US Health Care Costs

Hip or thigh bone surgery (not replacement), with complications in North Dakota

MS-DRG 481: Hip and femur procedures except major joint with cc

$53,074typical hospital bill
$16,443typical amount paid
$15,021–$17,822range paid across 6 hospitals

North Dakota hospitals billed Medicare a typical $53,074 for this stay in 2024, about 3.2 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 HealthFargo41$50,097$15,021
Chi St Alexius HealthBismarck27$48,739$16,148
Trinity HospitalsMinot41$50,546$16,283
Sanford Medical Center BismarckBismarck34$55,603$16,602
Sanford Medical Center FargoFargo75$60,684$17,711
Altru HospitalGrand Forks51$57,658$17,822

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.