Mayo Clinic Hospital Rochester
Mayo Clinic Hospital Rochester, a nonprofit-religious facility in Rochester, MN, charges 3.9x the Medicare reimbursement rate across 312 analyzed procedures.
Rochester, MN 55902 · Acute Care Hospitals · CMS Rating: 5/5
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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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
C
Average
Avg markup vs Medicare
3.88x
Charge / Medicare rate
Max markup
8.6x
Worst procedure
Procedures analyzed
312
With pricing data
Outlier procedures
0.6%
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 |
|---|---|---|---|---|---|
| KIDNEY TRANSPLANT | 652 | $192,124 | $96,062 | — | 8.6x |
| KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | 651 | $234,528 | $117,264 | — | 8x |
| DENTAL AND ORAL DISEASES WITH MCC | 157 | $136,127 | $68,063 | — | 7.7x |
| KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | 650 | $279,597 | $139,799 | — | 6.8x |
| SEIZURES WITHOUT MCC | 101 | $44,165 | $22,082 | — | 6.4x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $81,895 | $40,948 | — | 6.3x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $42,940 | $21,470 | — | 6.2x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | 661 | $49,106 | $24,553 | — | 6.1x |
| MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | 142 | $75,490 | $37,745 | — | 5.7x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $44,236 | $22,118 | — | 5.6x |
| MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | 655 | $93,974 | $46,987 | — | 5.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $29,826 | $14,913 | — | 5.5x |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | 328 | $72,034 | $36,017 | — | 5.4x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | 492 | $213,187 | $106,594 | — | 5.4x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | 442 | $40,750 | $20,375 | — | 5.3x |
| OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | 144 | $69,837 | $34,919 | — | 5.3x |
| AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | 617 | $87,091 | $43,546 | — | 5.2x |
| UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | 737 | $92,106 | $46,053 | — | 5.1x |
| SYNCOPE AND COLLAPSE | 312 | $39,761 | $19,881 | — | 5.1x |
| PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | 734 | $92,175 | $46,088 | — | 5.1x |
| BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | 520 | $56,917 | $28,459 | — | 5.1x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $50,257 | $25,129 | — | 5.1x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $59,622 | $29,811 | — | 5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $47,286 | $23,643 | — | 5x |
| HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | 355 | $62,057 | $31,029 | — | 5x |
| OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | 206 | $32,702 | $16,351 | — | 5x |
| UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | 740 | $80,820 | $40,410 | — | 5x |
| HYPERTENSION WITHOUT MCC | 305 | $31,431 | $15,716 | — | 5x |
| URINARY STONES WITHOUT MCC | 694 | $35,477 | $17,739 | — | 5x |
| LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | 822 | $54,578 | $27,289 | — | 4.9x |
| ATHEROSCLEROSIS WITHOUT MCC | 303 | $23,169 | $11,585 | — | 4.9x |
| O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | 939 | $130,462 | $65,231 | — | 4.9x |
| KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | 658 | $66,089 | $33,044 | — | 4.9x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $52,408 | $26,204 | — | 4.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $37,341 | $18,671 | — | 4.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $17,370 | $8,685 | — | 4.8x |
| VIRAL ILLNESS WITHOUT MCC | 866 | $28,624 | $14,312 | — | 4.8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $80,038 | $40,019 | — | 4.8x |
| VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | 746 | $85,806 | $42,903 | — | 4.8x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $42,592 | $21,296 | — | 4.8x |
| HEART FAILURE AND SHOCK WITH CC | 292 | $39,912 | $19,956 | — | 4.7x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $31,465 | $15,732 | — | 4.7x |
| OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | 674 | $117,216 | $58,608 | — | 4.7x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $58,866 | $29,433 | — | 4.7x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $35,386 | $17,693 | — | 4.6x |
| HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | 353 | $161,954 | $80,977 | — | 4.6x |
| AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | 475 | $94,299 | $47,150 | — | 4.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $43,587 | $21,793 | — | 4.6x |
| WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE D | 465 | $76,516 | $38,258 | — | 4.6x |
| AFTERCARE WITH CC/MCC | 949 | $115,422 | $57,711 | — | 4.6x |
Showing 50 of 312 procedures
How MAYO CLINIC HOSPITAL ROCHESTER 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.
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