was $6,602, of which Medicare paid $4,808. 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 3.6 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.