US Health Care Costs

Bowel surgery, with major complications in North Dakota

MS-DRG 329: Major small and large bowel procedures with mcc

$104,276typical hospital bill
$38,250typical amount paid
$32,597–$43,800range paid across 5 hospitals

North Dakota hospitals billed Medicare a typical $104,276 for this stay in 2024, about 2.7 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
Essentia HealthFargo19$104,276$32,597
Trinity HospitalsMinot13$87,149$35,604
Sanford Medical Center BismarckBismarck25$79,304$38,250
Altru HospitalGrand Forks27$145,872$41,420
Sanford Medical Center FargoFargo32$136,285$43,800

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.