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Sanford Medical Center Bismarck: what a joint replacement costs

Bismarck, ND 58506 · CMS Certification Number 350015. 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, 7.0 mi
Outpatient here
$12,322
Medicare allowed amount, 219 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Sanford Medical Center Bismarck

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$12,322
Shoulder replacement———$17,434
Hip replacement after a fracture (DRG 522)$16,031$53,6493.3×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$23,321—$22,322–$32,5213
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Medica$32,521—1
Sanford Health Plan$23,321—1
HealthPartners$22,322—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: 5.1% (no different from the national rate). Readmissions: 6.5%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 233 beds

North Dakota has no certificate-of-need law.

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Questions

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

The Medicare allowed amount averaged $12,322 per outpatient hip or knee replacement case (APC 5115, 219 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Sanford Medical Center Bismarck?

Yes for Medicare facility payments. Bismarck Surgical Associates, an orthopedic surgery center 7.0 mi away, is paid about $8,608 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Sanford Medical Center Bismarck 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 $23,321 across 3 insurers, ranging from $22,322 to $32,521.