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Healthcare Pricing Data: ROCHESTER, MN

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

Hospitals

2

With CMS data

Procedures

30

DRG categories

Avg Charge-to-Medicare Ratio

3.6x

Across all procedures

vs National Average

-25%

Chargemaster rates

About This Data

ROCHESTER, MN has 2 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 3.6x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)

The procedure with the highest average listed charges in ROCHESTER is CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES (DRG 018), with an average chargemaster rate of $1,946,225 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
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$53,05022.7x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC177$38,97922.5x
HEART FAILURE AND SHOCK WITH MCC291$37,46623.3x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$32,93722.8x
CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES018$1,946,22513.0x
HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC001$1,007,78013.1x
ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC003$756,90113.3x
TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOU004$514,52612.6x
LUNG TRANSPLANT007$499,49814.3x
LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT005$368,05113.4x
COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC453$355,44413.5x
SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE456$339,03613.2x
KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC650$279,59716.8x
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WIT216$278,96712.8x
CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC233$261,72313.3x
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC957$257,51613.7x
WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE D463$246,27013.6x
KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC651$234,52818.0x
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION219$230,62412.9x
LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC823$229,35414.2x
SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS870$224,22712.9x
SPINAL FUSION EXCEPT CERVICAL WITH MCC459$222,51712.9x
MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDUR826$216,22314.2x
MAJOR CHEST PROCEDURES WITH MCC163$213,25113.4x
LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC492$213,18715.4x
STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC326$212,45813.3x
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC270$208,88613.5x
CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC226$208,58413.4x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC853$206,87613.4x
AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC268$204,98312.9x

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