Irregular heartbeat, with major complications in North Dakota

MS-DRG 308: Cardiac arrhythmia and conduction disorders with mcc

$33,229typical hospital bill

$9,855typical amount paid

$9,015–$10,339range paid across 6 hospitals

North Dakota hospitals billed Medicare a typical $33,229 for this stay in 2024, about 3.4 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)

Hospital	City	Medicare stays	Billed	Paid
Essentia Health	Fargo	40	$29,789	$9,015
Chi St Alexius Health	Bismarck	13	$22,267	$9,184
Sanford Medical Center Bismarck	Bismarck	17	$33,799	$9,590
Altru Hospital	Grand Forks	17	$32,659	$10,121
Sanford Medical Center Fargo	Fargo	30	$41,252	$10,200
Trinity Hospitals	Minot	13	$34,309	$10,339

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.