Minnesota / Maple Grove Hospital
CMS certification 240214 · Maple Grove, MN · 5 entries in CMS's price-transparency list
Maple Grove Hospital: charges and Medicare payments
Maple Grove Hospital reported 497 Medicare inpatient stays across 20 DRGs in 2024. Across them it charged 2.46 times what it was paid — among the lower ratios in Minnesota, number 29 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: 117 stays at an average charge of $36,144, 60% below the national average. It also billed 632 outpatient services, charging 3.36 times what Medicare paid.
- 1Medicare inpatient stays 497
- 2Charge ÷ paid, inpatient 2.46×
- 3Rank in MN (highest ratio = 1) 29 of 43
- 4CMS price-transparency actions 5
Inpatient stays
For the 20 DRGs that can be compared with the national average, Maple Grove 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 | 117 | $36,144 | -60% | $14,833 |
| 291 Heart Failure and Shock with MCC | 72 | $30,923 | -45% | $10,020 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 28 | $20,589 | -49% | $7,181 |
| 177 Respiratory Infections and Inflammations with MCC | 27 | $25,273 | -64% | $12,808 |
| 193 Simple Pneumonia and Pleurisy with MCC | 24 | $31,121 | -48% | $10,794 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 24 | $23,104 | -53% | $8,981 |
| 189 Pulmonary Edema and Respiratory Failure | 20 | $26,994 | -53% | $9,806 |
| 683 Renal Failure with CC | 18 | $20,249 | -50% | $7,283 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 18 | $25,610 | -65% | $11,808 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 16 | $78,012 | -66% | $39,426 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 15 | $91,810 | -67% | $46,269 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 15 | $80,822 | -60% | $37,959 |
| 460 Spinal Fusion except Cervical without MCC | 15 | $70,057 | -59% | $30,958 |
| 689 Kidney and Urinary Tract Infections with MCC | 15 | $25,156 | -51% | $9,103 |
| 552 Medical Back Problems without MCC | 14 | $24,912 | -49% | $7,806 |
| 690 Kidney and Urinary Tract Infections without MCC | 13 | $21,126 | -44% | $6,488 |
| 603 Cellulitis without MCC | 12 | $24,193 | -35% | $8,246 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 12 | $21,712 | -54% | $8,370 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 11 | $40,670 | -33% | $11,766 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 11 | $20,997 | -43% | $7,243 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 5 Musculoskeletal Procedures | 182 | $32,109 | $12,442 |
| Comprehensive Observation Services | 171 | $10,829 | $2,592 |
| Level 4 Musculoskeletal Procedures | 56 | $18,816 | $6,838 |
| Level 1 Laparoscopy and Related Services | 37 | $17,601 | $5,163 |
| Level 2 Laparoscopy and Related Services | 35 | $26,364 | $9,832 |
| Level 4 Gynecologic Procedures | 33 | $8,075 | $2,988 |
| Level 6 Musculoskeletal Procedures | 32 | $47,485 | $17,774 |
| Level 3 Vascular Procedures | 23 | $12,010 | $3,047 |
| Level 2 Musculoskeletal Procedures | 20 | $5,875 | $1,536 |
| Level 3 Musculoskeletal Procedures | 15 | $9,602 | $2,765 |
| Level 2 Upper GI Procedures | 15 | $5,300 | $1,819 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 13 | $8,266 | $2,716 |
Against the Minnesota average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Maple Grove Hospital charged $36,144 on average, 39% less than the Minnesota average of $59,297, and was paid $14,833 against a state average of $17,952. For Heart Failure and Shock with MCC (DRG 291), Maple Grove Hospital charged $30,923 on average, 23% less than the Minnesota average of $40,341, and was paid $10,020 against a state average of $11,754. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), Maple Grove Hospital charged $20,589 on average, 19% less than the Minnesota average of $25,465, and was paid $7,181 against a state average of $7,467. For Respiratory Infections and Inflammations with MCC (DRG 177), Maple Grove Hospital charged $25,273 on average, 48% less than the Minnesota average of $48,441, and was paid $12,808 against a state average of $15,547. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $32,109 was 18% below the state average of $39,247. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $10,829 was 27% below the state average of $14,738. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $18,816 was 31% below the state average of $27,184. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $17,601 was 32% below the state average of $26,002.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Maple Grove Hospital in Maple Grove, MN, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-10-16 (CMS case 2811)
- CAP Request — 2025-01-22 (CMS case 2811)
- Closure Notice — 2025-03-17 (CMS case 2811)
- Warning Notice — 2026-04-29 (CMS case 7628)
- Closure Notice — 2026-06-26 (CMS case 7628)
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.