facebook tracking Level 1 Nerve Procedures cost in North Dakota: 6 hospitals compared (APC 5431)

Level 1 Nerve Procedures in North Dakota

What 6 hospitals in North Dakota charged and were paid for level 1 nerve procedures (APC 5431), from 2024 Medicare claims.

APC 5431 Outpatient 2024 Medicare data
Average charge $8,660 Hospital list price billed
Average allowed $1,825 Medicare's payment + patient's share
Medicare paid $1,451 Average per service
State rank #32 of 49 1 = lowest average payment

Hospitals in North Dakota billed an average of $8,660 for level 1 nerve procedures, about 4.7 times the average medicare-allowed amount of $1,825. That payment is 3% above the U.S. average of $1,774.

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 $1,825Billed $8,660

About 21¢ was paid for every $1 hospitals in North Dakota billed for this service.

North Dakota hospitals: level 1 nerve procedures

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 327 $8,904 $1,810 $1,440
Sanford Medical Center BismarckBismarck 185 $8,942 $1,810 $1,440
Essentia Health-FargoFargo 140 $9,522 $1,810 $1,442
Altru Health SystemGrand Forks 93 $9,180 $1,917 $1,521
St Alexius Medical CenterBismarck 73 $4,151 $1,810 $1,441
Trinity HospitalsMinot 17 $10,334 $1,939 $1,545
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Lowest and highest allowed amounts in North Dakota

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

Lowest

Essentia Health-FargoFargo, ND$1,810
St Alexius Medical CenterBismarck, ND$1,810
Sanford Medical Center BismarckBismarck, ND$1,810
Sanford Medical Center FargoFargo, ND$1,810
Altru Health SystemGrand Forks, ND$1,917

Highest

Trinity HospitalsMinot, ND$1,939
Altru Health SystemGrand Forks, ND$1,917
Sanford Medical Center FargoFargo, ND$1,810
Sanford Medical Center BismarckBismarck, ND$1,810
St Alexius Medical CenterBismarck, ND$1,810

Level 1 Nerve Procedures in other states

Questions

How much does level 1 nerve procedures cost in North Dakota?

In 2024 Medicare data, level 1 nerve procedures (APC 5431) at 6 hospitals in North Dakota was billed at $8,660 on average, while the average medicare-allowed amount was $1,825, of which Medicare paid $1,451. 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 4.7 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.