M Health Fairview St John's Hospital: charges and Medicare payments

M Health Fairview St John's Hospital reported 1,746 Medicare inpatient stays across 66 DRGs in 2024. Across them it charged 4.74 times what it was paid — among the higher ratios in Minnesota, number 1 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: 206 stays at an average charge of $76,498, 15% below the national average. It also billed 1,991 outpatient services, charging 6.55 times what Medicare paid.

1Medicare inpatient stays 1,746
2Charge ÷ paid, inpatient 4.74×
3Rank in MN (highest ratio = 1) 1 of 43
4CMS price-transparency actions 0

Average charge per stay at M Health Fairview St John's Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 66 DRGs that can be compared with the national average, M Health Fairview St John's Hospital charged more than the national average in 12 (18%). 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	206	$76,498	-15%	$16,652
291 Heart Failure and Shock with MCC	143	$63,337	+12%	$10,541
177 Respiratory Infections and Inflammations with MCC	70	$69,840	-1%	$13,940
193 Simple Pneumonia and Pleurisy with MCC	70	$48,904	-18%	$11,010
274 Percutaneous and Other Intracardiac Procedures without MCC	69	$106,509	-32%	$25,109
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	44	$34,433	-30%	$8,303
280 Acute Myocardial Infarction, Discharged Alive with MCC	43	$74,020	-2%	$12,531
853 Infectious and Parasitic Diseases with O.R. Procedures with...	43	$177,949	-22%	$44,260
267 Endovascular Cardiac Valve Replacement and Supplement...	39	$148,094	-33%	$39,151
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	33	$53,770	-46%	$14,895
309 Cardiac Arrhythmia and Conduction Disorders with CC	33	$36,906	+2%	$6,816
378 Gastrointestinal Hemorrhage with CC	33	$43,992	-9%	$8,059
190 Chronic Obstructive Pulmonary Disease with MCC	30	$49,504	-2%	$9,799
321 Percutaneous Cardiovascular Procedures with Intraluminal...	30	$121,383	-26%	$24,548
682 Renal Failure with MCC	30	$67,060	+2%	$11,430
698 Other Kidney and Urinary Tract Diagnoses with MCC	29	$61,400	-16%	$13,417
322 Percutaneous Cardiovascular Procedures with Intraluminal...	28	$91,755	-20%	$15,773
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	27	$32,245	-42%	$8,220
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	27	$53,238	-12%	$11,085
286 Circulatory Disorders except AMI, with Cardiac...	26	$91,589	-18%	$19,677
603 Cellulitis without MCC	25	$38,136	+2%	$7,364
314 Other Circulatory System Diagnoses with MCC	21	$99,180	+5%	$17,402
377 Gastrointestinal Hemorrhage with MCC	21	$60,895	-29%	$13,158
683 Renal Failure with CC	21	$31,900	-22%	$7,557
690 Kidney and Urinary Tract Infections without MCC	21	$33,978	-10%	$6,899
287 Circulatory Disorders except AMI, with Cardiac...	20	$54,513	-15%	$8,556
617 Amputation of Lower Limb for Endocrine, Nutritional and...	20	$60,956	-30%	$15,387
699 Other Kidney and Urinary Tract Diagnoses with CC	20	$34,152	-28%	$7,916
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	18	$53,938	-12%	$10,057
552 Medical Back Problems without MCC	18	$39,137	-20%	$7,582
638 Diabetes with CC	18	$32,859	-21%	$7,110
178 Respiratory Infections and Inflammations with CC	17	$47,425	+5%	$7,377
236 Coronary Bypass without Cardiac Catheterization without MCC	17	$211,283	0%	$30,644
689 Kidney and Urinary Tract Infections with MCC	17	$46,424	-10%	$8,936
189 Pulmonary Edema and Respiratory Failure	16	$67,320	+17%	$9,912
372 Major Gastrointestinal Disorders and Peritoneal Infections...	16	$33,597	-29%	$8,211
233 Coronary Bypass with Cardiac Catheterization or Open...	15	$388,551	+1%	$75,220
253 Other Vascular Procedures with CC	15	$115,061	-13%	$22,907
270 Other Major Cardiovascular Procedures with MCC	15	$155,191	-40%	$39,604
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	15	$30,706	-24%	$6,303
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	15	$35,039	-5%	$6,330
308 Cardiac Arrhythmia and Conduction Disorders with MCC	14	$49,664	-12%	$10,164
329 Major Small and Large Bowel Procedures with MCC	14	$179,320	-17%	$54,395
330 Major Small and Large Bowel Procedures with CC	14	$99,858	-16%	$18,219
388 Gastrointestinal Obstruction with MCC	14	$48,603	-29%	$10,511
418 Laparoscopic Cholecystectomy without C.D.E. with CC	14	$65,532	-30%	$16,007
481 Hip and Femur Procedures except Major Joint with CC	14	$74,325	-26%	$17,083
854 Infectious and Parasitic Diseases with O.R. Procedures with...	14	$52,489	-47%	$15,380
101 Seizures without MCC	13	$48,140	-1%	$8,729
266 Endovascular Cardiac Valve Replacement and Supplement...	13	$242,458	-15%	$60,175
281 Acute Myocardial Infarction, Discharged Alive with CC	13	$48,884	-3%	$8,071
393 Other Digestive System Diagnoses with MCC	13	$48,538	-37%	$12,626
637 Diabetes with MCC	13	$71,407	+7%	$12,368
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	12	$62,941	-3%	$11,339
235 Coronary Bypass without Cardiac Catheterization with MCC	12	$287,821	-2%	$62,739
243 Permanent Cardiac Pacemaker Implant with CC	12	$101,684	-8%	$17,390
389 Gastrointestinal Obstruction with CC	12	$31,926	-18%	$6,470
551 Medical Back Problems with MCC	12	$61,607	-22%	$13,108
896 Alcohol, Drug Abuse or Dependence without Rehabilitation...	12	$91,122	+17%	$15,314
100 Seizures with MCC	11	$127,693	+35%	$21,750

