Mayo Clinic Health System - Mankato
Mayo Clinic Health System - Mankato charges 3.7x the Medicare reimbursement rate across 51 analyzed procedures, reflecting the pricing structure at this nonprofit hospital in Mankato, Minnesota.
Mankato, MN 56002 · Acute Care Hospitals · CMS Rating: 5/5
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
3.69x
Charge / Medicare rate
Max markup
6.21x
Worst procedure
Procedures analyzed
51
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 |
|---|---|---|---|---|---|
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $74,373 | $37,187 | — | 6.2x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $34,247 | $17,123 | — | 5.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $25,633 | $12,817 | — | 5.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $27,414 | $13,707 | — | 5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $32,958 | $16,479 | — | 4.9x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $29,353 | $14,677 | — | 4.7x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $48,248 | $24,124 | — | 4.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $20,214 | $10,107 | — | 4.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $42,855 | $21,427 | — | 4.3x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $60,473 | $30,237 | — | 4.3x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $27,003 | $13,501 | — | 4.2x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $29,000 | $14,500 | — | 4.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $25,923 | $12,962 | — | 4.2x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $87,568 | $43,784 | — | 4.1x |
| RENAL FAILURE WITH CC | 683 | $23,673 | $11,836 | — | 4.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $21,451 | $10,725 | — | 4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $36,802 | $18,401 | — | 4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $18,751 | $9,376 | — | 3.9x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $28,152 | $14,076 | — | 3.8x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $19,019 | $9,509 | — | 3.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $59,962 | $29,981 | — | 3.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $30,602 | $15,301 | — | 3.7x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $34,184 | $17,092 | — | 3.6x |
| PSYCHOSES | 885 | $32,705 | $16,353 | — | 3.6x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $63,573 | $31,786 | — | 3.6x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $46,262 | $23,131 | — | 3.6x |
| RENAL FAILURE WITH MCC | 682 | $37,383 | $18,691 | — | 3.6x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $45,535 | $22,768 | — | 3.5x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $99,384 | $49,692 | — | 3.5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $54,045 | $27,023 | — | 3.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $17,300 | $8,650 | — | 3.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $24,799 | $12,400 | — | 3.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $30,739 | $15,370 | — | 3.4x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $50,264 | $25,132 | — | 3.4x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $21,142 | $10,571 | — | 3.4x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $57,696 | $28,848 | — | 3.3x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $24,079 | $12,039 | — | 3.2x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $49,552 | $24,776 | — | 3.2x |
| BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | 519 | $45,937 | $22,968 | — | 3.2x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $35,487 | $17,744 | — | 3.1x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $63,879 | $31,939 | — | 3.1x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $69,781 | $34,891 | — | 3x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $35,533 | $17,767 | — | 3x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | 521 | $64,781 | $32,390 | — | 2.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $40,104 | $20,052 | — | 2.8x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $121,874 | $60,937 | — | 2.8x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $32,214 | $16,107 | — | 2.7x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $39,286 | $19,643 | — | 2.6x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $24,147 | $12,074 | — | 2.5x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $111,326 | $55,663 | — | 2.5x |
Showing 50 of 51 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.
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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