Minnesota / Olmsted Medical Center
CMS certification 240006 · Rochester, MN · 3 entries in CMS's price-transparency list
Olmsted Medical Center: charges and Medicare payments
Olmsted Medical Center reported 61 Medicare inpatient stays across 3 DRGs in 2024. Across them it charged 1.7 times what it was paid. Its most frequent stay was DRG 193, Simple Pneumonia and Pleurisy with MCC: 24 stays at an average charge of $20,191, 66% below the national average. It also billed 962 outpatient services, charging 4.13 times what Medicare paid.
- 1Medicare inpatient stays 61
- 2Charge ÷ paid, inpatient 1.7×
- 3Rank in MN (highest ratio = 1) –
- 4CMS price-transparency actions 3
Inpatient stays
For the 3 DRGs that can be compared with the national average, Olmsted Medical Center 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 |
|---|---|---|---|---|
| 193 Simple Pneumonia and Pleurisy with MCC | 24 | $20,191 | -66% | $11,706 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 20 | $24,233 | -73% | $15,162 |
| 291 Heart Failure and Shock with MCC | 17 | $19,516 | -65% | $10,740 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 264 | $7,883 | $2,235 |
| Level 5 Musculoskeletal Procedures | 130 | $40,990 | $12,640 |
| Level 1 Nerve Procedures | 123 | $5,912 | $1,816 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 80 | $2,316 | $1,528 |
| Level 3 Musculoskeletal Procedures | 56 | $13,109 | $3,113 |
| Comprehensive Observation Services | 43 | $10,628 | $2,633 |
| Level 2 Urology and Related Services | 40 | $1,284 | $657 |
| Level 3 Urology and Related Services | 40 | $5,827 | $1,959 |
| Level 4 Musculoskeletal Procedures | 35 | $26,782 | $6,881 |
| Level 3 Extraocular, Repair, and Plastic Eye Procedures | 29 | $14,349 | $2,248 |
| Level 1 Laparoscopy and Related Services | 28 | $20,641 | $5,550 |
| Level 2 Musculoskeletal Procedures | 26 | $4,412 | $1,546 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 15 | $9,386 | $2,733 |
| Level 2 Intraocular Procedures | 15 | $13,443 | $3,911 |
| Level 6 Musculoskeletal Procedures | 14 | $63,550 | $17,885 |
| Level 4 Gynecologic Procedures | 13 | $11,709 | $3,007 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 11 | $19,580 | $3,328 |
Against the Minnesota average
For Simple Pneumonia and Pleurisy with MCC (DRG 193), Olmsted Medical Center charged $20,191 on average, 47% less than the Minnesota average of $38,121, and was paid $11,706 against a state average of $12,053. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Olmsted Medical Center charged $24,233 on average, 59% less than the Minnesota average of $59,297, and was paid $15,162 against a state average of $17,952. For Heart Failure and Shock with MCC (DRG 291), Olmsted Medical Center charged $19,516 on average, 52% less than the Minnesota average of $40,341, and was paid $10,740 against a state average of $11,754. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $7,883 was 19% below the state average of $9,705. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $40,990 was 4% above the state average of $39,247. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $5,912 was 30% below the state average of $8,454. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $2,316 was 68% below the state average of $7,303.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Olmsted Medical Center in Rochester, MN, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-08-21 (CMS case 2480)
- CAP Request — 2024-11-25 (CMS case 2480)
- Closure Notice — 2024-12-16 (CMS case 2480)
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.