US Health Care Costs

Bowel surgery, with complications in North Dakota

MS-DRG 330: Major small and large bowel procedures with cc

$59,786typical hospital bill
$20,441typical amount paid
$19,755–$21,869range paid across 4 hospitals

North Dakota hospitals billed Medicare a typical $59,786 for this stay in 2024, about 2.9 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.

Billed (list price)Actually paid (Medicare + patient)

HospitalCityMedicare staysBilledPaid
Sanford Medical Center BismarckBismarck19$54,931$19,755
Altru HospitalGrand Forks26$58,253$20,061
Sanford Medical Center FargoFargo67$61,320$20,820
Essentia HealthFargo20$66,075$21,869

Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.