Hip Replacement Cost in North Dakota (2026): Average Prices & What You'll Pay
What does a hip replacement cost in North Dakota?
For a commercially insured patient, a hip replacement in North Dakota typically runs $5,835–$24,095 once facility and physician fees are combined. The median reported facility price across 17 hospitals is $10,612. The figures draw on CMS fee schedules and hospital price transparency data published under federal law.
Sanford Health and CHI St. Alexius divide most of North Dakota's hospital market, with Bismarck and Fargo each effectively dominated by one system. The state's oil-economy wage growth has increased hospital labor costs, pushing prices above what the rural market structure would otherwise suggest. Critical access hospitals cover most of the rural tier. Hip replacement is one of the highest-cost elective procedures in orthopedic surgery, with total episode costs (surgery, implant, anesthesia, facility, and 90-day follow-up) ranging from $20,000–$50,000+. The implant device alone accounts for 30–40% of the facility charge. Medicare Advantage plans increasingly carve out joint replacement to preferred facilities using bundled payment arrangements, which can significantly lower your out-of-pocket costs if you use a designated center of excellence.
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Example: two commercially insured patients in Bismarck could pay ~$3,383 and ~$17,555 for the identical procedure - a $14,172 difference driven entirely by facility choice.
Where hip replacement costs vary in North Dakota
Pins show hospitals with price-transparency data (colored by vs. state average) and nearby ambulatory surgery centers, imaging centers, and other facilities (colored by type). Click any pin for facility name and estimated cost range.
See every North Dakota hospital's price
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Cheapest Hip Replacement Providers in North Dakota
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs Median |
|---|---|---|---|---|
| 1 | CHI St. Alexius Health Williston | Williston, ND | $2,059 | -$8,553 |
| 2 | Altru Hospital | Grand Forks, ND | $2,185 | -$8,427 |
| 3 | Sanford Medical Center Bismarck | Bismarck, ND | $3,148 | -$7,464 |
| 4 | Jamestown Regional Medical Center | Jamestown, ND | $3,383 | -$7,229 |
| 5 | Sanford Fargo Medical Center | Fargo, ND | $3,672 | -$6,940 |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
Quick take
- CHI St. Alexius Health Williston is the lowest-cost option at $2,059 - $8,553 below the state median, just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $11,739, and it's often lower than what insurance pays before your deductible is satisfied.
- Freestanding ambulatory surgical centers (ASCs) are often 30-60% cheaper than hospital outpatient departments for the same procedure and may not appear in this hospital-only dataset - ask your doctor if one is an option.
How where you go changes what you pay for hip replacement
The same hip replacement bundles different services depending on the setting - facility fee, surgeon fee, and anesthesia each arrive as separate bills. Estimated ranges below reflect the typical full bundled cost, including all expected charges.
- Facility fee $896–$17,555
- Professional fee $1,913–$7,516
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $2,059–$14,385
- Professional fee $1,913–$7,516
Estimated from CMS fee schedules + commercial rate multipliers
North Dakota Hip Replacement prices by facility
All prices below come from hospital chargemasters - the official price lists each hospital must publish under federal law. Gross charge is the undiscounted list price; cash price is the self-pay rate; negotiated range covers the spread across insurance contracts.
How we calculate "Your Price"
We prioritize cash price (the self-pay rate) over the negotiated rate, and only fall back to the gross charge, the inflated list price few people actually pay, when nothing else is reported.
| # | Facility | City | Your Price | vs Median | Gross Charge |
|---|---|---|---|---|---|
| #1 | PAM Cubed Rehabilitation Hospital of Fargo LLC | Fargo, ND | $896 | -$9,716 | $896–$1,318 |
| #2 | CHI St. Alexius Health Williston | Williston, ND | $2,059 | -$8,553 | $3,551 |
| #3 | Altru Hospital | Grand Forks, ND | $14,385 | +$3,773 | $23,583 |
| #4 | Sanford Medical Center Bismarck | Bismarck, ND | $3,148 | -$7,464 | $3,935–$24,005 |
| #5 | Jamestown Regional Medical Center | Jamestown, ND | $3,383 | -$7,229 | $1,637–$16,656 |
| #6 | Sanford Fargo Medical Center | Fargo, ND | $3,672 | -$6,940 | $1,559–$5,951 |
| #7 | Essentia Health Fargo | ND | $8,335 | -$2,277 | $8,335–$30,070 |
| #8 | Altru Hospital Devils Lake | Devils Lake, ND | $10,612 | +$0 | $23,583 |
| #9 | CHI St. Alexius Health Bismarck | Bismarck, ND | $12,866 | +$2,254 | $12,866–$17,555 |
| #10 | Trinity Hospitals | Minot, ND | $13,116 | +$2,504 | $13,116 |
| #11 | CHI Oakes Hospital | Oakes, ND | $17,555 | +$6,943 | $17,555 |
| #12 | CHI Lisbon Health | Lisbon, ND | $17,555 | +$6,943 | $17,555 |
| #13 | CHI St. Alexius Health Turtle Lake | Turtle Lake, ND | $17,555 | +$6,943 | $17,555 |
| #14 | CHI St. Alexius Health Carrington | Carrington, ND | $17,555 | +$6,943 | $17,555 |
| #15 | CHI Mercy Health | Valley City, ND | $17,555 | +$6,943 | $17,555 |
| #16 | CHI St. Alexius Health Dickinson | Dickinson, ND | $17,555 | +$6,943 | $17,555 |
| #17 | CHI St. Alexius Health Garrison | Garrison, ND | $17,555 | +$6,943 | $17,555 |
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Source: CMS hospital price transparency machine-readable files. vs Median = savings or premium relative to the state median price. Gross Charge = undiscounted list price for reference.
