Minnesota / Grand Itasca Clinic and Hospital
CMS certification 240064 · Grand Rapids, MN · 2 entries in CMS's price-transparency list
Grand Itasca Clinic and Hospital: charges and Medicare payments
Grand Itasca Clinic and Hospital reported 335 Medicare inpatient stays across 13 DRGs in 2024. Across them it charged 3.31 times what it was paid — mid-range in Minnesota, number 15 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: 102 stays at an average charge of $51,188, 43% below the national average. It also billed 890 outpatient services, charging 4.38 times what Medicare paid.
- 1Medicare inpatient stays 335
- 2Charge ÷ paid, inpatient 3.31×
- 3Rank in MN (highest ratio = 1) 15 of 43
- 4CMS price-transparency actions 2
Inpatient stays
For the 13 DRGs that can be compared with the national average, Grand Itasca Clinic and Hospital 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 | 102 | $51,188 | -43% | $17,231 |
| 291 Heart Failure and Shock with MCC | 49 | $39,530 | -30% | $10,980 |
| 193 Simple Pneumonia and Pleurisy with MCC | 28 | $29,925 | -50% | $11,276 |
| 189 Pulmonary Edema and Respiratory Failure | 26 | $53,689 | -7% | $10,606 |
| 177 Respiratory Infections and Inflammations with MCC | 23 | $38,753 | -45% | $14,207 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 18 | $30,998 | -37% | $8,872 |
| 194 Simple Pneumonia and Pleurisy with CC | 16 | $27,293 | -29% | $7,170 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 15 | $34,616 | -53% | $14,078 |
| 690 Kidney and Urinary Tract Infections without MCC | 13 | $23,138 | -39% | $7,043 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 12 | $54,718 | -3% | $10,327 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $32,613 | -19% | $6,859 |
| 603 Cellulitis without MCC | 11 | $24,651 | -34% | $7,701 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 11 | $47,325 | -22% | $11,204 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 164 | $16,119 | $2,716 |
| Level 2 Urology and Related Services | 137 | $1,091 | $681 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 104 | $5,305 | $1,557 |
| Level 5 Musculoskeletal Procedures | 67 | $37,474 | $13,100 |
| Level 3 Urology and Related Services | 58 | $4,783 | $2,031 |
| Level 2 Musculoskeletal Procedures | 51 | $7,243 | $1,540 |
| Level 3 Musculoskeletal Procedures | 50 | $9,801 | $2,840 |
| Level 4 Musculoskeletal Procedures | 44 | $25,665 | $7,132 |
| Level 5 Urology and Related Services | 39 | $20,944 | $5,159 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 38 | $8,799 | $2,758 |
| Level 1 Nerve Procedures | 31 | $9,582 | $1,925 |
| Level 1 Laparoscopy and Related Services | 28 | $22,765 | $5,752 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 21 | $16,756 | $3,449 |
| Level 1 Breast/Lymphatic Surgery and Related Procedures | 18 | $13,724 | $3,800 |
| Level 6 Musculoskeletal Procedures | 14 | $41,936 | $18,536 |
| Level 4 Urology and Related Services | 14 | $12,506 | $3,351 |
| Level 3 Vascular Procedures | 12 | $13,224 | $3,178 |
Against the Minnesota average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Grand Itasca Clinic and Hospital charged $51,188 on average, 14% less than the Minnesota average of $59,297, and was paid $17,231 against a state average of $17,952. For Heart Failure and Shock with MCC (DRG 291), Grand Itasca Clinic and Hospital charged $39,530 on average, 2% less than the Minnesota average of $40,341, and was paid $10,980 against a state average of $11,754. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Grand Itasca Clinic and Hospital charged $29,925 on average, 21% less than the Minnesota average of $38,121, and was paid $11,276 against a state average of $12,053. For Pulmonary Edema and Respiratory Failure (DRG 189), Grand Itasca Clinic and Hospital charged $53,689 on average, 28% more than the Minnesota average of $41,872, and was paid $10,606 against a state average of $11,683. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $16,119 was 9% above the state average of $14,738. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,091 was 30% below the state average of $1,551. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $5,305 was 27% below the state average of $7,303. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $37,474 was 5% below the state average of $39,247.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Grand Itasca Clinic and Hospital in Grand Rapids, MN, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2024-12-09 (CMS case 2960)
- Met Requirements — 2026-02-13 (CMS case 7023)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
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.