Bilateral or multiple major joint procedures of lower extremity without major complications in North Dakota
What 1 hospital in North Dakota charged and were paid for a Medicare hospital stay for bilateral or multiple major joint procedures of lower extremity without major complications (DRG 462), from 2024 Medicare claims.
Average charge
$64,038
Hospital list price billed
Average payment
$23,626
Medicare + patient + other payers
Medicare paid
$19,035
Average per stay
Volume
12
Medicare hospital stays
Hospitals in North Dakota billed an average of $64,038 for bilateral or multiple major joint procedures of lower extremity without major complications, about 2.7 times the average total payment of $23,626. That payment is 19% below the U.S. average of $29,055.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $23,626Billed $64,038
About 37¢ was paid for every $1 hospitals in North Dakota billed for this stay.
North Dakota hospitals: bilateral or multiple major joint procedures of lower extremity without major complications
Every North Dakota hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Sanford Medical Center FargoFargo | 12 | $64,038 | $23,626 | $19,035 |
Bilateral or multiple major joint procedures of lower extremity without major complications in other states
Questions
How much does bilateral or multiple major joint procedures of lower extremity without major complications cost in North Dakota?
In 2024 Medicare data, a hospital stay for bilateral or multiple major joint procedures of lower extremity without major complications (DRG 462) at 1 hospital in North Dakota was billed at $64,038 on average, while the average total payment was $23,626, of which Medicare paid $19,035. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in North Dakota, average charges were 2.7 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.