States / North Dakota
ND · 7 hospitals · #42 of 51 by charge gap
Hospital prices in North Dakota
7 North Dakota hospitals reported 15,904 Medicare inpatient stays in 2024. The median hospital charged 3.17 times what it was paid — below the national median of 4.15×, number 42 of 51. The widest gap was at Altru Hospital (3.49×), the narrowest at CHI St Alexius Health (3.1×). CMS's price-transparency list records 81 enforcement actions involving 36 North Dakota hospitals.
- 1Median charge ÷ paid 3.17×
- 2Hospitals reporting 7
- 3Medicare inpatient stays 15,904
- 4Price-transparency actions 81
Most common stays in North Dakota
| DRG | Stays | ND avg charge | US avg charge | ND avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with... | 1,608 | $50,165 | $90,297 | $16,037 |
| 291 Heart Failure and Shock with MCC | 842 | $30,902 | $56,380 | $10,520 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 559 | $39,718 | $75,821 | $13,470 |
| 177 Respiratory Infections and Inflammations with MCC | 475 | $42,554 | $70,592 | $13,746 |
| 193 Simple Pneumonia and Pleurisy with MCC | 357 | $31,041 | $59,757 | $10,826 |
| 189 Pulmonary Edema and Respiratory Failure | 339 | $36,026 | $57,570 | $11,059 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 318 | $146,167 | $221,241 | $38,422 |
| 274 Percutaneous and Other Intracardiac Procedures without... | 310 | $81,909 | $156,757 | $24,841 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures... | 309 | $127,078 | $228,948 | $42,774 |
| 378 Gastrointestinal Hemorrhage with CC | 293 | $25,627 | $48,550 | $8,090 |
Every hospital
| Hospital | Stays | Ratio | Actions |
|---|---|---|---|
| Sanford Fargo | 6,343 | 3.15× | – |
| Sanford Medical Center Bismarck Bismarck | 2,536 | 3.18× | 5 |
| Altru Hospital Grand Forks | 2,485 | 3.49× | 4 |
| Essentia Health Fargo Fargo | 1,935 | 3.11× | – |
| Trinity Hospitals Minot | 1,547 | 3.19× | – |
| CHI St Alexius Health Bismarck | 1,023 | 3.1× | – |
| P H S Indian Hosp at Belcourt-Quentin N Burdick Belcourt | 35 | 0.9× | – |
Price-transparency enforcement in North Dakota
29 closure notices, 23 warning notices, 15 “met requirements” findings, 14 corrective-action-plan requests — CMS's actions under the hospital price-transparency rule since 2021. See the enforcement page for what each step means.
Sources: CMS Medicare Inpatient 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.