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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 outpatient allowed
Hospital, overnight
$15,693
Median inpatient paid, 3 hospitals

North Dakota has no certificate-of-need law.

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Lowest Medicare payment

HospitalCityInpatient paidList priceOutpatient
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 Medicare payment

HospitalCityInpatient paidList priceOutpatient
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 Medicare paid North Dakota hospitals a median $15,693 per inpatient hip or knee replacement stay (MS-DRG 470, 3 hospitals) and a median $12,313 per outpatient case. An orthopedic surgery center is paid about $8,416 for a knee.

Which North Dakota hospitals does Medicare pay least for a joint replacement?

Chi St Alexius Health ($13,958), Essentia Health Fargo ($15,693), Sanford ($16,002).

What do North Dakota hospitals list for a joint replacement?

The median list (chargemaster) price is $50,996, about 3.2× what Medicare pays.

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 No certificate of need program; the state repealed its CON law in 1995.