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North Dakota: one knee, three prices

What Medicare pays North Dakota hospitals and surgery centers for knee, hip and shoulder replacement, what hospitals list, and which cost the most and the least.

Surgery center
$8,416
Median Medicare knee rate, 5 orthopedic surgery centers
Hospital, same day
$12,313
Median Medicare allowed amount
Hospital, overnight
$15,693
Median avg total payment (incl. patient share), 3 hospitals

North Dakota has no certificate-of-need law.

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Lowest average total payment per stay

HospitalCityInpatient avg total paymentList priceOutpatient allowed
Chi St Alexius HealthBismarck$13,958$50,996$12,245
Essentia Health FargoFargo$15,693$47,462$12,236
SanfordFargo$16,002$56,201$12,304

Highest average total payment per stay

HospitalCityInpatient avg total paymentList priceOutpatient allowed
SanfordFargo$16,002$56,201$12,304
Essentia Health FargoFargo$15,693$47,462$12,236
Chi St Alexius HealthBismarck$13,958$50,996$12,245

Every North Dakota hospital (6)

Orthopedic surgery centers (5)

Questions

How much does Medicare pay for a knee replacement in North Dakota?

In 2024 the median average total payment to North Dakota hospitals was $15,693 per Medicare inpatient hip or knee replacement stay (MS-DRG 470, 3 hospitals; Medicare's payment plus the patient's share), and the median Medicare allowed amount was $12,313 per outpatient case. An orthopedic surgery center is paid about $8,416 for a knee.

Which North Dakota hospitals have the lowest Medicare payment for a joint replacement?

Chi St Alexius Health ($13,958), Essentia Health Fargo ($15,693), Sanford ($16,002) (average total payment per inpatient stay, patient share included).

What do North Dakota hospitals list for a joint replacement?

The median list (chargemaster) price is $50,996, about 3.2× the median average total payment for a Medicare stay.

Does North Dakota have a certificate-of-need law?

North Dakota has no certificate-of-need law. No certificate of need program; the state repealed its CON law in 1995.