Heart valve replacement through a catheter (TAVR), with major complications in North Dakota
MS-DRG 266: Endovascular cardiac valve replacement and supplement procedures with mcc
$168,124typical hospital bill
$50,798typical amount paid
$45,820–$51,710range paid across 3 hospitals
North Dakota hospitals billed Medicare a typical $168,124 for this stay in 2024, about 3.3 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)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| Sanford Medical Center Bismarck | Bismarck | 16 | $168,124 | $45,820 | |
| Altru Hospital | Grand Forks | 31 | $205,678 | $50,798 | |
| Sanford Medical Center Fargo | Fargo | 21 | $162,086 | $51,710 |
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.