86/100
#164 nationally
Essentia Health Duluth
502 East Second Street, Duluth, MN 55805 · (218) 786-2652
Charges close to what care is actually paid for
For every $1 of care Medicare actually paid for here, Essentia Health Duluth billed $2.97 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 3.0x
- volume-weighted across all its priced work
- Procedures priced
- 36
- inpatient and outpatient combined
- Rank in MN
- #10
- lower markup ranks higher
- CMS quality stars
- Not rated
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 87% of U.S. hospitals.
Better than 93% of U.S. hospitals.
Better than 87% of U.S. hospitals.
Better than 61% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
634 | $1,274 | $636 | -59% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
326 | $2,785 | $1,891 | -78% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
247 | $8,916 | $1,776 | -21% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
234 | $4,157 | $1,492 | -59% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
198 | $38,592 | $12,022 | -38% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
138 | $34,704 | $14,680 | -4% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
96 | $8,995 | $2,596 | -49% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
92 | $26,188 | $6,602 | -34% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
84 | $50,429 | $17,310 | -39% |
|
Level 2 Neurostimulator and Related Procedures
APC 5462 · Hospital outpatient visit |
67 | $17,489 | $5,226 | -33% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Disorders of Personality and Impulse Control
MS-DRG 883 · Inpatient stay |
$45,497 | $25,313 | about average |
|
Psychoses
MS-DRG 885 · Inpatient stay |
$34,704 | $14,680 | -4% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
$28,114 | $5,265 | -18% |
|
Level 4 Neurostimulator and Related Procedures
APC 5464 · Hospital outpatient visit |
$64,736 | $18,615 | -20% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$19,939 | $3,038 | -21% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$8,916 | $1,776 | -21% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$26,303 | $5,371 | -25% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
$74,955 | $20,321 | -26% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$2,785 | $1,891 | -78% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$4,503 | $1,835 | -77% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
$2,753 | $1,580 | -76% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$12,440 | $9,176 | -74% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$3,480 | $1,496 | -69% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$10,130 | $6,351 | -69% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$20,523 | $14,011 | -69% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
$10,253 | $7,094 | -66% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.