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Altru Hospital: what a joint replacement costs

Grand Forks, ND 58201 · CMS Certification Number 350019. 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
$8,022
North Dakota Surgery Center, same ZIP
Outpatient here
$12,942
Medicare allowed amount, 270 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Altru Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$12,942
Shoulder replacement———$18,669
Hip replacement after a fracture (DRG 522)$17,546$54,4813.1×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$25,661—$24,111–$26,8404
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Sanford Health Plan$26,840—1
Medica$25,741—1
UnitedHealthcare$25,581—1
Aetna$24,111—1

From the hospital's price-transparency file (2026-03-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-03-01); commercial plans, dollar-amount contracts only.

Quality

Overall Care Compare rating: 3 of 5 stars. Government · Acute · 267 beds

North Dakota has no certificate-of-need law.

Open the interactive price tagBuild a reportAll North Dakota hospitals

Questions

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

The Medicare allowed amount averaged $12,942 per outpatient hip or knee replacement case (APC 5115, 270 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Altru Hospital?

Yes for Medicare facility payments. North Dakota Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,022 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Altru Hospital 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 $25,661 across 4 insurers, ranging from $24,111 to $26,840.