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Chi St Alexius Health: what a joint replacement costs

Bismarck, ND 58501 · CMS Certification Number 350002. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.

Surgery center nearby
$8,608
Bismarck Surgical Associates, 6.8 mi
Outpatient here
$12,245
418 Medicare cases, APC 5115
Inpatient here
$13,958
13 Medicare stays, MS-DRG 470

Medicare prices at Chi St Alexius Health

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$13,958$50,9963.7×$12,245
Shoulder replacement———$17,168
Hip replacement after a fracture (DRG 522)$15,582$46,5673.0×—

Quality

Complications after hip or knee replacement: 6% (no different from the national rate). Readmissions: 6.7%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 287 beds

North Dakota has no certificate-of-need law.

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Questions

How much does Medicare pay Chi St Alexius Health for a knee or hip replacement?

In 2024 Medicare paid Chi St Alexius Health an average of $13,958 per inpatient hip or knee replacement stay (MS-DRG 470, 13 stays) and $12,245 per outpatient case (APC 5115, 418 cases).

What is Chi St Alexius Health's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $50,996, 3.7× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near Chi St Alexius Health?

Yes for Medicare facility payments. Bismarck Surgical Associates, an orthopedic surgery center 6.8 mi away, is paid about $8,608 by Medicare for a knee replacement (CPT 27447), $5,350 less than an inpatient stay at Chi St Alexius Health. Not every patient is a surgery-center candidate.

How does Chi St Alexius Health compare with other North Dakota hospitals?

Medicare paid Chi St Alexius Health less than 67% of the 3 North Dakota hospitals that report inpatient hip or knee replacement.