facebook tracking Revision of hip or knee replacement without complications cost in Minnesota: 5 hospitals compared (DRG 468)

Revision of hip or knee replacement without complications in Minnesota

What 5 hospitals in Minnesota charged and were paid for a Medicare hospital stay for revision of hip or knee replacement without complications (DRG 468), from 2024 Medicare claims.

DRG 468 Inpatient 2024 Medicare data
Average charge $64,015 Hospital list price billed
Average payment $26,642 Medicare + patient + other payers
Medicare paid $20,406 Average per stay
State rank #37 of 42 1 = lowest average payment

Hospitals in Minnesota billed an average of $64,015 for revision of hip or knee replacement without complications, about 2.4 times the average total payment of $26,642. That payment is 11% above the U.S. average of $23,925.

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 $26,642Billed $64,015

About 42¢ was paid for every $1 hospitals in Minnesota billed for this stay.

Minnesota hospitals: revision of hip or knee replacement without 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 45 $66,459 $33,625 $24,505
Healtheast Woodwinds HospitalWoodbury 21 $63,739 $20,116 $18,484
Fairview Ridges HospitalBurnsville 13 $73,018 $26,717 $14,086
St Lukes HospitalDuluth 12 $53,621 $19,826 $18,536
Lakeview Memorial HospitalStillwater 12 $55,977 $18,612 $17,116
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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

Lakeview Memorial HospitalStillwater, MN$18,612
St Lukes HospitalDuluth, MN$19,826
Healtheast Woodwinds HospitalWoodbury, MN$20,116
Fairview Ridges HospitalBurnsville, MN$26,717
Mayo Clinic - Saint Marys HospitalRochester, MN$33,625

Highest

Mayo Clinic - Saint Marys HospitalRochester, MN$33,625
Fairview Ridges HospitalBurnsville, MN$26,717
Healtheast Woodwinds HospitalWoodbury, MN$20,116
St Lukes HospitalDuluth, MN$19,826
Lakeview Memorial HospitalStillwater, MN$18,612

Revision of hip or knee replacement without complications in other states

Questions

How much does revision of hip or knee replacement without complications cost in Minnesota?

In 2024 Medicare data, a hospital stay for revision of hip or knee replacement without complications (DRG 468) at 5 hospitals in Minnesota was billed at $64,015 on average, while the average total payment was $26,642, of which Medicare paid $20,406. 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 2.4 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.