facebook tracking Implantation of Drug Infusion Device cost in North Dakota: 3 hospitals compared (APC 5471)

Implantation of Drug Infusion Device in North Dakota

What 3 hospitals in North Dakota charged and were paid for implantation of drug infusion device (APC 5471), from 2024 Medicare claims.

APC 5471 Outpatient 2024 Medicare data
Average charge $42,441 Hospital list price billed
Average allowed $16,685 Medicare's payment + patient's share
Medicare paid $15,053 Average per service
State rank #24 of 32 1 = lowest average payment

Hospitals in North Dakota billed an average of $42,441 for implantation of drug infusion device, about 2.5 times the average medicare-allowed amount of $16,685. That payment is 1% above the U.S. average of $16,462.

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 $16,685Billed $42,441

About 39¢ was paid for every $1 hospitals in North Dakota billed for this service.

North Dakota hospitals: implantation of drug infusion device

Every North Dakota hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Sanford Medical Center FargoFargo 13 $42,441 $16,685 $15,053
St Alexius Medical CenterBismarck – – – –
Sanford Medical Center BismarckBismarck – – – –
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Implantation of Drug Infusion Device in other states

Questions

How much does implantation of drug infusion device cost in North Dakota?

In 2024 Medicare data, implantation of drug infusion device (APC 5471) at 3 hospitals in North Dakota was billed at $42,441 on average, while the average medicare-allowed amount was $16,685, of which Medicare paid $15,053. 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 service in North Dakota, average charges were 2.5 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.