Pneumonia, with major complications in North Dakota
MS-DRG 193: Simple pneumonia and pleurisy with mcc
$31,330typical hospital bill
$10,714typical amount paid
$9,676–$11,693range paid across 6 hospitals
North Dakota hospitals billed Medicare a typical $31,330 for this stay in 2024, about 2.9 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 | 37 | $26,015 | $9,676 | |
| Trinity Hospitals | Minot | 78 | $30,337 | $10,581 | |
| Sanford Medical Center Bismarck | Bismarck | 80 | $32,323 | $10,609 | |
| Sanford Medical Center Fargo | Fargo | 101 | $29,783 | $10,819 | |
| Altru Hospital | Grand Forks | 44 | $36,386 | $11,505 | |
| Chi St Alexius Health | Bismarck | 17 | $40,577 | $11,693 |
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.