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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $16,002 | $56,201 | 3.5× | $12,304 |
| Shoulder replacement | $19,977 | $77,860 | 3.9× | $17,434 |
| Hip replacement after a fracture (DRG 522) | $17,678 | $60,255 | 3.4× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $24,739 | 1.5× | $23,154–$26,324 | 2 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Medica | $26,324 | 1.6× | 1 |
| HealthPartners | $23,154 | 1.4× | 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.
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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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).
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.
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.
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.
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.