Fargo, ND 58104 · CMS Certification Number 350070. 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 paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,693 | $47,462 | 3.0× | $12,236 |
| Shoulder replacement | — | — | — | $17,118 |
| Hip replacement after a fracture (DRG 522) | $16,083 | $52,371 | 3.3× | — |
Complications after hip or knee replacement: 4.7% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 142 beds
North Dakota has no certificate-of-need law.
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In 2024 Medicare paid Essentia Health Fargo an average of $15,693 per inpatient hip or knee replacement stay (MS-DRG 470, 14 stays) and $12,236 per outpatient case (APC 5115, 248 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $47,462, 3.0× what Medicare paid. 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 same ZIP away, is paid about $8,416 by Medicare for a knee replacement (CPT 27447), $7,277 less than an inpatient stay at Essentia Health Fargo. Not every patient is a surgery-center candidate.
Medicare paid Essentia Health Fargo more than 67% of the 3 North Dakota hospitals that report inpatient hip or knee replacement.