US Health Care Costs

Combined Anterior and Posterior Spinal Fusion with Cc in North Dakota

MS-DRG 454: Combined anterior and posterior spinal fusion with cc

$104,752typical hospital bill
$44,716typical amount paid
$43,976–$49,724range paid across 4 hospitals

North Dakota hospitals billed Medicare a typical $104,752 for this stay in 2024, about 2.3 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$99,429$43,976
Chi St Alexius HealthBismarck20$107,443$44,388
Sanford Medical Center BismarckBismarck12$102,061$45,045
Altru HospitalGrand Forks15$117,127$49,724

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.