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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,958 | $50,996 | 3.7× | $12,245 |
| Shoulder replacement | — | — | — | $17,168 |
| Hip replacement after a fracture (DRG 522) | $15,582 | $46,567 | 3.0× | — |
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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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).
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.
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.
Medicare paid Chi St Alexius Health less than 67% of the 3 North Dakota hospitals that report inpatient hip or knee replacement.