Minnesota / Winona Health Services
CMS certification 240044 · Winona, MN · 3 entries in CMS's price-transparency list
Winona Health Services: charges and Medicare payments
Winona Health Services reported 109 Medicare inpatient stays across 7 DRGs in 2024. Across them it charged 1.6 times what it was paid — among the lower ratios in Minnesota, number 40 of 43 hospitals with at least 100 stays (state median 2.98×, national 4.15×). Its most frequent stay was DRG 690, Kidney and Urinary Tract Infections without MCC: 23 stays at an average charge of $18,774, 50% below the national average. It also billed 418 outpatient services, charging 3.09 times what Medicare paid.
- 1Medicare inpatient stays 109
- 2Charge ÷ paid, inpatient 1.6×
- 3Rank in MN (highest ratio = 1) 40 of 43
- 4CMS price-transparency actions 3
Inpatient stays
For the 7 DRGs that can be compared with the national average, Winona Health Services 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 |
|---|---|---|---|---|
| 690 Kidney and Urinary Tract Infections without MCC | 23 | $18,774 | -50% | $8,689 |
| 291 Heart Failure and Shock with MCC | 19 | $15,622 | -72% | $13,916 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 16 | $12,630 | -66% | $8,390 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 16 | $33,893 | -62% | $23,425 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 12 | $18,199 | -67% | $10,880 |
| 193 Simple Pneumonia and Pleurisy with MCC | 12 | $25,089 | -58% | $14,612 |
| 189 Pulmonary Edema and Respiratory Failure | 11 | $26,647 | -54% | $13,257 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 111 | $9,604 | $2,685 |
| Level 1 Intraocular Procedures | 69 | $3,976 | $2,323 |
| Level 1 Nerve Procedures | 48 | $3,124 | $1,893 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 40 | $2,136 | $1,551 |
| Level 1 Laparoscopy and Related Services | 25 | $15,129 | $5,752 |
| Level 2 Musculoskeletal Procedures | 24 | $3,393 | $1,602 |
| Level 4 Musculoskeletal Procedures | 21 | $21,330 | $7,132 |
| Level 5 Musculoskeletal Procedures | 19 | $26,924 | $11,893 |
| Level 3 Musculoskeletal Procedures | 17 | $6,672 | $3,227 |
| Level 2 Urology and Related Services | 17 | $459 | $681 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 14 | $3,904 | $2,428 |
| Level 2 Upper GI Procedures | 13 | $4,660 | $1,897 |
Against the Minnesota average
For Kidney and Urinary Tract Infections without MCC (DRG 690), Winona Health Services charged $18,774 on average, 23% less than the Minnesota average of $24,250, and was paid $8,689 against a state average of $7,448. For Heart Failure and Shock with MCC (DRG 291), Winona Health Services charged $15,622 on average, 61% less than the Minnesota average of $40,341, and was paid $13,916 against a state average of $11,754. For Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes without MCC (DRG 641), Winona Health Services charged $12,630 on average, 55% less than the Minnesota average of $27,803, and was paid $8,390 against a state average of $7,865. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Winona Health Services charged $33,893 on average, 43% less than the Minnesota average of $59,297, and was paid $23,425 against a state average of $17,952. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $9,604 was 35% below the state average of $14,738. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $3,976 was 59% below the state average of $9,705. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $3,124 was 63% below the state average of $8,454. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $2,136 was 71% below the state average of $7,303.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Winona Health Services in Winona, MN, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2026-01-13 (CMS case 6793)
- CAP Request — 2026-04-16 (CMS case 6793)
- Closure Notice — 2026-06-12 (CMS case 6793)
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.