North Dakota / Altru Hospital
CMS certification 350019 · Grand Forks, ND · 4 entries in CMS's price-transparency list
Altru Hospital: charges and Medicare payments
Altru Hospital reported 2,485 Medicare inpatient stays across 80 DRGs in 2024. Across them it charged 3.49 times what it was paid — among the higher ratios in North Dakota, number 1 of 6 hospitals with at least 100 stays (state median 3.17×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 354 stays at an average charge of $63,670, 29% below the national average. It also billed 4,890 outpatient services, charging 5.33 times what Medicare paid.
- 1Medicare inpatient stays 2,485
- 2Charge ÷ paid, inpatient 3.49×
- 3Rank in ND (highest ratio = 1) 1 of 6
- 4CMS price-transparency actions 4
Inpatient stays
For the 80 DRGs that can be compared with the national average, Altru Hospital charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 354 | $63,670 | -29% | $17,189 |
| 291 Heart Failure and Shock with MCC | 130 | $34,442 | -39% | $11,014 |
| 177 Respiratory Infections and Inflammations with MCC | 109 | $53,503 | -24% | $15,052 |
| 885 Psychoses | 79 | $40,284 | -9% | $14,061 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 67 | $148,464 | -35% | $49,029 |
| 682 Renal Failure with MCC | 64 | $45,734 | -31% | $12,728 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 55 | $27,784 | -43% | $8,986 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 52 | $37,802 | -37% | $11,520 |
| 189 Pulmonary Edema and Respiratory Failure | 51 | $42,350 | -26% | $10,739 |
| 481 Hip and Femur Procedures except Major Joint with CC | 51 | $57,658 | -43% | $17,822 |
| 683 Renal Failure with CC | 50 | $22,674 | -44% | $7,940 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 46 | $47,092 | -36% | $14,144 |
| 193 Simple Pneumonia and Pleurisy with MCC | 44 | $36,386 | -39% | $11,505 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 42 | $47,951 | -37% | $13,981 |
| 377 Gastrointestinal Hemorrhage with MCC | 41 | $60,127 | -30% | $15,801 |
| 378 Gastrointestinal Hemorrhage with CC | 39 | $24,632 | -49% | $8,471 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 36 | $49,633 | -50% | $16,802 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 36 | $54,481 | -47% | $17,546 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 33 | $71,345 | -38% | $16,376 |
| 521 Hip Replacement with Principal Diagnosis of Hip Fracture... | 33 | $67,611 | -50% | $24,552 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 31 | $205,678 | -28% | $50,798 |
| 603 Cellulitis without MCC | 31 | $24,650 | -34% | $7,722 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 30 | $31,782 | -43% | $8,527 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 27 | $126,426 | -19% | $26,685 |
| 329 Major Small and Large Bowel Procedures with MCC | 27 | $145,872 | -32% | $41,420 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 26 | $22,471 | -38% | $6,248 |
| 330 Major Small and Large Bowel Procedures with CC | 26 | $58,253 | -51% | $20,061 |
| 813 Coagulation Disorders | 26 | $29,236 | -63% | $12,887 |
| 552 Medical Back Problems without MCC | 25 | $27,447 | -44% | $8,766 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 25 | $17,953 | -52% | $6,876 |
| 690 Kidney and Urinary Tract Infections without MCC | 25 | $20,648 | -45% | $7,917 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 25 | $32,868 | -11% | $7,512 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 24 | $197,957 | -11% | $39,421 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 24 | $91,296 | -44% | $23,627 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 24 | $21,942 | -45% | $6,876 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 22 | $72,250 | -36% | $18,561 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 22 | $81,206 | -41% | $25,513 |
| 689 Kidney and Urinary Tract Infections with MCC | 22 | $26,664 | -48% | $9,789 |
| 070 Other Cerebrovascular Disorders with MCC | 21 | $52,648 | -31% | $15,090 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 21 | $60,437 | -7% | $12,604 |
| 242 Permanent Cardiac Pacemaker Implant with MCC | 19 | $114,637 | -29% | $28,360 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 18 | $169,922 | -27% | $39,166 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 18 | $56,308 | -40% | $13,671 |
| 811 Red Blood Cell Disorders with MCC | 18 | $46,089 | -32% | $12,470 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 18 | $41,458 | -58% | $16,824 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 17 | $103,209 | -24% | $21,435 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 17 | $32,659 | -42% | $10,121 |
| 314 Other Circulatory System Diagnoses with MCC | 17 | $71,205 | -25% | $21,090 |
| 389 Gastrointestinal Obstruction with CC | 17 | $21,741 | -44% | $6,768 |
| 551 Medical Back Problems with MCC | 17 | $58,517 | -26% | $16,003 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 16 | $28,364 | -44% | $7,625 |
| 602 Cellulitis with MCC | 16 | $34,445 | -43% | $12,770 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 16 | $19,920 | -58% | $10,035 |
| 194 Simple Pneumonia and Pleurisy with CC | 15 | $20,668 | -46% | $7,624 |
| 441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic... | 15 | $41,981 | -51% | $16,979 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 15 | $117,127 | -58% | $49,724 |
| 862 Postoperative and Post-Traumatic Infections with MCC | 15 | $40,097 | -52% | $15,281 |
| 299 Peripheral Vascular Disorders with MCC | 14 | $37,846 | -50% | $13,699 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 14 | $53,610 | -12% | $12,407 |
| 445 Disorders of The Biliary Tract with CC | 14 | $33,155 | -43% | $9,099 |
Showing the 60 most frequent of 80 DRGs.
Outpatient services
Against the North Dakota average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Altru Hospital charged $63,670 on average, 27% more than the North Dakota average of $50,165, and was paid $17,189 against a state average of $16,037. For Heart Failure and Shock with MCC (DRG 291), Altru Hospital charged $34,442 on average, 11% more than the North Dakota average of $30,902, and was paid $11,014 against a state average of $10,520. For Respiratory Infections and Inflammations with MCC (DRG 177), Altru Hospital charged $53,503 on average, 26% more than the North Dakota average of $42,554, and was paid $15,052 against a state average of $13,746. For Psychoses (DRG 885), Altru Hospital charged $40,284 on average, 8% more than the North Dakota average of $37,361, and was paid $14,061 against a state average of $13,179. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $13,668 was 1% below the state average of $13,866. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $2,056 was 39% above the state average of $1,482. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $7,691 was 37% above the state average of $5,633. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,506 was 19% above the state average of $6,326.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Altru Hospital in Grand Forks, ND, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2024-02-07 (CMS case 1089)
- Met Requirements — 2025-08-12 (CMS case 6239)
- Warning Notice — 2026-04-08 (CMS case 7401)
- CAP Request — 2026-07-20 (CMS case 7401)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.