Simple pneumonia and pleurisy with complications in Minnesota
What 26 hospitals in Minnesota charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with complications (DRG 194), from 2024 Medicare claims.
Average charge
$23,678
Hospital list price billed
Average payment
$7,938
Medicare + patient + other payers
Medicare paid
$5,599
Average per stay
State rank
#32 of 47
1 = lowest average payment
Hospitals in Minnesota billed an average of $23,678 for simple pneumonia and pleurisy with complications, about 3.0 times the average total payment of $7,938. That payment is about the same as the U.S. average of $7,941.
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 $7,938Billed $23,678
About 34¢ 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: simple pneumonia and pleurisy 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 | 63 | $27,981 | $13,285 | $6,807 |
| Park Nicollet Methodist HospitalSaint Louis Park | 44 | $25,230 | $6,901 | $4,821 |
| Mercy HospitalCoon Rapids | 43 | $24,400 | $6,282 | $5,027 |
| Abbott Northwestern Hospital INCMinneapolis | 33 | $24,296 | $6,726 | $5,112 |
| United HospitalSt Paul | 23 | $25,551 | $6,630 | $5,292 |
| St Cloud HospitalSt Cloud | 21 | $19,932 | $8,159 | $6,131 |
| Mayo Clinic Health System - Albert Lea and AustinAlbert Lea | 21 | $16,046 | $7,687 | $6,291 |
| Fairmont Medical CenterFairmont | 20 | $17,021 | $8,753 | $7,447 |
| Regions HospitalSt Paul | 19 | $25,483 | $8,108 | $5,871 |
| North Memorial Medical CenterRobbinsdale | 17 | $22,281 | $7,374 | $5,124 |
| Sanford Bemidji Medical CenterBemidji | 17 | $34,566 | $6,549 | $5,013 |
| Lake Region Healthcare CorporationFergus Falls | 16 | $24,188 | $7,307 | $6,083 |
| Itasca Medical CenterGrand Rapids | 16 | $27,293 | $7,170 | $5,946 |
| Fairview Southdale HospitalEdina | 16 | $32,202 | $6,152 | $4,672 |
| Owatonna HospitalOwatonna | 15 | $22,669 | $7,583 | $6,169 |
| Mayo Clinic Health System - MankatoMankato | 15 | $22,641 | $9,125 | $4,908 |
| Essentia Health St Joseph's Medical CenterBrainerd | 14 | $20,229 | $7,132 | $4,968 |
| St Francis Regional Medical CenterShakopee | 14 | $19,868 | $6,642 | $5,360 |
| Fairview Red Wing HospitalRed Wing | 13 | $13,729 | $7,987 | $5,707 |
| St Lukes HospitalDuluth | 13 | $20,407 | $6,400 | $5,024 |
| Lakeview Memorial HospitalStillwater | 13 | $18,977 | $5,829 | $4,448 |
| Allina Health Faribault Medical CenterFaribault | 13 | $16,446 | $7,620 | $6,116 |
| Buffalo HospitalBuffalo | 12 | $14,987 | $7,580 | $6,223 |
| Essentia Health St Mary's Medical CenterDuluth | 11 | $19,075 | $6,362 | $4,683 |
| Ridgeview Medical CenterWaconia | 11 | $38,072 | $6,069 | $4,882 |
| University of Minnesota Medical Center, FairviewMinneapolis | 11 | $23,298 | $10,253 | $5,242 |
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 | $5,829 |
|---|---|
| Ridgeview Medical CenterWaconia, MN | $6,069 |
| Fairview Southdale HospitalEdina, MN | $6,152 |
| Mercy HospitalCoon Rapids, MN | $6,282 |
| Essentia Health St Mary's Medical CenterDuluth, MN | $6,362 |
Highest
| Mayo Clinic - Saint Marys HospitalRochester, MN | $13,285 |
|---|---|
| University of Minnesota Medical Center, FairviewMinneapolis, MN | $10,253 |
| Mayo Clinic Health System - MankatoMankato, MN | $9,125 |
| Fairmont Medical CenterFairmont, MN | $8,753 |
| St Cloud HospitalSt Cloud, MN | $8,159 |
Simple pneumonia and pleurisy with complications in other states
Questions
How much does simple pneumonia and pleurisy with complications cost in Minnesota?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with complications (DRG 194) at 26 hospitals in Minnesota was billed at $23,678 on average, while the average total payment was $7,938, of which Medicare paid $5,599. 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 3.0 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.