US Health Care Costs

Lung infection, with major complications in North Dakota

MS-DRG 177: Respiratory infections and inflammations with mcc

$42,111typical hospital bill
$13,486typical amount paid
$12,128–$15,052range paid across 6 hospitals

North Dakota hospitals billed Medicare a typical $42,111 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 HealthFargo34$31,950$12,128
Trinity HospitalsMinot76$44,235$13,315
Sanford Medical Center BismarckBismarck119$39,986$13,352
Sanford Medical Center FargoFargo103$35,457$13,620
Chi St Alexius HealthBismarck34$44,779$13,893
Altru HospitalGrand Forks109$53,503$15,052

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.