What 3 hospitals in Minnesota charged and were paid for a Medicare hospital stay for pneumothorax with major complications (DRG 199), from 2024 Medicare claims.
Hospitals in Minnesota billed an average of $51,111 for pneumothorax with major complications, about 3.0 times the average total payment of $16,935. That payment is 6% below the U.S. average of $18,061.
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.
About 33¢ was paid for every $1 hospitals in Minnesota billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Minnesota:
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 |
|---|---|---|---|---|
| St Lukes HospitalDuluth | 13 | $49,080 | $13,939 | $11,233 |
| Mayo Clinic - Saint Marys HospitalRochester | 12 | $55,211 | $22,265 | $18,559 |
| North Memorial Medical CenterRobbinsdale | 11 | $49,036 | $14,663 | $11,790 |
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.
| St Lukes HospitalDuluth, MN | $13,939 |
|---|---|
| North Memorial Medical CenterRobbinsdale, MN | $14,663 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $22,265 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $22,265 |
|---|---|
| North Memorial Medical CenterRobbinsdale, MN | $14,663 |
| St Lukes HospitalDuluth, MN | $13,939 |
In 2024 Medicare data, a hospital stay for pneumothorax with major complications (DRG 199) at 3 hospitals in Minnesota was billed at $51,111 on average, while the average total payment was $16,935, of which Medicare paid $13,845. Your own cost depends on your insurance, deductible and the hospital.
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 3.0 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.