Simple pneumonia and pleurisy with major complications in Minnesota
What 42 hospitals in Minnesota charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with major complications (DRG 193), from 2024 Medicare claims.
Average charge
$38,296
Hospital list price billed
Average payment
$12,046
Medicare + patient + other payers
Medicare paid
$9,715
Average per stay
State rank
#35 of 50
1 = lowest average payment
Hospitals in Minnesota billed an average of $38,296 for simple pneumonia and pleurisy with major complications, about 3.2 times the average total payment of $12,046. That payment is about the same as the U.S. average of $12,020.
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 $12,046Billed $38,296
About 31¢ 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 major 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 | 139 | $40,355 | $17,318 | $12,321 |
| Mercy HospitalCoon Rapids | 100 | $42,399 | $10,899 | $8,807 |
| St Cloud HospitalSt Cloud | 90 | $26,506 | $12,763 | $11,286 |
| Fairview Southdale HospitalEdina | 83 | $54,590 | $10,673 | $8,449 |
| Fairview Ridges HospitalBurnsville | 83 | $44,865 | $10,306 | $8,601 |
| St John's HospitalSt Paul | 70 | $48,904 | $11,010 | $8,739 |
| Abbott Northwestern Hospital INCMinneapolis | 66 | $48,990 | $10,998 | $9,356 |
| Park Nicollet Methodist HospitalSaint Louis Park | 65 | $34,964 | $10,722 | $8,463 |
| St Lukes HospitalDuluth | 57 | $28,959 | $10,457 | $9,126 |
| Mayo Clinic Health System - MankatoMankato | 54 | $30,630 | $11,554 | $8,939 |
| Regions HospitalSt Paul | 54 | $35,924 | $12,834 | $9,828 |
| Mayo Clinic Health System - Albert Lea and AustinAlbert Lea | 53 | $24,195 | $12,596 | $10,811 |
| North Memorial Medical CenterRobbinsdale | 50 | $34,528 | $11,004 | $8,481 |
| University of Minnesota Medical Center, FairviewMinneapolis | 47 | $82,957 | $17,139 | $10,767 |
| Sanford Bemidji Medical CenterBemidji | 46 | $34,360 | $10,850 | $8,094 |
| United HospitalSt Paul | 45 | $41,802 | $10,590 | $8,698 |
| Healtheast Woodwinds HospitalWoodbury | 41 | $50,512 | $10,186 | $8,873 |
| Ridgeview Medical CenterWaconia | 38 | $42,506 | $9,891 | $7,844 |
| Essentia Health St Mary's Medical CenterDuluth | 33 | $34,194 | $10,119 | $8,985 |
| Alomere HealthAlexandria | 29 | $28,806 | $11,492 | $10,255 |
| Rice Memorial HospitalWillmar | 29 | $19,737 | $12,052 | $10,701 |
| Itasca Medical CenterGrand Rapids | 28 | $29,925 | $11,276 | $9,702 |
| Range Regional Health ServicesHibbing | 27 | $43,085 | $10,783 | $9,513 |
| Olmsted Medical CenterRochester | 24 | $20,191 | $11,706 | $9,849 |
| Maple Grove HospitalMaple Grove | 24 | $31,121 | $10,794 | $8,618 |
| Owatonna HospitalOwatonna | 23 | $21,538 | $11,282 | $10,076 |
| Lake Region Healthcare CorporationFergus Falls | 22 | $39,650 | $11,387 | $10,423 |
| Northfield HospitalNorthfield | 21 | $35,565 | $11,998 | $10,523 |
| Fairview Lakes Health ServicesWyoming | 21 | $52,530 | $11,374 | $9,151 |
| St Francis Regional Medical CenterShakopee | 21 | $36,089 | $10,864 | $8,776 |
| Lakeview Memorial HospitalStillwater | 20 | $41,390 | $9,031 | $7,563 |
| Fairview Red Wing HospitalRed Wing | 19 | $20,256 | $11,849 | $10,560 |
| Buffalo HospitalBuffalo | 18 | $23,937 | $11,287 | $10,019 |
| St Marys Regional Health CenterDetroit Lakes | 18 | $21,023 | $14,599 | $13,421 |
| Hennepin County Medical CenterMinneapolis | 17 | $62,498 | $18,695 | $14,564 |
| Cambridge Medical CenterCambridge | 17 | $24,515 | $11,882 | $10,539 |
| Virginia Regional Medical CenterVirginia | 16 | $23,027 | $11,027 | $9,803 |
| Fairview Northland Regional HospitalPrinceton | 16 | $48,521 | $14,234 | $8,807 |
| Fairmont Medical CenterFairmont | 16 | $17,310 | $14,326 | $11,715 |
| Hutchinson Area Health CareHutchinson | 16 | $21,999 | $13,383 | $12,057 |
| Winona Health ServicesWinona | 12 | $25,089 | $14,612 | $11,689 |
| Allina Health Faribault Medical CenterFaribault | 12 | $24,873 | $12,034 | $8,539 |
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 | $9,031 |
|---|---|
| Ridgeview Medical CenterWaconia, MN | $9,891 |
| Essentia Health St Mary's Medical CenterDuluth, MN | $10,119 |
| Healtheast Woodwinds HospitalWoodbury, MN | $10,186 |
| Fairview Ridges HospitalBurnsville, MN | $10,306 |
Highest
| Hennepin County Medical CenterMinneapolis, MN | $18,695 |
|---|---|
| Mayo Clinic - Saint Marys HospitalRochester, MN | $17,318 |
| University of Minnesota Medical Center, FairviewMinneapolis, MN | $17,139 |
| Winona Health ServicesWinona, MN | $14,612 |
| St Marys Regional Health CenterDetroit Lakes, MN | $14,599 |
Simple pneumonia and pleurisy with major complications in other states
Questions
How much does simple pneumonia and pleurisy with major complications cost in Minnesota?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with major complications (DRG 193) at 42 hospitals in Minnesota was billed at $38,296 on average, while the average total payment was $12,046, of which Medicare paid $9,715. 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.