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Sanford: what a joint replacement costs

Fargo, ND 58122 · CMS Certification Number 350011. 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
$8,416
Cpm Surgery Center, 6.8 mi
Outpatient here
$12,304
Medicare allowed amount, 618 cases, APC 5115
Inpatient here
$16,002
Avg total payment (incl. patient share), 39 Medicare stays, MS-DRG 470

Medicare prices at Sanford

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$16,002$56,2013.5×$12,304
Shoulder replacement$19,977$77,8603.9×$17,434
Hip replacement after a fracture (DRG 522)$17,678$60,2553.4×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$24,7391.5×$23,154–$26,3242
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Medica$26,3241.6×1
HealthPartners$23,1541.4×1

From the hospital's price-transparency file (2026-03-04); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-03-04); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 4.2% (no different from the national rate). Readmissions: 5.5%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 639 beds

North Dakota has no certificate-of-need law.

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Questions

How much does Medicare pay Sanford for a knee or hip replacement?

In 2024 the average total payment to Sanford for an inpatient hip or knee replacement stay was $16,002 (MS-DRG 470, 39 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,304 per outpatient case (APC 5115, 618 cases).

What is Sanford's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $56,201, 3.5× 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 Sanford?

Yes for Medicare facility payments. Cpm Surgery Center, an orthopedic surgery center 6.8 mi away, is paid about $8,416 by Medicare for a knee replacement (CPT 27447), $7,586 less than an inpatient stay at Sanford. Not every patient is a surgery-center candidate.

How does Sanford compare with other North Dakota hospitals?

Sanford's average total payment per Medicare stay is higher than 100% of the 3 North Dakota hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Sanford 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 $24,739 across 2 insurers, ranging from $23,154 to $26,324.