facebook tracking Infectious and parasitic diseases with operating room procedures with complications cost in North Dakota: 4 hospitals compared (DRG 854)

Infectious and parasitic diseases with operating room procedures with complications in North Dakota

What 4 hospitals in North Dakota charged and were paid for a Medicare hospital stay for infectious and parasitic diseases with operating room procedures with complications (DRG 854), from 2024 Medicare claims.

DRG 854 Inpatient 2024 Medicare data
Average charge $49,166 Hospital list price billed
Average payment $16,734 Medicare + patient + other payers
Medicare paid $14,171 Average per stay
State rank #17 of 44 1 = lowest average payment

Hospitals in North Dakota billed an average of $49,166 for infectious and parasitic diseases with operating room procedures with complications, about 2.9 times the average total payment of $16,734. That payment is 12% below the U.S. average of $19,011.

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 $16,734Billed $49,166

About 34¢ 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: infectious and parasitic diseases with operating room procedures 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 31 $45,639 $16,476 $14,755
Altru Health SystemGrand Forks 18 $41,458 $16,824 $15,091
Essentia Health-FargoFargo 16 $58,439 $17,239 $13,036
Sanford Medical Center BismarckBismarck 11 $58,230 $16,580 $12,667
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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

Sanford Medical Center FargoFargo, ND$16,476
Sanford Medical Center BismarckBismarck, ND$16,580
Altru Health SystemGrand Forks, ND$16,824
Essentia Health-FargoFargo, ND$17,239

Highest

Essentia Health-FargoFargo, ND$17,239
Altru Health SystemGrand Forks, ND$16,824
Sanford Medical Center BismarckBismarck, ND$16,580
Sanford Medical Center FargoFargo, ND$16,476

Infectious and parasitic diseases with operating room procedures with complications in other states

Questions

How much does infectious and parasitic diseases with operating room procedures with complications cost in North Dakota?

In 2024 Medicare data, a hospital stay for infectious and parasitic diseases with operating room procedures with complications (DRG 854) at 4 hospitals in North Dakota was billed at $49,166 on average, while the average total payment was $16,734, of which Medicare paid $14,171. 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 2.9 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.