Showing the 60 most frequent of 66 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	454	$19,029	$2,598
Level 1 Endovascular Procedures	210	$13,120	$3,109
Level 2 Excision/ Biopsy/ Incision and Drainage	200	$8,703	$1,536
Level 3 Electrophysiologic Procedures	157	$128,038	$22,248
Level 3 Vascular Procedures	107	$14,932	$2,928
Level 3 Urology and Related Services	92	$10,761	$1,896
Level 3 Endovascular Procedures	70	$58,777	$10,252
Level 2 Upper GI Procedures	69	$8,655	$1,819
Level 2 Laparoscopy and Related Services	62	$61,126	$9,832
Level 1 Laparoscopy and Related Services	59	$27,178	$5,394
Level 4 Urology and Related Services	53	$16,452	$3,332
Level 3 Pacemaker and Similar Procedures	50	$45,053	$10,198
Level 5 Urology and Related Services	47	$26,201	$4,946
Level 3 Excision/ Biopsy/ Incision and Drainage	43	$17,172	$2,375
Level 2 Pacemaker and Similar Procedures	40	$36,905	$8,121
Level 2 Vascular Procedures	38	$9,767	$1,531
Level 4 Endovascular Procedures	31	$86,105	$16,726
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	31	$21,057	$3,307
Level 2 Endovascular Procedures	30	$28,361	$5,464
Level 2 Urology and Related Services	26	$3,081	$472
Level 2 ICD and Similar Procedures	25	$153,584	$31,353
Level 3 Musculoskeletal Procedures	20	$11,946	$3,094
Level 1 Nerve Procedures	20	$6,901	$1,846
Level 4 Musculoskeletal Procedures	18	$39,530	$6,536
Level 4 Airway Endoscopy	15	$21,518	$3,580

Against the Minnesota average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), M Health Fairview St John's Hospital charged $76,498 on average, 29% more than the Minnesota average of $59,297, and was paid $16,652 against a state average of $17,952. For Heart Failure and Shock with MCC (DRG 291), M Health Fairview St John's Hospital charged $63,337 on average, 57% more than the Minnesota average of $40,341, and was paid $10,541 against a state average of $11,754. For Respiratory Infections and Inflammations with MCC (DRG 177), M Health Fairview St John's Hospital charged $69,840 on average, 44% more than the Minnesota average of $48,441, and was paid $13,940 against a state average of $15,547. For Simple Pneumonia and Pleurisy with MCC (DRG 193), M Health Fairview St John's Hospital charged $48,904 on average, 28% more than the Minnesota average of $38,121, and was paid $11,010 against a state average of $12,053. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $19,029 was 29% above the state average of $14,738. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $13,120 was 19% below the state average of $16,124. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,703 was 19% above the state average of $7,303. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $128,038 was 20% above the state average of $106,456.

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.