Lower extremity and humerus procedures except hip, foot and femur with complications in North Dakota
What 2 hospitals in North Dakota charged and were paid for a Medicare hospital stay for lower extremity and humerus procedures except hip, foot and femur with complications (DRG 493), from 2024 Medicare claims.
Average charge
$59,056
Hospital list price billed
Average payment
$18,957
Medicare + patient + other payers
Medicare paid
$16,819
Average per stay
Volume
33
Medicare hospital stays
Hospitals in North Dakota billed an average of $59,056 for lower extremity and humerus procedures except hip, foot and femur with complications, about 3.1 times the average total payment of $18,957. That payment is 17% below the U.S. average of $22,820.
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 $18,957Billed $59,056
About 32¢ was paid for every $1 hospitals in North Dakota billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in North Dakota:
North Dakota hospitals: lower extremity and humerus procedures except hip, foot and femur 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 | 21 | $62,882 | $19,327 | $17,134 |
| Sanford Medical Center BismarckBismarck | 12 | $52,361 | $18,311 | $16,267 |
Lower extremity and humerus procedures except hip, foot and femur with complications in other states
Questions
How much does lower extremity and humerus procedures except hip, foot and femur with complications cost in North Dakota?
In 2024 Medicare data, a hospital stay for lower extremity and humerus procedures except hip, foot and femur with complications (DRG 493) at 2 hospitals in North Dakota was billed at $59,056 on average, while the average total payment was $18,957, of which Medicare paid $16,819. 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 3.1 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.