M Health Fairview University of Mn Medical Center
2450 Riverside Avenue, Minneapolis, MN 55454 · 142 Priced Procedures · 71% Patient Recommendation
Typical commercial prices here are 7% below the fair benchmark (0.93×) after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 0.93× fair market pricing.
Aligned Regional Benchmark Peer
M Health Fairview University of Mn Medical Center prices shoppable and inpatient services (0.9× to 1.3× Medicare, divergence 1.44×) in alignment with regional hospital peers (0.93× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 7% below peer Fair BaseRate (0.93×)
- Self-pay cash beats commercial insurance on 70% of shoppable procedures (99/100 Cash Honesty)
- 4-Star CMS clinical rating with 71% patient recommendation (63/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (48.0% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (0.93× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Captive ER (0.6×) & laboratory (1.1×) services average 1.44× higher multiples than routine shoppable care (0.9×)
- Upper-quartile procedures (Q75 1.16×) jump +25% above the median procedure ratio (Q50 0.93×)
- Unnegotiated chargemaster list prices average 5.9× Medicare (25¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at M Health Fairview University of Mn Medical Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 142 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $34,348 | 1.1× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $20,950 | 1.1× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $20,809 | 1.1× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $19,083 | 1.1× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $8,853 | 1.1× |
| C-section delivery (full package) CPT Code: 59510 | $2,508 | 0.8× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $2,409 | 0.4× |
| Vaginal delivery (full package) CPT Code: 59400 | $2,283 | 0.9× |
| Cataract surgery with lens implant CPT Code: 66984 | $2,108 | unverified |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $2,076 | unverified |
| Total knee replacement CPT Code: 27447 | $2,036 | 0.2× |
| Bunion correction surgery CPT Code: 28296 | $2,000 | unverified |
| Inguinal hernia repair CPT Code: 49505 | $1,923 | 0.5× |
| Total hip replacement CPT Code: 27130 | $1,642 | 0.1× |
| Breast lump removal CPT Code: 19120 | $1,553 | 0.4× |
| Trauma team activation HCPCS Code: G0390 | $1,339 | 0.9× |
| Colonoscopy with biopsy CPT Code: 45380 | $785 | 0.6× |
| Injection procedure for pain management HCPCS Code: G0260 | $701 | 0.8× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $584 | 0.6× |
| Upper endoscopy with biopsy CPT Code: 43239 | $545 | 0.6× |
| Behavioral health residential care HCPCS Code: H0011 | $463 | unverified |
| Rabies immune globulin HCPCS Code: 90375 | $299 | 0.9× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $316 | 0.7× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $336 | 0.7× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $265 | 0.3× |
Audit a Bill or Quote at M Health Fairview University of Mn Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $39,594
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (48.0% of gross = $39,594).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask M Health Fairview University of Mn Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)
Your bill ($82,435) is $51,660 above the denoised Fair BaseRate ($30,775) and 3.5× the $23,504 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (48.0% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)Source: CMS Hospital Care Compare (404 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for M Health Fairview University of Mn Medical Center.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.