Essentia Health St Mary's Medical Center
ESSENTIA HEALTH ST MARY'S MEDICAL CENTER in Duluth, Minnesota charges 3.9x the Medicare reimbursement rate on average across 127 analyzed procedures at this nonprofit hospital.
Duluth, MN 55805 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Pricing grade
C
Average
Avg markup vs Medicare
3.86x
Charge / Medicare rate
Max markup
9.22x
Worst procedure
Procedures analyzed
127
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | 442 | $41,325 | $20,663 | — | 9.2x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $33,013 | $16,506 | — | 6.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $26,229 | $13,114 | — | 6.8x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $32,320 | $16,160 | — | 6.2x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $71,940 | $35,970 | — | 6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $69,024 | $34,512 | — | 5.6x |
| COMPLICATIONS OF TREATMENT WITH MCC | 919 | $56,536 | $28,268 | — | 5.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $20,123 | $10,062 | — | 5.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $23,793 | $11,897 | — | 5.3x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $33,034 | $16,517 | — | 5.2x |
| HYPERTENSION WITHOUT MCC | 305 | $22,449 | $11,225 | — | 5.2x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/ | 321 | $108,224 | $54,112 | — | 5x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $31,182 | $15,591 | — | 4.8x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $33,345 | $16,672 | — | 4.8x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $22,204 | $11,102 | — | 4.8x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $74,044 | $37,022 | — | 4.7x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $58,183 | $29,091 | — | 4.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $35,505 | $17,753 | — | 4.7x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $92,499 | $46,250 | — | 4.5x |
| SEIZURES WITHOUT MCC | 101 | $23,999 | $12,000 | — | 4.5x |
| COMPLICATIONS OF TREATMENT WITH CC | 920 | $27,646 | $13,823 | — | 4.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $19,994 | $9,997 | — | 4.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $35,637 | $17,819 | — | 4.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $27,493 | $13,746 | — | 4.4x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $54,636 | $27,318 | — | 4.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $35,901 | $17,951 | — | 4.4x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | 982 | $73,825 | $36,912 | — | 4.3x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $13,493 | $6,747 | — | 4.3x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $47,350 | $23,675 | — | 4.3x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $107,888 | $53,944 | — | 4.3x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $53,343 | $26,671 | — | 4.2x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $20,062 | $10,031 | — | 4.2x |
| RENAL FAILURE WITH MCC | 682 | $40,722 | $20,361 | — | 4.2x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $104,348 | $52,174 | — | 4.2x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $80,957 | $40,478 | — | 4.2x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $73,190 | $36,595 | — | 4.2x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $77,379 | $38,690 | — | 4.1x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $44,762 | $22,381 | — | 4.1x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $100,512 | $50,256 | — | 4.1x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $33,181 | $16,590 | — | 4x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $91,821 | $45,910 | — | 4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $22,252 | $11,126 | — | 4x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | 242 | $98,350 | $49,175 | — | 4x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $28,122 | $14,061 | — | 4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $23,980 | $11,990 | — | 3.9x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $55,578 | $27,789 | — | 3.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | 250 | $65,617 | $32,809 | — | 3.9x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $23,509 | $11,755 | — | 3.9x |
| SEIZURES WITH MCC | 100 | $67,969 | $33,984 | — | 3.9x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $109,944 | $54,972 | — | 3.9x |
Showing 50 of 127 procedures
How ESSENTIA HEALTH ST MARY'S MEDICAL CENTER compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use