facebook tracking Other digestive system diagnoses with complications cost in North Dakota: 3 hospitals compared (DRG 394)

Other digestive system diagnoses with complications in North Dakota

What 3 hospitals in North Dakota charged and were paid for a Medicare hospital stay for other digestive system diagnoses with complications (DRG 394), from 2024 Medicare claims.

DRG 394 Inpatient 2024 Medicare data
Average charge $23,663 Hospital list price billed
Average payment $8,013 Medicare + patient + other payers
Medicare paid $6,367 Average per stay
State rank #9 of 46 1 = lowest average payment

Hospitals in North Dakota billed an average of $23,663 for other digestive system diagnoses with complications, about 3.0 times the average total payment of $8,013. That payment is 16% below the U.S. average of $9,547.

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 $8,013Billed $23,663

About 34¢ 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: other digestive system diagnoses 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 40 $25,264 $8,388 $6,454
Sanford Medical Center BismarckBismarck 11 $21,680 $7,511 $6,352
Essentia Health-FargoFargo 11 $19,821 $7,150 $6,066
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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

Highest

Other digestive system diagnoses with complications in other states

Questions

How much does other digestive system diagnoses with complications cost in North Dakota?

In 2024 Medicare data, a hospital stay for other digestive system diagnoses with complications (DRG 394) at 3 hospitals in North Dakota was billed at $23,663 on average, while the average total payment was $8,013, of which Medicare paid $6,367. 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 3.0 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.