M Health Fairview Ridges Hospital
M Health Fairview Ridges Hospital in Burnsville, MN charges 5.9x the Medicare reimbursement rate across 55 analyzed procedures, reflecting typical pricing patterns for nonprofit religious healthcare systems.
Burnsville, MN 55337 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
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Billing patterns — nonprofit-religious
Nonprofit religious hospitals, representing 203 facilities in the dataset, demonstrate an average markup of 5.4x Medicare rates, positioning them in the mid-range compared to other ownership types. These institutions typically maintain standardized charge structures across their health system networks, often reflecting their mission-driven approach to healthcare delivery. Patients at nonprofit religious hospitals may encounter charges above the benchmark for routine procedures, though many offer financial assistance programs and charity care policies that can significantly reduce out-of-pocket expenses for qualifying individuals. Common billing patterns include transparent pricing for elective procedures and comprehensive financial counseling services. The potential difference between listed charges and actual patient responsibility can be substantial, particularly for uninsured patients who may qualify for sliding-scale payment options. Patients should inquire about available financial assistance programs during the admissions process, as these hospitals often have more flexible payment arrangements compared to for-profit facilities, reflecting their tax-exempt status and community benefit obligations.
Pricing grade
D
High
Avg markup vs Medicare
5.91x
Charge / Medicare rate
Max markup
11x
Worst procedure
Procedures analyzed
55
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 |
|---|---|---|---|---|---|
| DIABETES WITH MCC | 637 | $84,388 | $42,194 | — | 11x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $41,242 | $20,621 | — | 10x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $36,257 | $18,129 | — | 9.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $34,409 | $17,204 | — | 8.4x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $21,568 | $10,784 | — | 8.1x |
| DIABETES WITH CC | 638 | $28,203 | $14,101 | — | 8x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $51,144 | $25,572 | — | 7.7x |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | 543 | $50,418 | $25,209 | — | 7.5x |
| RENAL FAILURE WITH MCC | 682 | $61,214 | $30,607 | — | 7.1x |
| RENAL FAILURE WITH CC | 683 | $34,513 | $17,256 | — | 7.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $33,350 | $16,675 | — | 7.1x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | 442 | $58,343 | $29,172 | — | 7.1x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $117,363 | $58,682 | — | 7.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $63,401 | $31,700 | — | 6.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $36,292 | $18,146 | — | 6.7x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $47,125 | $23,562 | — | 6.6x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $55,362 | $27,681 | — | 6.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $31,236 | $15,618 | — | 6.5x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $53,710 | $26,855 | — | 6.5x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $34,613 | $17,307 | — | 6.4x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $96,970 | $48,485 | — | 6.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $32,794 | $16,397 | — | 6.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $53,461 | $26,731 | — | 6.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $49,056 | $24,528 | — | 6.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $27,036 | $13,518 | — | 6.1x |
| CELLULITIS WITHOUT MCC | 603 | $29,977 | $14,988 | — | 5.9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $47,766 | $23,883 | — | 5.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $33,931 | $16,965 | — | 5.8x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $56,273 | $28,136 | — | 5.6x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | 438 | $61,861 | $30,930 | — | 5.3x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $61,377 | $30,688 | — | 5.3x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $31,840 | $15,920 | — | 5.3x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $27,881 | $13,941 | — | 5.2x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $61,917 | $30,959 | — | 5.2x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $52,120 | $26,060 | — | 5.1x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $48,549 | $24,275 | — | 5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $68,129 | $34,064 | — | 4.9x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $27,931 | $13,966 | — | 4.9x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $240,328 | $120,164 | — | 4.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $62,329 | $31,164 | — | 4.9x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $70,193 | $35,097 | — | 4.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $39,203 | $19,601 | — | 4.7x |
| CELLULITIS WITH MCC | 602 | $43,427 | $21,714 | — | 4.7x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $37,236 | $18,618 | — | 4.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $47,497 | $23,748 | — | 4.7x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $92,090 | $46,045 | — | 4.5x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $140,839 | $70,420 | — | 4.4x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | 521 | $81,306 | $40,653 | — | 4.4x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $106,487 | $53,244 | — | 4.3x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $67,688 | $33,844 | — | 4.2x |
Showing 50 of 55 procedures
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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.
FAQ — nonprofit-religious hospital billing
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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