facebook tracking Hip replacement with principal diagnosis of hip fracture without major complications cost in North Dakota: 6 hospitals compared (DRG 522)

Hip replacement with principal diagnosis of hip fracture without major complications in North Dakota

What 6 hospitals in North Dakota charged and were paid for a Medicare hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522), from 2024 Medicare claims.

DRG 522 Inpatient 2024 Medicare data
Average charge $55,173 Hospital list price billed
Average payment $16,958 Medicare + patient + other payers
Medicare paid $14,467 Average per stay
State rank #18 of 50 1 = lowest average payment

Hospitals in North Dakota billed an average of $55,173 for hip replacement with principal diagnosis of hip fracture without major complications, about 3.3 times the average total payment of $16,958. That payment is 7% below the U.S. average of $18,301.

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 $16,958Billed $55,173

About 31¢ was paid for every $1 hospitals in North Dakota billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in North Dakota:

North Dakota hospitals: hip replacement with principal diagnosis of hip fracture 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 62 $60,255 $17,678 $14,092
Altru Health SystemGrand Forks 36 $54,481 $17,546 $15,860
Essentia Health-FargoFargo 26 $52,371 $16,083 $13,421
Sanford Medical Center BismarckBismarck 20 $53,649 $16,031 $14,461
Trinity HospitalsMinot 17 $50,762 $16,566 $15,014
St Alexius Medical CenterBismarck 13 $46,567 $15,582 $13,779
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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

St Alexius Medical CenterBismarck, ND$15,582
Sanford Medical Center BismarckBismarck, ND$16,031
Essentia Health-FargoFargo, ND$16,083
Trinity HospitalsMinot, ND$16,566
Altru Health SystemGrand Forks, ND$17,546

Highest

Sanford Medical Center FargoFargo, ND$17,678
Altru Health SystemGrand Forks, ND$17,546
Trinity HospitalsMinot, ND$16,566
Essentia Health-FargoFargo, ND$16,083
Sanford Medical Center BismarckBismarck, ND$16,031

Hip replacement with principal diagnosis of hip fracture without major complications in other states

Questions

How much does hip replacement with principal diagnosis of hip fracture without major complications cost in North Dakota?

In 2024 Medicare data, a hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522) at 6 hospitals in North Dakota was billed at $55,173 on average, while the average total payment was $16,958, of which Medicare paid $14,467. 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.