facebook tracking Pulmonary embolism with major complications or acute cor pulmonale cost in Minnesota: 12 hospitals compared (DRG 175)

Pulmonary embolism with major complications or acute cor pulmonale in Minnesota

What 12 hospitals in Minnesota charged and were paid for a Medicare hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175), from 2024 Medicare claims.

DRG 175 Inpatient 2024 Medicare data
Average charge $44,997 Hospital list price billed
Average payment $13,427 Medicare + patient + other payers
Medicare paid $10,572 Average per stay
State rank #34 of 48 1 = lowest average payment

Hospitals in Minnesota billed an average of $44,997 for pulmonary embolism with major complications or acute cor pulmonale, about 3.4 times the average total payment of $13,427. That payment is about the same as the U.S. average of $13,466.

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 $13,427Billed $44,997

About 30¢ 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:

Minnesota hospitals: pulmonary embolism with major complications or acute cor pulmonale

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 66 $49,377 $17,739 $13,588
Essentia Health St Mary's Medical CenterDuluth 34 $31,624 $10,597 $9,217
St Cloud HospitalSt Cloud 25 $46,183 $16,977 $13,218
Park Nicollet Methodist HospitalSaint Louis Park 24 $44,648 $12,263 $8,792
St Lukes HospitalDuluth 23 $26,445 $10,704 $9,432
Abbott Northwestern Hospital INCMinneapolis 23 $53,020 $11,133 $9,432
Fairview Southdale HospitalEdina 23 $50,236 $10,805 $8,628
Mayo Clinic Health System - MankatoMankato 23 $40,927 $14,001 $10,318
Regions HospitalSt Paul 23 $47,325 $13,892 $10,461
Mercy HospitalCoon Rapids 17 $50,337 $11,499 $9,442
United HospitalSt Paul 15 $44,991 $10,794 $8,673
St John's HospitalSt Paul 12 $62,941 $11,339 $8,633
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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

Essentia Health St Mary's Medical CenterDuluth, MN$10,597
St Lukes HospitalDuluth, MN$10,704
United HospitalSt Paul, MN$10,794
Fairview Southdale HospitalEdina, MN$10,805
Abbott Northwestern Hospital INCMinneapolis, MN$11,133

Highest

Mayo Clinic - Saint Marys HospitalRochester, MN$17,739
St Cloud HospitalSt Cloud, MN$16,977
Mayo Clinic Health System - MankatoMankato, MN$14,001
Regions HospitalSt Paul, MN$13,892
Park Nicollet Methodist HospitalSaint Louis Park, MN$12,263

Pulmonary embolism with major complications or acute cor pulmonale in other states

Questions

How much does pulmonary embolism with major complications or acute cor pulmonale cost in Minnesota?

In 2024 Medicare data, a hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175) at 12 hospitals in Minnesota was billed at $44,997 on average, while the average total payment was $13,427, of which Medicare paid $10,572. 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 3.4 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.