US Health Care Costs

Irregular heartbeat, with complications in North Dakota

MS-DRG 309: Cardiac arrhythmia and conduction disorders with cc

$18,966typical hospital bill
$6,022typical amount paid
$5,772–$6,438range paid across 6 hospitals

North Dakota hospitals billed Medicare a typical $18,966 for this stay in 2024, about 3.1 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 HealthFargo33$18,812$5,772
Chi St Alexius HealthBismarck25$16,030$5,901
Trinity HospitalsMinot21$19,119$5,972
Sanford Medical Center BismarckBismarck25$17,320$6,073
Altru HospitalGrand Forks26$22,471$6,248
Sanford Medical Center FargoFargo63$21,994$6,438

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.