facebook tracking Respiratory neoplasms with complications cost in Minnesota: 2 hospitals compared (DRG 181)

Respiratory neoplasms with complications in Minnesota

What 2 hospitals in Minnesota charged and were paid for a Medicare hospital stay for respiratory neoplasms with complications (DRG 181), from 2024 Medicare claims.

DRG 181 Inpatient 2024 Medicare data
Average charge $38,295 Hospital list price billed
Average payment $11,978 Medicare + patient + other payers
Medicare paid $9,657 Average per stay
Volume 34 Medicare hospital stays

Hospitals in Minnesota billed an average of $38,295 for respiratory neoplasms with complications, about 3.2 times the average total payment of $11,978. That payment is 8% below the U.S. average of $13,073.

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 $11,978Billed $38,295

About 31¢ 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: respiratory neoplasms with 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 23 $39,016 $13,611 $10,750
Mercy HospitalCoon Rapids 11 $36,787 $8,562 $7,372
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Respiratory neoplasms with complications in other states

Questions

How much does respiratory neoplasms with complications cost in Minnesota?

In 2024 Medicare data, a hospital stay for respiratory neoplasms with complications (DRG 181) at 2 hospitals in Minnesota was billed at $38,295 on average, while the average total payment was $11,978, of which Medicare paid $9,657. 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 3.2 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.