facebook tracking Hip and femur procedures except major joint with complications cost in North Dakota: 6 hospitals compared (DRG 481)

Hip and femur procedures except major joint with complications in North Dakota

What 6 hospitals in North Dakota charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with complications (DRG 481), from 2024 Medicare claims.

DRG 481 Inpatient 2024 Medicare data
Average charge $55,110 Hospital list price billed
Average payment $16,807 Medicare + patient + other payers
Medicare paid $13,937 Average per stay
State rank #19 of 50 1 = lowest average payment

Hospitals in North Dakota billed an average of $55,110 for hip and femur procedures except major joint with complications, about 3.3 times the average total payment of $16,807. That payment is 9% below the U.S. average of $18,473.

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 $16,807Billed $55,110

About 30¢ was paid for every $1 hospitals in North Dakota billed for this stay.

Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in North Dakota:

North Dakota hospitals: hip and femur procedures except major joint with 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 75 $60,684 $17,711 $14,223
Altru Health SystemGrand Forks 51 $57,658 $17,822 $14,471
Trinity HospitalsMinot 41 $50,546 $16,283 $14,740
Essentia Health-FargoFargo 41 $50,097 $15,021 $13,108
Sanford Medical Center BismarckBismarck 34 $55,603 $16,602 $13,631
St Alexius Medical CenterBismarck 27 $48,739 $16,148 $12,563
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Lowest and highest payments in North Dakota

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Essentia Health-FargoFargo, ND$15,021
St Alexius Medical CenterBismarck, ND$16,148
Trinity HospitalsMinot, ND$16,283
Sanford Medical Center BismarckBismarck, ND$16,602
Sanford Medical Center FargoFargo, ND$17,711

Highest

Altru Health SystemGrand Forks, ND$17,822
Sanford Medical Center FargoFargo, ND$17,711
Sanford Medical Center BismarckBismarck, ND$16,602
Trinity HospitalsMinot, ND$16,283
St Alexius Medical CenterBismarck, ND$16,148

Hip and femur procedures except major joint with complications in other states

Questions

How much does hip and femur procedures except major joint with complications cost in North Dakota?

In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with complications (DRG 481) at 6 hospitals in North Dakota was billed at $55,110 on average, while the average total payment was $16,807, of which Medicare paid $13,937. 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 3.3 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.