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Healthcare Pricing Data: DULUTH, MN

3 hospitals with public pricing data · 30 procedures reported to CMS

Hospitals

3

With CMS data

Procedures

30

DRG categories

Avg Charge-to-Medicare Ratio

3.8x

Across all procedures

vs National Average

-46%

Chargemaster rates

About This Data

DULUTH, MN has 3 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 3.8x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)

The procedure with the highest average listed charges in DULUTH is SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS (DRG 870), with an average chargemaster rate of $174,486 across reporting hospitals.

Important: Chargemaster rates are hospital list prices and are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage. Use this data as a starting point for understanding pricing in your area.

Procedure Pricing Data

ProcedureDRGAvg Listed ChargeHospitals ReportingCharge-to-Medicare Ratio
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC640$39,11033.8x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$36,42632.7x
ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC897$30,51235.1x
HEART FAILURE AND SHOCK WITH MCC291$25,93633.1x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$18,56533.9x
SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS870$174,48623.5x
ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC267$120,90223.3x
ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC266$120,19922.6x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC853$110,52623.1x
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC236$109,34823.9x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC329$106,77423.1x
PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC242$98,57923.9x
SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC460$98,49824.0x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$92,47124.4x
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC025$89,64522.9x
REVISION OF HIP OR KNEE REPLACEMENT WITH CC467$82,57623.3x
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS208$82,29724.2x
PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC274$74,77623.2x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC322$72,60926.1x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$70,65425.7x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC480$68,84723.4x
PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC243$67,00724.4x
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC417$62,22423.7x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC330$60,30623.6x
MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES483$59,73023.8x
LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC493$56,58823.5x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC286$55,04623.7x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$52,62523.7x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$50,02823.6x
SEIZURES WITH MCC100$49,04323.1x

Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.

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Data from CMS Inpatient Prospective Payment System (IPPS) Provider Summary. All data publicly available under federal law (45 CFR Part 180).

Listed chargemaster rates are not what most insured patients pay. This information is for educational purposes only. Read our methodology·Report a data error