Minnesota / St Lukes Hospital

CMS certification 240047 · Duluth, MN · 1 entry in CMS's price-transparency list

St Lukes Hospital: charges and Medicare payments

St Lukes Hospital reported 2,588 Medicare inpatient stays across 87 DRGs in 2024. Across them it charged 3.23 times what it was paid — mid-range in Minnesota, number 18 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: 269 stays at an average charge of $44,019, 51% below the national average. It also billed 4,960 outpatient services, charging 4.69 times what Medicare paid.

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  1. 1Medicare inpatient stays 2,588
  2. 2Charge ÷ paid, inpatient 3.23×
  3. 3Rank in MN (highest ratio = 1) 18 of 43
  4. 4CMS price-transparency actions 1
DRG 871$44,019DRG 291$32,944DRG 177$39,287DRG 189$32,524DRG 470$49,260DRG 885$54,896DRG 378$22,436DRG 193$28,959DRG 682$36,500DRG 064$47,727
Average charge per stay at St Lukes Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 87 DRGs that can be compared with the national average, St Lukes Hospital charged more than the national average in 1 (1%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC269$44,019-51%$14,566
291 Heart Failure and Shock with MCC134$32,944-42%$9,917
177 Respiratory Infections and Inflammations with MCC101$39,287-44%$12,685
189 Pulmonary Edema and Respiratory Failure96$32,524-44%$9,680
470 Major Hip and Knee Joint Replacement or Reattachment of...85$49,260-47%$14,357
885 Psychoses75$54,896+25%$11,965
378 Gastrointestinal Hemorrhage with CC65$22,436-54%$7,786
193 Simple Pneumonia and Pleurisy with MCC57$28,959-52%$10,457
682 Renal Failure with MCC53$36,500-45%$11,159
064 Intracranial Hemorrhage or Cerebral Infarction with MCC52$47,727-52%$16,351
853 Infectious and Parasitic Diseases with O.R. Procedures with...51$112,587-51%$34,814
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...49$24,885-55%$7,828
309 Cardiac Arrhythmia and Conduction Disorders with CC43$22,941-36%$5,794
481 Hip and Femur Procedures except Major Joint with CC43$50,331-50%$15,458
322 Percutaneous Cardiovascular Procedures with Intraluminal...41$72,928-36%$14,213
267 Endovascular Cardiac Valve Replacement and Supplement...39$110,163-50%$35,823
683 Renal Failure with CC39$19,967-51%$7,247
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...38$22,002-45%$6,337
266 Endovascular Cardiac Valve Replacement and Supplement...37$132,393-54%$46,213
280 Acute Myocardial Infarction, Discharged Alive with MCC36$40,410-47%$12,176
552 Medical Back Problems without MCC36$20,487-58%$7,866
274 Percutaneous and Other Intracardiac Procedures without MCC34$89,800-43%$23,861
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...34$23,760-36%$6,072
190 Chronic Obstructive Pulmonary Disease with MCC32$23,300-54%$8,316
308 Cardiac Arrhythmia and Conduction Disorders with MCC32$20,528-64%$9,187
377 Gastrointestinal Hemorrhage with MCC30$42,088-51%$13,480
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...30$27,469-54%$10,093
690 Kidney and Urinary Tract Infections without MCC28$19,850-48%$6,276
689 Kidney and Urinary Tract Infections with MCC27$25,037-51%$8,961
698 Other Kidney and Urinary Tract Diagnoses with MCC26$36,639-50%$12,190
281 Acute Myocardial Infarction, Discharged Alive with CC24$28,590-43%$7,037
389 Gastrointestinal Obstruction with CC24$18,819-52%$6,139
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC24$26,142-47%$7,953
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale23$26,445-59%$10,704
330 Major Small and Large Bowel Procedures with CC23$62,593-47%$18,430
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...22$32,416-47%$9,824
603 Cellulitis without MCC21$22,390-40%$6,873
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC20$10,753-63%$4,364
312 Syncope and Collapse20$18,574-59%$6,681
480 Hip and Femur Procedures except Major Joint with MCC20$61,816-55%$21,246
483 Major Joint or Limb Reattachment Procedures of Upper...20$64,755-49%$22,936
522 Hip Replacement with Principal Diagnosis of Hip Fracture...20$54,008-47%$15,690
178 Respiratory Infections and Inflammations with CC19$21,313-53%$7,492
418 Laparoscopic Cholecystectomy without C.D.E. with CC19$48,826-48%$12,432
467 Revision of Hip or Knee Replacement with CC19$62,033-61%$25,821
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...19$93,805-57%$33,919
287 Circulatory Disorders except AMI, with Cardiac...17$46,265-28%$8,290
057 Degenerative Nervous System Disorders without MCC16$36,534-35%$10,781
066 Intracranial Hemorrhage or Cerebral Infarction without...16$19,123-55%$5,371
071 Other Cerebrovascular Disorders with CC16$32,300-36%$8,222
305 Hypertension without MCC16$21,584-46%$5,867
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...16$17,160-60%$6,943
660 Kidney and Ureter Procedures for Non-Neoplasm with CC16$26,483-61%$10,223
092 Other Disorders of Nervous System with CC15$28,292-45%$8,061
286 Circulatory Disorders except AMI, with Cardiac...15$57,150-49%$16,324
438 Disorders of Pancreas except Malignancy with MCC15$45,845-42%$12,797
811 Red Blood Cell Disorders with MCC15$33,571-51%$10,729
329 Major Small and Large Bowel Procedures with MCC14$93,392-57%$36,546
394 Other Digestive System Diagnoses with CC14$24,874-47%$7,699
812 Red Blood Cell Disorders without MCC14$19,376-56%$7,050

Showing the 60 most frequent of 87 DRGs.

Outpatient services

Against the Minnesota average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Lukes Hospital charged $44,019 on average, 26% less than the Minnesota average of $59,297, and was paid $14,566 against a state average of $17,952. For Heart Failure and Shock with MCC (DRG 291), St Lukes Hospital charged $32,944 on average, 18% less than the Minnesota average of $40,341, and was paid $9,917 against a state average of $11,754. For Respiratory Infections and Inflammations with MCC (DRG 177), St Lukes Hospital charged $39,287 on average, 19% less than the Minnesota average of $48,441, and was paid $12,685 against a state average of $15,547. For Pulmonary Edema and Respiratory Failure (DRG 189), St Lukes Hospital charged $32,524 on average, 22% less than the Minnesota average of $41,872, and was paid $9,680 against a state average of $11,683. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $6,382 was 34% below the state average of $9,705. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,615 was 4% above the state average of $1,551. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $6,801 was 7% below the state average of $7,303. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $13,425 was 9% below the state average of $14,738.

Price-transparency record

CMS's enforcement list records these actions for a hospital named St Lukes Hospital in Duluth, MN, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

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.