CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Sanford Medical Center Bismarck

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$17,248
about 1.2× the $14,044 Medicare rate · typically $15,325–$20,204
modeled estimate · not a bill or quote
What this hospital charges insurers
$17,266
About the fair price
about $18 over the fair price · 1.2× Medicare
Medicare pays $14,044 Fair price $17,248 This hospital $17,266

How we calculate the fair BaseRate →

How this hospital compares to other ND hospitals

On the higher side — 3 of 4 other ND hospitals charge less.

Cheapest $14,377 Priciest $18,284

Black dot = this hospital, among the 5 ND hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $17,248 (about 1.2× the $14,044 Medicare rate). Sanford Medical Center Bismarck charges insurers about $17,266 — about the fair price. Located in Bismarck, ND.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $15,950 - $34,205 114%
Blue Cross Blue Shieldmajor $15,950 - $17,436 114%
Aetnamajor $15,950 - $17,436 114%
HealthPartners $14,467 - $25,162 103%
Medica $26,324 - $34,797 187%
Sanford Health Plan $14,711 - $25,211 105%
UCare $15,795 - $17,267 112%
+ 1 smaller / regional plan $16,260 - $17,775
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 300 N 7Th St, Bismarck, ND 58506
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals