Minnesota / Essentia Health St Marys - Detroit Lakes
CMS certification 240101 · Detroit Lakes, MN
Essentia Health St Marys - Detroit Lakes: charges and Medicare payments
Essentia Health St Marys - Detroit Lakes reported 256 Medicare inpatient stays across 11 DRGs in 2024. Across them it charged 1.51 times what it was paid — among the lower ratios in Minnesota, number 41 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: 58 stays at an average charge of $25,954, 71% below the national average. It also billed 456 outpatient services, charging 4.01 times what Medicare paid.
- 1Medicare inpatient stays 256
- 2Charge ÷ paid, inpatient 1.51×
- 3Rank in MN (highest ratio = 1) 41 of 43
- 4CMS price-transparency actions 0
Inpatient stays
For the 11 DRGs that can be compared with the national average, Essentia Health St Marys - Detroit Lakes 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 | 58 | $25,954 | -71% | $21,729 |
| 291 Heart Failure and Shock with MCC | 49 | $21,345 | -62% | $14,220 |
| 189 Pulmonary Edema and Respiratory Failure | 37 | $25,612 | -56% | $13,605 |
| 193 Simple Pneumonia and Pleurisy with MCC | 18 | $21,023 | -65% | $14,599 |
| 690 Kidney and Urinary Tract Infections without MCC | 16 | $19,290 | -49% | $8,877 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 16 | $17,549 | -64% | $11,368 |
| 177 Respiratory Infections and Inflammations with MCC | 13 | $22,942 | -68% | $18,437 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 13 | $14,436 | -64% | $8,660 |
| 683 Renal Failure with CC | 13 | $13,942 | -66% | $9,877 |
| 389 Gastrointestinal Obstruction with CC | 12 | $19,079 | -51% | $8,860 |
| 481 Hip and Femur Procedures except Major Joint with CC | 11 | $46,911 | -53% | $22,926 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 146 | $12,753 | $2,710 |
| Level 1 Intraocular Procedures | 62 | $7,271 | $2,323 |
| Level 5 Musculoskeletal Procedures | 56 | $33,700 | $13,100 |
| Level 3 Musculoskeletal Procedures | 38 | $11,323 | $3,227 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 36 | $2,905 | $1,571 |
| Level 1 Nerve Procedures | 25 | $8,662 | $1,925 |
| Level 4 Musculoskeletal Procedures | 24 | $21,153 | $6,747 |
| Level 1 Laparoscopy and Related Services | 23 | $24,024 | $5,752 |
| Level 2 Urology and Related Services | 18 | $1,076 | $681 |
| Level 4 Gynecologic Procedures | 16 | $6,440 | $3,117 |
| Level 2 Musculoskeletal Procedures | 12 | $6,429 | $1,602 |
Against the Minnesota average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Essentia Health St Marys - Detroit Lakes charged $25,954 on average, 56% less than the Minnesota average of $59,297, and was paid $21,729 against a state average of $17,952. For Heart Failure and Shock with MCC (DRG 291), Essentia Health St Marys - Detroit Lakes charged $21,345 on average, 47% less than the Minnesota average of $40,341, and was paid $14,220 against a state average of $11,754. For Pulmonary Edema and Respiratory Failure (DRG 189), Essentia Health St Marys - Detroit Lakes charged $25,612 on average, 39% less than the Minnesota average of $41,872, and was paid $13,605 against a state average of $11,683. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Essentia Health St Marys - Detroit Lakes charged $21,023 on average, 45% less than the Minnesota average of $38,121, and was paid $14,599 against a state average of $12,053. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $12,753 was 13% below the state average of $14,738. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $7,271 was 25% below the state average of $9,705. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $33,700 was 14% below the state average of $39,247. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $11,323 was 14% below the state average of $13,214.
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.