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ST CLOUD HOSPITAL

SAINT CLOUD, MN 56303 · Acute Care Hospitals

145 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024

By BillRazor Research · Last updated March 27, 2026 · Methodology

Procedures Analyzed

145

With CMS pricing data

Avg Charge-to-Medicare Ratio

2.8x

Chargemaster ÷ Medicare

CMS Quality Rating

Patient experience & outcomes

Hospital Type

Acute Care Hospitals

Voluntary non-profit - Private

Above 90th Percentile

0%

Compared to MN hospitals

Understanding Your Costs

When you receive a bill from ST CLOUD HOSPITAL, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, ST CLOUD HOSPITAL lists chargemaster rates that average 2.8x the corresponding Medicare reimbursement amount across 145 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).

The median hospital in MN has a chargemaster-to-Medicare ratio of 3.8x, with ratios across the state ranging from 1.7x to 6.3x. At 2.8x, this facility’s average ratio is below the state median. 45 hospitals in MN report pricing data to CMS (Source: CMS IPPS Provider Summary).

The procedure with the largest gap between the listed price and Medicare reimbursement at ST CLOUD HOSPITAL is PSYCHOSES (DRG 885). The listed chargemaster rate is $66,711, while Medicare reimburses $12,256 for the same procedure — a ratio of 5.4x (Source: CMS IPPS Provider Summary, FY2024).

What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.

ST CLOUD HOSPITAL is a voluntary non-profit - private acute care hospitals facility with a CMS quality rating of 4/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.

Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio

Listed Chargemaster Rate Medicare Reimbursement

Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.

Procedure Pricing Lookup

Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.

ProcedureDRGListed ChargeMedicare Reimb.RatioState Position
PSYCHOSES885$66,711$12,2565.4x
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CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC036$73,272$16,0154.6x
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EXTRACRANIAL PROCEDURES WITHOUT CC/MCC039$38,517$8,5704.5x
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HYPERTENSION WITHOUT MCC305$23,888$5,4614.4x
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CAROTID ARTERY STENT PROCEDURES WITH CC035$83,244$19,7594.2x
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ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC282$21,227$5,1074.2x
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC322$65,150$15,7684.1x
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CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC310$12,394$3,0094.1x
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$64,626$15,7524.1x
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OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC271$128,628$32,3304.0x
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PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC243$75,591$19,9293.8x
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OTHER VASCULAR PROCEDURES WITH MCC252$104,865$28,1193.7x
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KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC690$23,843$6,5073.7x
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OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC270$195,752$54,1153.6x
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LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC418$47,130$13,2023.6x
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MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC470$53,371$14,9693.6x
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PERITONEAL ADHESIOLYSIS WITH CC336$52,949$14,9633.5x
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RED BLOOD CELL DISORDERS WITHOUT MCC812$21,513$6,0943.5x
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC066$16,583$4,7543.5x
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DYSEQUILIBRIUM149$19,334$5,5533.5x
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CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC236$109,555$32,0263.4x
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ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$19,830$5,8343.4x
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NERVOUS SYSTEM NEOPLASMS WITH MCC054$37,646$11,2293.4x
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PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC242$100,644$30,3063.3x
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$24,527$7,4333.3x
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SIGNS AND SYMPTOMS WITHOUT MCC948$20,186$6,1403.3x
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CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$28,061$8,5183.3x
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CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC233$174,867$53,5143.3x
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CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC308$30,841$9,4983.3x
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OTHER O.R. PROCEDURES FOR INJURIES WITH CC908$61,144$18,8003.3x
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$85,229$26,4193.2x
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KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC659$57,054$17,8623.2x
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CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC309$16,475$5,2493.1x
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MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$18,446$5,9363.1x
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OTHER VASCULAR PROCEDURES WITH CC253$69,312$22,3643.1x
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HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$54,894$17,8283.1x
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CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC234$142,572$46,2203.1x
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NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC070$49,391$16,0443.1x
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AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC269$115,125$37,4473.1x
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RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS207$174,635$56,9283.1x
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FRACTURES OF HIP AND PELVIS WITHOUT MCC536$17,698$5,7823.1x
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EXTRACRANIAL PROCEDURES WITH CC038$42,336$13,8703.0x
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OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC673$88,928$29,2373.0x
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RENAL FAILURE WITH CC683$20,514$6,7793.0x
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OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC357$59,415$19,5843.0x
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ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC897$19,965$6,5873.0x
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SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$30,404$10,0343.0x
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MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC329$135,528$44,8933.0x
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CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC286$54,833$18,2043.0x
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HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$52,643$17,4943.0x
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Showing 50 of 145 procedures

All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.

Statewide Context

Charge-to-Medicare ratio range across MN hospitals

1.7x
Median: 3.8x
6.3x
2.8x

45 hospitals in MN report pricing data to CMS. This facility's average ratio of 2.8x places it at the lower-middle range of the state range (Source: CMS IPPS Provider Summary).

What You Can Do

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Request an Itemized Bill

Federal law entitles you to a detailed breakdown of every charge. If you haven't received one, knowing what to ask for is the first step.

Learn how

Check for Common Errors

Research suggests 49-80% of hospital bills contain errors — from duplicate charges to incorrect procedure codes.

How it works

Data: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).

Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.

Read our methodology·Report a data error

Frequently Asked Questions About ST CLOUD HOSPITAL

How much does ST CLOUD HOSPITAL charge compared to Medicare?

According to CMS IPPS data, ST CLOUD HOSPITAL's listed chargemaster rates average 2.8x the Medicare reimbursement amount across 145 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.

What is the most expensive procedure at ST CLOUD HOSPITAL?

The procedure with the highest chargemaster-to-Medicare ratio at ST CLOUD HOSPITAL is PSYCHOSES (DRG 885), with a listed charge of $66,711 compared to Medicare reimbursement of $12,256 — a ratio of 5.4x. Source: CMS IPPS Provider Summary.

Is ST CLOUD HOSPITAL expensive compared to other MN hospitals?

ST CLOUD HOSPITAL's average chargemaster-to-Medicare ratio is 2.8x. Ratios vary significantly across MN hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.

Where does the pricing data for ST CLOUD HOSPITAL come from?

All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.

How can I check if my bill from ST CLOUD HOSPITAL is correct?

You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.

Does ST CLOUD HOSPITAL in SAINT CLOUD, MN accept Medicare?

ST CLOUD HOSPITAL is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact ST CLOUD HOSPITAL directly or check with your insurance provider.

Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.