Minnesota / Cambridge Medical Center
CMS certification 240020 · Cambridge, MN
Cambridge Medical Center: charges and Medicare payments
Cambridge Medical Center reported 195 Medicare inpatient stays across 7 DRGs in 2024. Across them it charged 2.06 times what it was paid — among the lower ratios in Minnesota, number 35 of 43 hospitals with at least 100 stays (state median 2.98×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 57 stays at an average charge of $26,827, 70% below the national average. It also billed 384 outpatient services, charging 5.83 times what Medicare paid.
- 1Medicare inpatient stays 195
- 2Charge ÷ paid, inpatient 2.06×
- 3Rank in MN (highest ratio = 1) 35 of 43
- 4CMS price-transparency actions 0
Inpatient stays
For the 7 DRGs that can be compared with the national average, Cambridge Medical Center charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 57 | $26,827 | -70% | $15,713 |
| 291 Heart Failure and Shock with MCC | 50 | $22,840 | -59% | $10,924 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 31 | $20,844 | -58% | $8,862 |
| 193 Simple Pneumonia and Pleurisy with MCC | 17 | $24,515 | -59% | $11,882 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 14 | $53,429 | -43% | $16,557 |
| 177 Respiratory Infections and Inflammations with MCC | 13 | $26,867 | -62% | $13,750 |
| 189 Pulmonary Edema and Respiratory Failure | 13 | $21,269 | -63% | $11,184 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 129 | $9,258 | $2,228 |
| Comprehensive Observation Services | 117 | $15,845 | $2,564 |
| Level 5 Musculoskeletal Procedures | 31 | $47,342 | $11,857 |
| Level 1 Nerve Procedures | 21 | $7,987 | $1,846 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 19 | $5,601 | $1,387 |
| Level 2 Musculoskeletal Procedures | 14 | $7,783 | $1,536 |
| Level 4 Urology and Related Services | 14 | $15,987 | $2,953 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 13 | $17,861 | $2,699 |
| Level 1 Laparoscopy and Related Services | 13 | $20,815 | $5,515 |
| Level 5 Urology and Related Services | 13 | $20,864 | $4,369 |
Against the Minnesota average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Cambridge Medical Center charged $26,827 on average, 55% less than the Minnesota average of $59,297, and was paid $15,713 against a state average of $17,952. For Heart Failure and Shock with MCC (DRG 291), Cambridge Medical Center charged $22,840 on average, 43% less than the Minnesota average of $40,341, and was paid $10,924 against a state average of $11,754. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Cambridge Medical Center charged $20,844 on average, 34% less than the Minnesota average of $31,619, and was paid $8,862 against a state average of $9,449. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Cambridge Medical Center charged $24,515 on average, 36% less than the Minnesota average of $38,121, and was paid $11,882 against a state average of $12,053. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $9,258 was 5% below the state average of $9,705. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $15,845 was 8% above the state average of $14,738. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $47,342 was 21% above the state average of $39,247. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $7,987 was 6% below the state average of $8,454.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.