Minnesota / Mayo Clinic Health System - Fairmont
CMS certification 240166 · Fairmont, MN
Mayo Clinic Health System - Fairmont: charges and Medicare payments
Mayo Clinic Health System - Fairmont reported 191 Medicare inpatient stays across 10 DRGs in 2024. Across them it charged 1.41 times what it was paid — among the lower ratios in Minnesota, number 42 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: 33 stays at an average charge of $17,006, 70% below the national average. It also billed 171 outpatient services, charging 4 times what Medicare paid.
- 1Medicare inpatient stays 191
- 2Charge ÷ paid, inpatient 1.41×
- 3Rank in MN (highest ratio = 1) 42 of 43
- 4CMS price-transparency actions 0
Inpatient stays
For the 10 DRGs that can be compared with the national average, Mayo Clinic Health System - Fairmont 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 | 33 | $17,006 | -70% | $13,706 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 30 | $23,473 | -74% | $21,059 |
| 690 Kidney and Urinary Tract Infections without MCC | 23 | $15,654 | -59% | $8,654 |
| 194 Simple Pneumonia and Pleurisy with CC | 20 | $17,021 | -56% | $8,753 |
| 178 Respiratory Infections and Inflammations with CC | 16 | $18,583 | -59% | $10,558 |
| 193 Simple Pneumonia and Pleurisy with MCC | 16 | $17,310 | -71% | $14,326 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 15 | $15,811 | -68% | $11,400 |
| 177 Respiratory Infections and Inflammations with MCC | 13 | $24,562 | -65% | $17,830 |
| 689 Kidney and Urinary Tract Infections with MCC | 13 | $13,900 | -73% | $12,394 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 12 | $25,678 | -54% | $10,784 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 2 Urology and Related Services | 103 | $1,138 | $697 |
| Comprehensive Observation Services | 31 | $10,073 | $2,806 |
| Level 1 Intraocular Procedures | 15 | $12,501 | $2,389 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 11 | $8,644 | $2,913 |
| Level 3 Musculoskeletal Procedures | 11 | $10,350 | $3,078 |
Against the Minnesota average
For Heart Failure and Shock with MCC (DRG 291), Mayo Clinic Health System - Fairmont charged $17,006 on average, 58% less than the Minnesota average of $40,341, and was paid $13,706 against a state average of $11,754. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mayo Clinic Health System - Fairmont charged $23,473 on average, 60% less than the Minnesota average of $59,297, and was paid $21,059 against a state average of $17,952. For Kidney and Urinary Tract Infections without MCC (DRG 690), Mayo Clinic Health System - Fairmont charged $15,654 on average, 35% less than the Minnesota average of $24,250, and was paid $8,654 against a state average of $7,448. For Simple Pneumonia and Pleurisy with CC (DRG 194), Mayo Clinic Health System - Fairmont charged $17,021 on average, 27% less than the Minnesota average of $23,361, and was paid $8,753 against a state average of $7,915. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,138 was 27% below the state average of $1,551. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $10,073 was 32% below the state average of $14,738. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $12,501 was 29% above the state average of $9,705. For Level 3 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5073), its average charge of $8,644 was 31% below the state average of $12,453.
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.