facebook tracking Level 2 ICD and Similar Procedures cost in North Dakota: 6 hospitals compared (APC 5232)

Level 2 ICD and Similar Procedures in North Dakota

What 6 hospitals in North Dakota charged and were paid for level 2 icd and similar procedures (APC 5232), from 2024 Medicare claims.

APC 5232 Outpatient 2024 Medicare data
Average charge $121,284 Hospital list price billed
Average allowed $31,291 Medicare's payment + patient's share
Medicare paid $29,657 Average per service
State rank #32 of 47 1 = lowest average payment

Hospitals in North Dakota billed an average of $121,284 for level 2 icd and similar procedures, about 3.9 times the average medicare-allowed amount of $31,291. That payment is about the same as the U.S. average of $31,009.

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 $31,291Billed $121,284

About 26¢ was paid for every $1 hospitals in North Dakota billed for this service.

North Dakota hospitals: level 2 icd and similar 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 44 $102,349 $30,752 $29,116
Altru Health SystemGrand Forks 32 $183,605 $32,933 $31,301
Sanford Medical Center BismarckBismarck 20 $86,530 $30,752 $29,120
St Alexius Medical CenterBismarck 13 $136,338 $28,512 $26,880
Trinity HospitalsMinot 11 $61,122 $32,933 $31,301
Essentia Health-FargoFargo – – – –
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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

St Alexius Medical CenterBismarck, ND$28,512
Sanford Medical Center BismarckBismarck, ND$30,752
Sanford Medical Center FargoFargo, ND$30,752
Trinity HospitalsMinot, ND$32,933
Altru Health SystemGrand Forks, ND$32,933

Highest

Trinity HospitalsMinot, ND$32,933
Altru Health SystemGrand Forks, ND$32,933
Sanford Medical Center FargoFargo, ND$30,752
Sanford Medical Center BismarckBismarck, ND$30,752
St Alexius Medical CenterBismarck, ND$28,512

Level 2 ICD and Similar Procedures in other states

Questions

How much does level 2 icd and similar procedures cost in North Dakota?

In 2024 Medicare data, level 2 icd and similar procedures (APC 5232) at 6 hospitals in North Dakota was billed at $121,284 on average, while the average medicare-allowed amount was $31,291, of which Medicare paid $29,657. 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 3.9 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.