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ESSENTIA HEALTH ST MARY'S MEDICAL CENTER

DULUTH, MN 55805 · Acute Care Hospitals

127 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024

By BillRazor Research · Last updated March 27, 2026 · Methodology

Procedures Analyzed

127

With CMS pricing data

Avg Charge-to-Medicare Ratio

3.9x

Chargemaster ÷ Medicare

CMS Quality Rating

Patient experience & outcomes

Hospital Type

Acute Care Hospitals

Voluntary non-profit - Private

Above 90th Percentile

0%

Compared to MN hospitals

Understanding Your Costs

When you receive a bill from ESSENTIA HEALTH ST MARY'S MEDICAL CENTER, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, ESSENTIA HEALTH ST MARY'S MEDICAL CENTER lists chargemaster rates that average 3.9x the corresponding Medicare reimbursement amount across 127 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).

The median hospital in MN has a chargemaster-to-Medicare ratio of 3.8x, with ratios across the state ranging from 1.7x to 6.3x. At 3.9x, this facility’s average ratio is above the state median. 45 hospitals in MN report pricing data to CMS (Source: CMS IPPS Provider Summary).

The procedure with the largest gap between the listed price and Medicare reimbursement at ESSENTIA HEALTH ST MARY'S MEDICAL CENTER is DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC (DRG 442). The listed chargemaster rate is $41,325, while Medicare reimburses $4,481 for the same procedure — a ratio of 9.2x (Source: CMS IPPS Provider Summary, FY2024).

What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.

ESSENTIA HEALTH ST MARY'S MEDICAL CENTER is a voluntary non-profit - private acute care hospitals facility with a CMS quality rating of 4/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.

Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio

Listed Chargemaster Rate Medicare Reimbursement

Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.

Procedure Pricing Lookup

Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.

ProcedureDRGListed ChargeMedicare Reimb.RatioState Position
DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC442$41,325$4,4819.2x
1th
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OTHER DISORDERS OF NERVOUS SYSTEM WITH CC092$33,013$4,8346.8x
0th
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ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC282$26,229$3,8746.8x
0th
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ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC897$32,320$5,2246.2x
1th
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC322$71,940$12,0906.0x
0th
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$69,024$12,2675.6x
0th
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COMPLICATIONS OF TREATMENT WITH MCC919$56,536$10,4595.4x
0th
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC066$20,123$3,7685.3x
0th
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MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$23,793$4,4775.3x
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CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$33,034$6,3135.2x
0th
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HYPERTENSION WITHOUT MCC305$22,449$4,3555.2x
0th
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/321$108,224$21,6315.0x
0th
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OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC699$31,182$6,5134.8x
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EXTRACRANIAL PROCEDURES WITHOUT CC/MCC039$33,345$7,0214.8x
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DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC439$22,204$4,6754.8x
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PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC243$74,044$15,8034.7x
0th
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OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC393$58,183$12,4174.7x
0th
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KIDNEY AND URINARY TRACT INFECTIONS WITH MCC689$35,505$7,6234.7x
0th
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$92,499$20,4374.5x
0th
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SEIZURES WITHOUT MCC101$23,999$5,3124.5x
0th
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COMPLICATIONS OF TREATMENT WITH CC920$27,646$6,1524.5x
0th
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ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$19,994$4,4734.5x
0th
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ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC391$35,637$8,0004.5x
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SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$27,493$6,2304.4x
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RESPIRATORY NEOPLASMS WITH MCC180$54,636$12,4304.4x
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MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC640$35,901$8,1994.4x
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GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC390$13,493$3,1494.3x
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EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC982$73,825$17,2124.3x
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MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC331$47,350$11,1024.3x
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OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC271$107,888$25,3784.3x
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NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC070$53,343$12,6444.2x
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TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC069$20,062$4,7594.2x
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RENAL FAILURE WITH MCC682$40,722$9,7084.2x
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REVISION OF HIP OR KNEE REPLACEMENT WITH CC467$104,348$24,9094.2x
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OTHER VASCULAR PROCEDURES WITH CC253$80,957$19,3894.2x
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MAJOR CHEST PROCEDURES WITH CC164$73,190$17,5304.2x
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RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS208$77,379$18,7364.1x
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LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC418$44,762$11,0094.1x
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OTHER VASCULAR PROCEDURES WITH MCC252$100,512$24,7794.1x
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DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC057$33,181$8,3524.0x
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SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC460$91,821$23,2064.0x
0th
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ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$22,252$5,6274.0x
0th
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PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC242$98,350$24,9304.0x
0th
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RED BLOOD CELL DISORDERS WITHOUT MCC812$28,122$7,1194.0x
0th
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$23,980$6,1173.9x
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HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$55,578$14,1973.9x
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC250$65,617$16,8303.9x
0th
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OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC315$23,509$6,0653.9x
0th
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CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC236$109,944$28,4183.9x
0th
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SEIZURES WITH MCC100$67,969$17,5603.9x
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Showing 50 of 127 procedures

All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.

Statewide Context

Charge-to-Medicare ratio range across MN hospitals

1.7x
Median: 3.8x
6.3x
3.9x

45 hospitals in MN report pricing data to CMS. This facility's average ratio of 3.9x places it at the lower-middle range of the state range (Source: CMS IPPS Provider Summary).

What You Can Do

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Learn how

Check for Common Errors

Research suggests 49-80% of hospital bills contain errors — from duplicate charges to incorrect procedure codes.

How it works

Data: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).

Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.

Read our methodology·Report a data error

Frequently Asked Questions About ESSENTIA HEALTH ST MARY'S MEDICAL CENTER

How much does ESSENTIA HEALTH ST MARY'S MEDICAL CENTER charge compared to Medicare?

According to CMS IPPS data, ESSENTIA HEALTH ST MARY'S MEDICAL CENTER's listed chargemaster rates average 3.9x the Medicare reimbursement amount across 127 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.

What is the most expensive procedure at ESSENTIA HEALTH ST MARY'S MEDICAL CENTER?

The procedure with the highest chargemaster-to-Medicare ratio at ESSENTIA HEALTH ST MARY'S MEDICAL CENTER is DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC (DRG 442), with a listed charge of $41,325 compared to Medicare reimbursement of $4,481 — a ratio of 9.2x. Source: CMS IPPS Provider Summary.

Is ESSENTIA HEALTH ST MARY'S MEDICAL CENTER expensive compared to other MN hospitals?

ESSENTIA HEALTH ST MARY'S MEDICAL CENTER's average chargemaster-to-Medicare ratio is 3.9x. Ratios vary significantly across MN hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.

Where does the pricing data for ESSENTIA HEALTH ST MARY'S MEDICAL CENTER come from?

All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.

How can I check if my bill from ESSENTIA HEALTH ST MARY'S MEDICAL CENTER is correct?

You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.

Does ESSENTIA HEALTH ST MARY'S MEDICAL CENTER in DULUTH, MN accept Medicare?

ESSENTIA HEALTH ST MARY'S MEDICAL CENTER is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact ESSENTIA HEALTH ST MARY'S MEDICAL CENTER directly or check with your insurance provider.

Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.