Heart attack, with complications in North Dakota
MS-DRG 281: Acute myocardial infarction, discharged alive with cc
$28,364typical hospital bill
$7,518typical amount paid
$7,289–$7,866range paid across 5 hospitals
North Dakota hospitals billed Medicare a typical $28,364 for this stay in 2024, about 3.8 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)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| Sanford Medical Center Bismarck | Bismarck | 29 | $23,332 | $7,289 | |
| Trinity Hospitals | Minot | 26 | $25,999 | $7,514 | |
| Chi St Alexius Health | Bismarck | 25 | $28,885 | $7,518 | |
| Altru Hospital | Grand Forks | 16 | $28,364 | $7,625 | |
| Sanford Medical Center Fargo | Fargo | 110 | $31,232 | $7,866 |
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.