US Health Care Costs

Hip replacement after a hip fracture in North Dakota

MS-DRG 522: Hip replacement with principal diagnosis of hip fracture without mcc

$53,010typical hospital bill
$16,325typical amount paid
$15,582–$17,678range paid across 6 hospitals

North Dakota hospitals billed Medicare a typical $53,010 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$46,567$15,582
Sanford Medical Center BismarckBismarck20$53,649$16,031
Essentia HealthFargo26$52,371$16,083
Trinity HospitalsMinot17$50,762$16,566
Altru HospitalGrand Forks36$54,481$17,546
Sanford Medical Center FargoFargo62$60,255$17,678

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.