Mayo Clinic · Fairmont, MN
18
In-network payers
241
Disclosed rate categories
57
Beds
5
Care quality
Mayo Clinic Health System-Fairmont is a 57-bed voluntary non-profit - private hospital in Fairmont, MN, affiliated with Mayo Clinic. Below you'll find publicly disclosed negotiated rates and facility details, including 18 in-network payers and 241 disclosed rate categories.
CCN (Medicare provider number)
240166
NPI
1821066499
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
57
Care Quality
5
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Mayo Clinic Health System-Fairmont most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 807
$5,946 - $5,946
from 2 insurers · median $5,946
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
CT imaging
CPT 74177
$2,246 - $2,316
from 3 insurers · median $2,253
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$2,007 - $2,708
from 3 insurers · median $2,533
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$803 - $856
from 3 insurers · median $842
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$1,338 - $1,510
from 3 insurers · median $1,493
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$4,466 - $4,801
from 3 insurers · median $4,565
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$5,946 - $5,946
from 2 insurers · median $5,946
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
MRI imaging
CPT 70551
$3,031 - $4,307
from 3 insurers · median $3,423
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$1,497 - $2,518
from 3 insurers · median $1,714
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$316 - $368
from 3 insurers · median $319
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$2,375 - $2,748
from 3 insurers · median $2,452
Common here, based on CMS Medicare volume
Urology
CPT 52000
$875 - $8,151
from 4 insurers · median $914
103 Medicare claims in Level 2 Urology and Related Services (CMS 2024)
MRI imaging
CPT 74183
$3,879 - $4,416
from 3 insurers · median $4,070
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$139 - $154
from 4 insurers · median $151
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$4,002 - $5,405
from 4 insurers · median $5,205
15 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Medicine & Surgery
CPT 29881
$4,833 - $5,219
from 4 insurers · median $4,966
11 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Digestive procedures
CPT 45385
$1,648 - $2,601
from 4 insurers · median $2,140
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93971
$835 - $854
from 3 insurers · median $845
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$4,575 - $13,872
from 4 insurers · median $4,725
Typical for a hospital with this service line
Gynecology
CPT 58571
$5,441 - $9,485
from 4 insurers · median $5,653
Typical for a hospital with this service line
Ultrasound
CPT 76705
$392 - $412
from 4 insurers · median $403
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,644 - $2,621
from 4 insurers · median $1,947
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,215 - $4,264
from 4 insurers · median $1,727
Common here, based on CMS Medicare volume
Laboratory and pathology
CPT 80053
$87 - $101
from 4 insurers · median $97
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 22 | 505% | 14 | 8 |
| Insurer B* | 24 | 348% | 8 | 12 |
| Insurer C* | 24 | 343% | 13 | 9 |
| Insurer D* | 11 | 173% | 6 | 0 |
How we chose these services: 3 appear in this hospital's own Medicare claims, 16 are common here based on CMS Medicare volume, and 5 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Mayo Clinic Health System-Fairmont.
800 Medical Center Drive, Fairmont, MN 56031
(507) 238-8101
The nearest hospitals of similar type and size. Their rates are compared with Mayo Clinic Health System-Fairmont for the same insurers and services above.
Lakes Regional Healthcare
Rates about the same as Mayo Clinic Health System-Fairmont (21 services)
Spencer Hospital
Rates about the same as Mayo Clinic Health System-Fairmont (22 services)
Sanford Regional Hospital Worthington
▲ Rates typically 47% higher than Mayo Clinic Health System-Fairmont (22 services)
Owatonna Hospital
▼ Rates typically 41% lower than Mayo Clinic Health System-Fairmont (22 services)
Faribault Medical Center
▼ Rates typically 30% lower than Mayo Clinic Health System-Fairmont (22 services)
Northfield Hospital & Clinics
▼ Rates typically 32% lower than Mayo Clinic Health System-Fairmont (22 services)
Mayo Clinic Hospital - Rochester Minnesota
Mayo Clinic Hospital - Austin
Mayo Clinic Hospital - Saint Marys Campus
Mayo Clinic Health System Mankato
About Mayo Clinic Health System-Fairmont's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Mayo Clinic Health System-Fairmont range from $4,466 to $4,801 across 3 insurers. Blue Cross Blue Shield's rate is $4,565. The median at nearby comparable hospitals is $2,330. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Mayo Clinic Health System-Fairmont range from $2,246 to $2,316 across 3 insurers. Aetna's rate is $2,316. The median at nearby comparable hospitals is $1,364. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Mayo Clinic Health System-Fairmont range from $1,648 to $2,601 across 4 insurers. UnitedHealthcare's rate is $1,831. The median at nearby comparable hospitals is $2,562. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Mayo Clinic Health System-Fairmont range from $5,946 to $5,946 across 2 insurers. Blue Cross Blue Shield's rate is $5,946. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Mayo Clinic Health System-Fairmont range from $316 to $368 across 3 insurers. Aetna's rate is $368. The median at nearby comparable hospitals is $255. What a patient pays depends on their plan's deductible, coinsurance and network status.
Mayo Clinic Health System-Fairmont has 57 beds. Facility type: Short Term Acute Care Hospital.
Mayo Clinic Health System-Fairmont is located at 800 Medical Center Drive, Fairmont, MN 56031. Its main phone number is (507) 238-8101.
Mayo Clinic Health System-Fairmont's CMS Certification Number (CCN), also called its Medicare provider number, is 240166.
The National Provider Identifier (NPI) on file for Mayo Clinic Health System-Fairmont is 1821066499.
Mayo Clinic Health System-Fairmont is affiliated with Mayo Clinic.
Mayo Clinic Health System-Fairmont lists 18 in-network payers, including Aetna, Aspirus Health Plan, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
241 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers