Minnesota / Mayo Clinic Health System Albert Lea and Austin
CMS certification 240043 · Albert Lea, MN
Mayo Clinic Health System Albert Lea and Austin: charges and Medicare payments
Mayo Clinic Health System Albert Lea and Austin reported 645 Medicare inpatient stays across 25 DRGs in 2024. Across them it charged 2.02 times what it was paid — among the lower ratios in Minnesota, number 36 of 43 hospitals with at least 100 stays (state median 2.98×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 96 stays at an average charge of $25,938, 54% below the national average. It also billed 1,159 outpatient services, charging 4.32 times what Medicare paid.
- 1Medicare inpatient stays 645
- 2Charge ÷ paid, inpatient 2.02×
- 3Rank in MN (highest ratio = 1) 36 of 43
- 4CMS price-transparency actions 0
Inpatient stays
For the 25 DRGs that can be compared with the national average, Mayo Clinic Health System Albert Lea and Austin 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 |
|---|---|---|---|---|
| 291 Heart Failure and Shock with MCC | 96 | $25,938 | -54% | $12,043 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 94 | $37,776 | -58% | $19,489 |
| 193 Simple Pneumonia and Pleurisy with MCC | 53 | $24,195 | -60% | $12,596 |
| 177 Respiratory Infections and Inflammations with MCC | 48 | $31,786 | -55% | $16,321 |
| 885 Psychoses | 30 | $23,462 | -47% | $14,529 |
| 178 Respiratory Infections and Inflammations with CC | 25 | $20,240 | -55% | $9,191 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 21 | $21,795 | -57% | $10,333 |
| 194 Simple Pneumonia and Pleurisy with CC | 21 | $16,046 | -58% | $7,687 |
| 690 Kidney and Urinary Tract Infections without MCC | 21 | $16,215 | -57% | $7,715 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 20 | $22,877 | -53% | $9,603 |
| 683 Renal Failure with CC | 19 | $17,610 | -57% | $8,880 |
| 689 Kidney and Urinary Tract Infections with MCC | 18 | $19,645 | -62% | $10,991 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 17 | $24,376 | -56% | $9,431 |
| 378 Gastrointestinal Hemorrhage with CC | 17 | $17,992 | -63% | $9,216 |
| 189 Pulmonary Edema and Respiratory Failure | 16 | $31,402 | -45% | $11,496 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 16 | $21,433 | -71% | $15,450 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 15 | $15,283 | -62% | $7,995 |
| 481 Hip and Femur Procedures except Major Joint with CC | 15 | $42,868 | -57% | $19,345 |
| 312 Syncope and Collapse | 13 | $21,011 | -54% | $8,103 |
| 603 Cellulitis without MCC | 13 | $18,173 | -51% | $8,268 |
| 389 Gastrointestinal Obstruction with CC | 12 | $14,323 | -63% | $8,384 |
| 543 Pathological Fractures and Musculoskeletal and Connective... | 12 | $20,956 | -57% | $10,072 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 11 | $18,151 | -50% | $6,921 |
| 638 Diabetes with CC | 11 | $17,438 | -58% | $8,712 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 11 | $15,958 | -57% | $7,307 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 275 | $11,900 | $2,325 |
| Level 2 Urology and Related Services | 173 | $827 | $685 |
| Comprehensive Observation Services | 129 | $14,170 | $2,745 |
| Level 5 Musculoskeletal Procedures | 90 | $36,638 | $13,258 |
| Level 3 Musculoskeletal Procedures | 74 | $9,350 | $3,222 |
| Level 3 Urology and Related Services | 57 | $4,130 | $2,037 |
| Level 1 Nerve Procedures | 57 | $6,875 | $1,948 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 46 | $3,615 | $1,636 |
| Level 4 Urology and Related Services | 44 | $12,410 | $3,518 |
| Level 4 Musculoskeletal Procedures | 42 | $23,138 | $6,910 |
| Level 2 Musculoskeletal Procedures | 38 | $5,173 | $1,555 |
| Level 5 Urology and Related Services | 33 | $24,172 | $5,221 |
| Level 1 Laparoscopy and Related Services | 29 | $18,887 | $5,822 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 20 | $14,024 | $3,491 |
| Level 1 Breast/Lymphatic Surgery and Related Procedures | 16 | $8,901 | $3,656 |
| Level 4 Gynecologic Procedures | 14 | $8,487 | $3,154 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 11 | $9,973 | $2,867 |
| Level 3 Vascular Procedures | 11 | $17,160 | $3,216 |
Against the Minnesota average
For Heart Failure and Shock with MCC (DRG 291), Mayo Clinic Health System Albert Lea and Austin charged $25,938 on average, 36% less than the Minnesota average of $40,341, and was paid $12,043 against a state average of $11,754. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mayo Clinic Health System Albert Lea and Austin charged $37,776 on average, 36% less than the Minnesota average of $59,297, and was paid $19,489 against a state average of $17,952. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Mayo Clinic Health System Albert Lea and Austin charged $24,195 on average, 37% less than the Minnesota average of $38,121, and was paid $12,596 against a state average of $12,053. For Respiratory Infections and Inflammations with MCC (DRG 177), Mayo Clinic Health System Albert Lea and Austin charged $31,786 on average, 34% less than the Minnesota average of $48,441, and was paid $16,321 against a state average of $15,547. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $11,900 was 23% above the state average of $9,705. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $827 was 47% below the state average of $1,551. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,170 was 4% below the state average of $14,738. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $36,638 was 7% below the state average of $39,247.
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.