facebook tracking Pulmonary embolism with major complications or acute cor pulmonale cost in North Dakota: 6 hospitals compared (DRG 175)

Pulmonary embolism with major complications or acute cor pulmonale in North Dakota

What 6 hospitals in North Dakota charged and were paid for a Medicare hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175), from 2024 Medicare claims.

DRG 175 Inpatient 2024 Medicare data
Average charge $36,950 Hospital list price billed
Average payment $11,325 Medicare + patient + other payers
Medicare paid $9,731 Average per stay
State rank #9 of 48 1 = lowest average payment

Hospitals in North Dakota billed an average of $36,950 for pulmonary embolism with major complications or acute cor pulmonale, about 3.3 times the average total payment of $11,325. That payment is 16% below the U.S. average of $13,466.

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 $11,325Billed $36,950

About 31¢ 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: pulmonary embolism with major complications or acute cor pulmonale

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 24 $29,992 $11,526 $10,065
Altru Health SystemGrand Forks 21 $60,437 $12,604 $10,030
Sanford Medical Center BismarckBismarck 17 $35,839 $11,121 $9,567
Trinity HospitalsMinot 14 $31,908 $11,032 $9,994
St Alexius Medical CenterBismarck 12 $29,022 $10,609 $9,305
Essentia Health-FargoFargo 12 $25,146 $10,028 $8,895
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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

Essentia Health-FargoFargo, ND$10,028
St Alexius Medical CenterBismarck, ND$10,609
Trinity HospitalsMinot, ND$11,032
Sanford Medical Center BismarckBismarck, ND$11,121
Sanford Medical Center FargoFargo, ND$11,526

Highest

Altru Health SystemGrand Forks, ND$12,604
Sanford Medical Center FargoFargo, ND$11,526
Sanford Medical Center BismarckBismarck, ND$11,121
Trinity HospitalsMinot, ND$11,032
St Alexius Medical CenterBismarck, ND$10,609

Pulmonary embolism with major complications or acute cor pulmonale in other states

Questions

How much does pulmonary embolism with major complications or acute cor pulmonale cost in North Dakota?

In 2024 Medicare data, a hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175) at 6 hospitals in North Dakota was billed at $36,950 on average, while the average total payment was $11,325, of which Medicare paid $9,731. 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 3.3 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.