US Health Care Costs

Lung infection, with complications in North Dakota

MS-DRG 178: Respiratory infections and inflammations with cc

$36,361typical hospital bill
$8,384typical amount paid
$8,374–$10,820range paid across 3 hospitals

North Dakota hospitals billed Medicare a typical $36,361 for this stay in 2024, about 4.3 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
Sanford Medical Center FargoFargo47$22,160$8,374
Altru HospitalGrand Forks13$36,361$8,384
Sanford Medical Center BismarckBismarck34$37,077$10,820

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.