North Dakota / Sanford
CMS certification 350011 · Fargo, ND
Sanford: charges and Medicare payments
Sanford reported 6,343 Medicare inpatient stays across 184 DRGs in 2024. Across them it charged 3.15 times what it was paid — mid-range in North Dakota, number 4 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: 373 stays at an average charge of $48,040, 47% below the national average. It also billed 9,632 outpatient services, charging 4.59 times what Medicare paid.
- 1Medicare inpatient stays 6,343
- 2Charge ÷ paid, inpatient 3.15×
- 3Rank in ND (highest ratio = 1) 4 of 6
- 4CMS price-transparency actions 0
Inpatient stays
For the 184 DRGs that can be compared with the national average, Sanford charged more than the national average in 1 (1%). 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 | 373 | $48,040 | -47% | $16,626 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 247 | $40,045 | -47% | $14,068 |
| 291 Heart Failure and Shock with MCC | 237 | $32,663 | -42% | $10,936 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 215 | $141,403 | -36% | $39,397 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 149 | $79,136 | -50% | $25,279 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 110 | $31,232 | -38% | $7,866 |
| 177 Respiratory Infections and Inflammations with MCC | 103 | $35,457 | -50% | $13,620 |
| 193 Simple Pneumonia and Pleurisy with MCC | 101 | $29,783 | -50% | $10,819 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 101 | $21,106 | -57% | $8,743 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 99 | $20,084 | -50% | $7,070 |
| 189 Pulmonary Edema and Respiratory Failure | 94 | $38,054 | -34% | $10,978 |
| 690 Kidney and Urinary Tract Infections without MCC | 89 | $20,664 | -45% | $7,232 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 85 | $124,801 | -45% | $42,517 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 83 | $67,240 | -33% | $16,324 |
| 378 Gastrointestinal Hemorrhage with CC | 77 | $24,983 | -49% | $8,757 |
| 481 Hip and Femur Procedures except Major Joint with CC | 75 | $60,684 | -40% | $17,711 |
| 552 Medical Back Problems without MCC | 75 | $27,870 | -43% | $8,948 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 74 | $38,734 | -30% | $8,976 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 72 | $72,274 | -37% | $15,523 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 69 | $28,311 | -44% | $9,449 |
| 330 Major Small and Large Bowel Procedures with CC | 67 | $61,320 | -48% | $20,820 |
| 467 Revision of Hip or Knee Replacement with CC | 66 | $84,936 | -46% | $27,324 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 64 | $86,737 | -59% | $33,942 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 63 | $21,994 | -39% | $6,438 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 62 | $60,255 | -41% | $17,678 |
| 312 Syncope and Collapse | 60 | $26,093 | -43% | $7,373 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 60 | $34,508 | -43% | $11,630 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 60 | $21,438 | -42% | $6,569 |
| 683 Renal Failure with CC | 60 | $18,480 | -55% | $7,874 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 55 | $93,391 | -43% | $24,311 |
| 689 Kidney and Urinary Tract Infections with MCC | 51 | $24,344 | -53% | $9,337 |
| 377 Gastrointestinal Hemorrhage with MCC | 50 | $37,350 | -56% | $13,955 |
| 194 Simple Pneumonia and Pleurisy with CC | 48 | $19,615 | -49% | $7,319 |
| 178 Respiratory Infections and Inflammations with CC | 47 | $22,160 | -51% | $8,374 |
| 101 Seizures without MCC | 45 | $30,478 | -37% | $7,777 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 43 | $23,587 | -50% | $8,867 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 41 | $137,007 | -41% | $38,092 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 41 | $35,371 | -52% | $13,572 |
| 394 Other Digestive System Diagnoses with CC | 40 | $25,264 | -46% | $8,388 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 39 | $56,201 | -40% | $16,002 |
| 682 Renal Failure with MCC | 39 | $34,824 | -47% | $12,359 |
| 389 Gastrointestinal Obstruction with CC | 38 | $22,082 | -43% | $7,309 |
| 603 Cellulitis without MCC | 38 | $18,552 | -50% | $7,540 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 35 | $28,151 | -34% | $7,487 |
| 071 Other Cerebrovascular Disorders with CC | 34 | $29,777 | -41% | $8,915 |
| 314 Other Circulatory System Diagnoses with MCC | 34 | $41,930 | -56% | $16,568 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 34 | $28,935 | -53% | $10,604 |
| 445 Disorders of The Biliary Tract with CC | 34 | $43,412 | -25% | $9,554 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 34 | $62,887 | -49% | $21,047 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 32 | $75,310 | -45% | $21,929 |
| 329 Major Small and Large Bowel Procedures with MCC | 32 | $136,285 | -37% | $43,800 |
| 163 Major Chest Procedures with MCC | 31 | $121,566 | -42% | $40,514 |
| 847 Chemotherapy without Acute Leukemia As Secondary Diagnosis... | 31 | $32,099 | -53% | $11,177 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 31 | $45,639 | -54% | $16,476 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 31 | $20,352 | -45% | $7,481 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 30 | $41,252 | -27% | $10,200 |
| 070 Other Cerebrovascular Disorders with MCC | 29 | $47,639 | -37% | $13,509 |
| 519 Back and Neck Procedures except Spinal Fusion with CC | 29 | $52,887 | -49% | $16,579 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 28 | $42,992 | -50% | $15,112 |
| 092 Other Disorders of Nervous System with CC | 27 | $28,648 | -44% | $9,613 |
Showing the 60 most frequent of 184 DRGs.
Outpatient services
Against the North Dakota average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Sanford charged $48,040 on average, 4% less than the North Dakota average of $50,165, and was paid $16,626 against a state average of $16,037. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Sanford charged $40,045 on average, 1% more than the North Dakota average of $39,718, and was paid $14,068 against a state average of $13,470. For Heart Failure and Shock with MCC (DRG 291), Sanford charged $32,663 on average, 6% more than the North Dakota average of $30,902, and was paid $10,936 against a state average of $10,520. For Endovascular Cardiac Valve Replacement and Supplement Procedures without MCC (DRG 267), Sanford charged $141,403 on average, 3% less than the North Dakota average of $146,167, and was paid $39,397 against a state average of $38,422. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $989 was 33% below the state average of $1,482. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $13,283 was 4% below the state average of $13,866. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $5,755 was 9% below the state average of $6,326. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $35,621 was 7% below the state average of $38,474.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
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.