US Health Care Costs

COPD, with major complications in North Dakota

MS-DRG 190: Chronic obstructive pulmonary disease with mcc

$27,643typical hospital bill
$9,479typical amount paid
$8,998–$9,912range paid across 4 hospitals

North Dakota hospitals billed Medicare a typical $27,643 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 BismarckBismarck30$24,938$8,998
Sanford Medical Center FargoFargo69$28,311$9,449
Trinity HospitalsMinot19$26,975$9,510
Altru HospitalGrand Forks12$49,226$9,912

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.