Maple Grove Hospital
Maple Grove Hospital in Maple Grove, Minnesota charges 3.5x the Medicare reimbursement rate across 25 analyzed procedures, reflecting typical nonprofit hospital pricing patterns.
Maple Grove, MN 55369 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
C
Average
Avg markup vs Medicare
3.55x
Charge / Medicare rate
Max markup
5.6x
Worst procedure
Procedures analyzed
25
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 |
|---|---|---|---|---|---|
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $28,208 | $14,104 | — | 5.6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $23,753 | $11,876 | — | 5.1x |
| RENAL FAILURE WITH MCC | 682 | $49,710 | $24,855 | — | 4.6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $39,272 | $19,636 | — | 4.4x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $21,781 | $10,890 | — | 4.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $25,547 | $12,773 | — | 4.2x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $34,689 | $17,345 | — | 4.1x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $29,062 | $14,531 | — | 3.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $18,854 | $9,427 | — | 3.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $26,880 | $13,440 | — | 3.6x |
| RENAL FAILURE WITH CC | 683 | $21,379 | $10,689 | — | 3.6x |
| CELLULITIS WITHOUT MCC | 603 | $18,922 | $9,461 | — | 3.6x |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | 543 | $24,267 | $12,134 | — | 3.5x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $19,117 | $9,559 | — | 3.4x |
| GASTROINTESTINAL OBSTRUCTION WITH MCC | 388 | $33,130 | $16,565 | — | 3.4x |
| DIABETES WITH CC | 638 | $19,355 | $9,677 | — | 3.3x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $39,131 | $19,566 | — | 3.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $26,471 | $13,236 | — | 3.1x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $31,006 | $15,503 | — | 2.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $36,868 | $18,434 | — | 2.9x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $80,225 | $40,113 | — | 2.8x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $32,610 | $16,305 | — | 2.8x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $22,417 | $11,209 | — | 2.7x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $62,978 | $31,489 | — | 2.4x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $81,616 | $40,808 | — | 2x |
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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