US Health Care Costs

Heart valve replacement through a catheter (TAVR) in North Dakota

MS-DRG 267: Endovascular cardiac valve replacement and supplement procedures without mcc

$144,594typical hospital bill
$37,680typical amount paid
$34,604–$39,421range paid across 4 hospitals

North Dakota hospitals billed Medicare a typical $144,594 for this stay in 2024, about 3.8 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 HealthFargo29$135,840$34,604
Sanford Medical Center BismarckBismarck50$147,784$35,962
Sanford Medical Center FargoFargo215$141,403$39,397
Altru HospitalGrand Forks24$197,957$39,421

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.