Price AtlasInteractive atlas · All states · techysurgeon.comChi 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.
Medicare prices at Chi St Alexius Health
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $23,962 | 1.7× | $23,412–$24,512 | 2 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $24,512 | 1.8× | 1 |
| Sanford Health Plan | $23,412 | 1.7× | 1 |
From the hospital's price-transparency file (2026-02-28); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-02-28); commercial plans, dollar-amount contracts only.
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 the average total payment to Chi St Alexius Health for an inpatient hip or knee replacement stay was $13,958 (MS-DRG 470, 13 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× the average total payment for a Medicare stay. 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?
Chi St Alexius Health's average total payment per Medicare stay is lower than 67% of the 3 North Dakota hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Chi St Alexius Health for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $23,962 across 2 insurers, ranging from $23,412 to $24,512.