Pneumonia, with complications in North Dakota
MS-DRG 194: Simple pneumonia and pleurisy with cc
$20,141typical hospital bill
$7,471typical amount paid
$6,721–$7,908range paid across 4 hospitals
North Dakota hospitals billed Medicare a typical $20,141 for this stay in 2024, about 2.7 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 | 14 | $17,622 | $6,721 | |
| Sanford Medical Center Fargo | Fargo | 48 | $19,615 | $7,319 | |
| Altru Hospital | Grand Forks | 15 | $20,668 | $7,624 | |
| Sanford Medical Center Bismarck | Bismarck | 36 | $21,821 | $7,908 |
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.