US Health Care Costs

Heart failure, with major complications in North Dakota

MS-DRG 291: Heart failure and shock with mcc

$31,153typical hospital bill
$10,601typical amount paid
$9,513–$11,295range paid across 6 hospitals

North Dakota hospitals billed Medicare a typical $31,153 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
Essentia HealthFargo180$27,294$9,513
Sanford Medical Center BismarckBismarck129$27,592$10,253
Trinity HospitalsMinot95$29,644$10,265
Sanford Medical Center FargoFargo237$32,663$10,936
Altru HospitalGrand Forks130$34,442$11,014
Chi St Alexius HealthBismarck71$36,130$11,295

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.