facebook tracking Revision of hip or knee replacement without complications cost in North Dakota: 1 hospitals compared (DRG 468)

Revision of hip or knee replacement without complications in North Dakota

What 1 hospital in North Dakota charged and were paid for a Medicare hospital stay for revision of hip or knee replacement without complications (DRG 468), from 2024 Medicare claims.

DRG 468 Inpatient 2024 Medicare data
Average charge $62,887 Hospital list price billed
Average payment $21,047 Medicare + patient + other payers
Medicare paid $19,408 Average per stay
Volume 34 Medicare hospital stays

Hospitals in North Dakota billed an average of $62,887 for revision of hip or knee replacement without complications, about 3.0 times the average total payment of $21,047. That payment is 12% below the U.S. average of $23,925.

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 $21,047Billed $62,887

About 33¢ 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: revision of hip or knee replacement without 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 34 $62,887 $21,047 $19,408
Advertisement

Revision of hip or knee replacement without complications in other states

Questions

How much does revision of hip or knee replacement without complications cost in North Dakota?

In 2024 Medicare data, a hospital stay for revision of hip or knee replacement without complications (DRG 468) at 1 hospital in North Dakota was billed at $62,887 on average, while the average total payment was $21,047, of which Medicare paid $19,408. 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.