Mayo Clinic Hospital Rochester: charges and Medicare payments

Mayo Clinic Hospital Rochester reported 14,778 Medicare inpatient stays across 309 DRGs in 2024. Across them it charged 2.6 times what it was paid — mid-range in Minnesota, number 26 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: 512 stays at an average charge of $79,619, 12% below the national average. It also billed 25,316 outpatient services, charging 5.05 times what Medicare paid.

1Medicare inpatient stays 14,778
2Charge ÷ paid, inpatient 2.6×
3Rank in MN (highest ratio = 1) 26 of 43
4CMS price-transparency actions 0

Average charge per stay at Mayo Clinic Hospital Rochester, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 309 DRGs that can be compared with the national average, Mayo Clinic Hospital Rochester charged more than the national average in 23 (7%). 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	512	$79,619	-12%	$28,483
291 Heart Failure and Shock with MCC	451	$54,121	-4%	$18,165
267 Endovascular Cardiac Valve Replacement and Supplement...	347	$143,986	-35%	$54,904
330 Major Small and Large Bowel Procedures with CC	298	$93,109	-22%	$34,101
177 Respiratory Infections and Inflammations with MCC	250	$62,353	-12%	$23,609
274 Percutaneous and Other Intracardiac Procedures without MCC	206	$102,316	-35%	$38,088
219 Cardiac Valve and Other Major Cardiothoracic Procedures...	199	$239,476	-40%	$99,611
467 Revision of Hip or Knee Replacement with CC	192	$93,713	-41%	$41,032
025 Craniotomy and Endovascular Intracranial Procedures with MCC	174	$124,095	-46%	$53,058
853 Infectious and Parasitic Diseases with O.R. Procedures with...	155	$222,303	-3%	$80,575
847 Chemotherapy without Acute Leukemia As Secondary Diagnosis...	150	$46,975	-31%	$17,765
329 Major Small and Large Bowel Procedures with MCC	148	$175,272	-18%	$70,636
193 Simple Pneumonia and Pleurisy with MCC	139	$40,355	-32%	$17,318
164 Major Chest Procedures with CC	128	$76,832	-40%	$31,312
322 Percutaneous Cardiovascular Procedures with Intraluminal...	127	$74,316	-35%	$23,543
266 Endovascular Cardiac Valve Replacement and Supplement...	126	$195,851	-31%	$75,768
454 Combined Anterior and Posterior Spinal Fusion with CC	124	$207,259	-26%	$85,150
481 Hip and Femur Procedures except Major Joint with CC	122	$79,384	-21%	$26,328
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	121	$51,780	-14%	$17,379
309 Cardiac Arrhythmia and Conduction Disorders with CC	117	$26,089	-28%	$10,348
314 Other Circulatory System Diagnoses with MCC	117	$75,294	-21%	$31,607
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	114	$58,539	-41%	$26,009
220 Cardiac Valve and Other Major Cardiothoracic Procedures...	113	$179,912	-35%	$73,674
652 Kidney Transplant	108	$216,312	-36%	$68,687
377 Gastrointestinal Hemorrhage with MCC	106	$70,158	-18%	$24,285
378 Gastrointestinal Hemorrhage with CC	105	$34,063	-30%	$13,254
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	105	$26,161	-35%	$11,019
690 Kidney and Urinary Tract Infections without MCC	105	$28,643	-24%	$10,899
698 Other Kidney and Urinary Tract Diagnoses with MCC	105	$50,993	-31%	$21,511
460 Spinal Fusion except Cervical without MCC	102	$119,124	-30%	$48,323
280 Acute Myocardial Infarction, Discharged Alive with MCC	99	$53,786	-29%	$20,989
683 Renal Failure with CC	95	$32,577	-20%	$12,808
286 Circulatory Disorders except AMI, with Cardiac...	94	$83,269	-26%	$31,165
308 Cardiac Arrhythmia and Conduction Disorders with MCC	94	$44,305	-22%	$16,162
026 Craniotomy and Endovascular Intracranial Procedures with CC	91	$93,585	-43%	$43,537
189 Pulmonary Edema and Respiratory Failure	91	$60,986	+6%	$19,958
327 Stomach, Esophageal and Duodenal Procedures with CC	88	$118,070	-7%	$33,914
393 Other Digestive System Diagnoses with MCC	88	$57,431	-25%	$22,130
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	87	$42,364	-24%	$14,464
321 Percutaneous Cardiovascular Procedures with Intraluminal...	85	$122,214	-25%	$37,420
003 ECMO or Tracheostomy with MV >96 Hours or Principal...	84	$883,000	-16%	$371,694
027 Craniotomy and Endovascular Intracranial Procedures without...	84	$88,819	-36%	$38,681
253 Other Vascular Procedures with CC	84	$98,006	-26%	$32,987
178 Respiratory Infections and Inflammations with CC	82	$39,011	-14%	$15,082
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	82	$51,312	-16%	$18,949
406 Pancreas, Liver and Shunt Procedures with CC	82	$124,756	-23%	$39,641
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	82	$40,729	+10%	$14,254
389 Gastrointestinal Obstruction with CC	80	$25,988	-33%	$11,293
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	80	$174,617	-19%	$70,649
394 Other Digestive System Diagnoses with CC	79	$28,583	-39%	$13,267
919 Complications of Treatment with MCC	79	$75,915	-14%	$28,659
682 Renal Failure with MCC	77	$70,974	+8%	$24,737
519 Back and Neck Procedures except Spinal Fusion with CC	73	$73,252	-30%	$25,593
654 Major Bladder Procedures with CC	73	$117,102	-24%	$38,363
235 Coronary Bypass without Cardiac Catheterization with MCC	72	$189,545	-35%	$75,387
689 Kidney and Urinary Tract Infections with MCC	72	$44,270	-14%	$17,778
699 Other Kidney and Urinary Tract Diagnoses with CC	72	$29,315	-38%	$13,463
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	69	$71,469	-30%	$25,511
603 Cellulitis without MCC	69	$26,462	-29%	$12,179
657 Kidney and Ureter Procedures for Neoplasm with CC	69	$81,860	-18%	$24,809

