US Health Care Costs

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

MS-DRG 480: Hip and femur procedures except major joint with mcc

$68,918typical hospital bill
$23,083typical amount paid
$21,843–$25,513range paid across 5 hospitals

North Dakota hospitals billed Medicare a typical $68,918 for this stay in 2024, about 3.0 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 HealthFargo14$65,797$21,843
Sanford Medical Center BismarckBismarck20$65,164$22,388
Trinity HospitalsMinot19$68,918$23,083
Sanford Medical Center FargoFargo26$87,303$23,260
Altru HospitalGrand Forks22$81,207$25,513

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.