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Essentia Health Fargo: what a joint replacement costs

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.

Surgery center nearby
$8,416
Cpm Surgery Center, same ZIP
Outpatient here
$12,236
248 Medicare cases, APC 5115
Inpatient here
$15,693
14 Medicare stays, MS-DRG 470

Medicare prices at Essentia Health Fargo

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$15,693$47,4623.0×$12,236
Shoulder replacement———$17,118
Hip replacement after a fracture (DRG 522)$16,083$52,3713.3×—

Quality

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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Questions

How much does Medicare pay Essentia Health Fargo for a knee or hip replacement?

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).

What is Essentia Health Fargo's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Essentia Health Fargo?

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.

How does Essentia Health Fargo compare with other North Dakota hospitals?

Medicare paid Essentia Health Fargo more than 67% of the 3 North Dakota hospitals that report inpatient hip or knee replacement.