Minnesota / Essentia Health Virginia
CMS certification 240084 · Virginia, MN
Essentia Health Virginia: charges and Medicare payments
Essentia Health Virginia reported 261 Medicare inpatient stays across 11 DRGs in 2024. Across them it charged 2.44 times what it was paid — among the lower ratios in Minnesota, number 30 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: 76 stays at an average charge of $35,669, 60% below the national average. It also billed 810 outpatient services, charging 4.46 times what Medicare paid.
- 1Medicare inpatient stays 261
- 2Charge ÷ paid, inpatient 2.44×
- 3Rank in MN (highest ratio = 1) 30 of 43
- 4CMS price-transparency actions 0
Inpatient stays
For the 11 DRGs that can be compared with the national average, Essentia Health Virginia 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 | 76 | $35,669 | -60% | $16,115 |
| 291 Heart Failure and Shock with MCC | 40 | $27,561 | -51% | $10,680 |
| 189 Pulmonary Edema and Respiratory Failure | 35 | $33,233 | -42% | $11,113 |
| 690 Kidney and Urinary Tract Infections without MCC | 19 | $20,629 | -45% | $6,957 |
| 193 Simple Pneumonia and Pleurisy with MCC | 16 | $23,027 | -61% | $11,027 |
| 177 Respiratory Infections and Inflammations with MCC | 15 | $24,735 | -65% | $13,739 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 14 | $25,605 | -48% | $9,115 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 13 | $16,502 | -59% | $7,078 |
| 330 Major Small and Large Bowel Procedures with CC | 11 | $62,709 | -47% | $21,634 |
| 378 Gastrointestinal Hemorrhage with CC | 11 | $28,244 | -42% | $8,464 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 11 | $22,900 | -69% | $13,734 |
Outpatient services
Against the Minnesota average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Essentia Health Virginia charged $35,669 on average, 40% less than the Minnesota average of $59,297, and was paid $16,115 against a state average of $17,952. For Heart Failure and Shock with MCC (DRG 291), Essentia Health Virginia charged $27,561 on average, 32% less than the Minnesota average of $40,341, and was paid $10,680 against a state average of $11,754. For Pulmonary Edema and Respiratory Failure (DRG 189), Essentia Health Virginia charged $33,233 on average, 21% less than the Minnesota average of $41,872, and was paid $11,113 against a state average of $11,683. For Kidney and Urinary Tract Infections without MCC (DRG 690), Essentia Health Virginia charged $20,629 on average, 15% less than the Minnesota average of $24,250, and was paid $6,957 against a state average of $7,448. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,132 was 27% below the state average of $1,551. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $12,613 was 14% below the state average of $14,738. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $35,057 was 11% below the state average of $39,247. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $4,817 was 34% below the state average of $7,303.
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.