Showing the 60 most frequent of 309 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 2 Excision/ Biopsy/ Incision and Drainage	2,366	$7,826	$1,618
Level 3 Excision/ Biopsy/ Incision and Drainage	1,785	$12,726	$2,855
Level 1 Intraocular Procedures	1,732	$10,722	$2,376
Level 2 Upper GI Procedures	1,680	$14,105	$1,940
Level 5 Musculoskeletal Procedures	1,327	$43,902	$13,419
Level 3 Urology and Related Services	1,118	$10,320	$2,036
Level 1 Nerve Procedures	957	$9,693	$1,960
Level 5 Urology and Related Services	889	$24,034	$5,302
Level 1 Endovascular Procedures	878	$14,648	$3,315
Comprehensive Observation Services	817	$16,096	$2,792
Level 3 Vascular Procedures	796	$15,138	$3,224
Level 4 Urology and Related Services	733	$17,349	$3,572
Level 1 Laparoscopy and Related Services	673	$30,394	$5,909
Level 4 Musculoskeletal Procedures	558	$31,967	$7,177
Level 2 Laparoscopy and Related Services	536	$55,789	$10,443
Level 4 Airway Endoscopy	502	$19,139	$3,815
Level 3 Electrophysiologic Procedures	421	$90,163	$24,345
Level 3 Extraocular, Repair, and Plastic Eye Procedures	406	$13,500	$2,301
Level 2 Intraocular Procedures	394	$25,093	$4,155
Level 6 Musculoskeletal Procedures	393	$59,302	$18,974
Level 3 Endovascular Procedures	393	$49,383	$11,171
Level 3 Musculoskeletal Procedures	392	$15,723	$2,749
Complex GI Procedures	370	$26,776	$5,599
Level 5 ENT Procedures	356	$31,010	$5,938
Level 4 Vascular Procedures	291	$17,991	$2,755

Against the Minnesota average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mayo Clinic Hospital Rochester charged $79,619 on average, 34% more than the Minnesota average of $59,297, and was paid $28,483 against a state average of $17,952. For Heart Failure and Shock with MCC (DRG 291), Mayo Clinic Hospital Rochester charged $54,121 on average, 34% more than the Minnesota average of $40,341, and was paid $18,165 against a state average of $11,754. For Endovascular Cardiac Valve Replacement and Supplement Procedures without MCC (DRG 267), Mayo Clinic Hospital Rochester charged $143,986 on average, 8% less than the Minnesota average of $156,456, and was paid $54,904 against a state average of $45,069. For Major Small and Large Bowel Procedures with CC (DRG 330), Mayo Clinic Hospital Rochester charged $93,109 on average, 14% more than the Minnesota average of $81,673, and was paid $34,101 against a state average of $25,869. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,826 was 7% above the state average of $7,303. For Level 3 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5073), its average charge of $12,726 was 2% above the state average of $12,453. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $10,722 was 10% above the state average of $9,705. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $14,105 was 33% above the state average of $10,644.

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.