US Health Care Costs

Hip or knee replacement in North Dakota

MS-DRG 470: Major hip and knee joint replacement or reattachment of lower extremity without mcc

$50,996typical hospital bill
$15,693typical amount paid
$13,958–$16,002range paid across 3 hospitals

North Dakota hospitals billed Medicare a typical $50,996 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
Chi St Alexius HealthBismarck13$50,996$13,958
Essentia HealthFargo14$47,462$15,693
Sanford Medical Center FargoFargo39$56,201$16,002

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.