US Health Care Costs

Heart attack, with major complications in North Dakota

MS-DRG 280: Acute myocardial infarction, discharged alive with mcc

$39,938typical hospital bill
$13,074typical amount paid
$12,547–$14,068range paid across 6 hospitals

North Dakota hospitals billed Medicare a typical $39,938 for this stay in 2024, about 3.1 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
Chi St Alexius HealthBismarck58$36,012$12,547
Essentia HealthFargo26$39,831$12,725
Sanford Medical Center BismarckBismarck125$37,631$12,771
Trinity HospitalsMinot61$41,046$13,377
Altru HospitalGrand Forks42$47,951$13,981
Sanford Medical Center FargoFargo247$40,045$14,068

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.