Received a bill? Check it for errors → Estimate YOUR cost before you go →
Why prices vary - and what it means for your coverage
Setting matters too: the median outpatient price is $12,991 versus $3,672 inpatient, so where a procedure happens often matters more than which hospital you pick. Setting drives most of the spread here: an ambulatory surgical center (ASC) is usually meaningfully cheaper than a hospital operating room for the same procedure, when your case qualifies.
None of the prices above are what you'll necessarily owe: your deductible, out-of-pocket maximum, and each provider's network status all still apply.
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met | ~$14,700 |
| Deductible met - 20% coinsurance | ~$2,940 |
| Out-of-network provider | $32,340+ |
Frequently asked questions: hip replacement costs in North Dakota
How much does a hip replacement cost in North Dakota?
Across 17 North Dakota hospitals that publish prices, a hip replacement ranges from $743 to $34,972, with a median of $10,612. Most facilities fall between $3,148 and $17,555. What you pay depends on the facility, your insurance, and whether you have met your deductible.
Where is the cheapest place to get a hip replacement in North Dakota?
Based on declared prices, the lowest-cost facility in our North Dakota data is PAM Cubed Rehabilitation Hospital of Fargo LLC in Fargo at about $896. By metro, Williston has the lowest median ($2,059). Freestanding ambulatory surgery and imaging centers are often cheaper still and may not appear in hospital price data - ask your doctor whether one is an option.
Why is a hip replacement so much cheaper at some North Dakota hospitals?
Prices vary up to 47.1× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In North Dakota, the median cash (self-pay) price is $11,739 versus a median negotiated rate of $8,335 - about 1.4× higher. Asking for the cash price or your insurer's negotiated rate is often the single biggest lever on what you pay.
How much will I actually pay out of pocket for a hip replacement in North Dakota?
Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network - not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.
Before you book
- Allowed amount vs negotiated rate: what your EOB is really saying
- How to read your medical bill
- Deductible vs out-of-pocket max
- Already have a bill? Check it for errors
Other procedures in North Dakota
Hip Replacement, elsewhere
Other North Dakota Hospitals and ambulatory surgery centers for Hip Replacement
These hospitals and ambulatory surgery centers are registered in the CMS National Provider Identifier (NPI) registry as active hospitals and ambulatory surgery centers in North Dakota. Cost estimates use the bundled service model for each place of service. Contact them directly for a formal quote.
| Provider | City | Type | Est. Cost | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ABDULLAH SURGICAL CENTER LLC
7012937408 |
FARGO, ND | Ambulatory Surgical Center | - | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ALTRU HEALTH SYSTEM
7017802311 |
GRAND FORKS, ND | General Acute Care Hospital | $2,809–$25,071 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ASHLEY MEDICAL CENTER
7012883433 |
ASHLEY, ND | Critical Access Hospital | $2,809–$25,071 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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AURORA MEDICAL CENTER, LLC
7017322626 |
GRAND FORKS, ND | General Acute Care Hospital | $2,809–$25,071 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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AURORA SURGERY CENTER, LLC
7017322222 |
GRAND FORKS, ND | Ambulatory Surgical Center | - | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BECKER PLASTIC SURGERY CENTER
7015303333 |
BISMARCK, ND | Ambulatory Surgical Center | - | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BISMARCK SINUS CENTER
7019341393 |
BISMARCK, ND | Ambulatory Surgical Center | - | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BISMARCK SURGICAL ASSOCIATES LLC
7012212299 |
BISMARCK, ND | Ambulatory Surgical Center | - | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BRIGHTSIDE SURGICAL, LLC
7018771550 |
BISMARCK, ND | Ambulatory Surgical Center | - | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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CARRINGTON HEALTH CENTER
7016523141 |
CARRINGTON, ND | Critical Access Hospital | $2,809–$25,071 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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CARRINGTON HEALTH CENTER
7016523141 |
CARRINGTON, ND | Critical Access Hospital | $2,809–$25,071 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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CAVALIER COUNTY MEMORIAL HOSPITAL ASSOCIATION
7012566100 |
LANGDON, ND | Critical Access Hospital | $2,809–$25,071 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
▼ Show 112 more North Dakota hospitals and ambulatory surgery centers
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Est. cost = bundled estimate (facility fee + professional fee + anesthesia where applicable) based on CMS fee schedules and commercial rate multipliers. Contact each provider for an actual quote.
Source: CMS NPPES NPI Registry. NPI numbers can be verified at npiregistry.cms.hhs.gov.
What matters before you schedule
What's on your bill
A hip replacement involves multiple providers who bill separately - typically Drg Facility Stay, Orthopedic Surgeon Professional Fee, Anesthesia. Check each line item against your Explanation of Benefits to catch billing errors.
Cost by type
Which type your doctor orders for this hip replacement changes the billing code, and what you pay. For example: A recognized variation that can change the billing code and what you owe.
This is shoppable
Hip Replacement is elective and schedulable, so you have time to compare facilities before booking - hospital outpatient prices often run 2-4x higher than alternative settings for the identical clinical outcome.
What to ask before you book
Get the CPT code from your doctor, confirm every provider involved (not just the facility) is in-network, ask for the cash-pay rate if you're uninsured or haven't met your deductible, and request a written estimate for hip replacement before you schedule.
CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).
A hip replacement is four separate bills - and one of them keeps arriving for weeks after the surgery.
Your personalized cost report includes:
- ✓ Why a short inpatient stay adds a facility day-rate on top of the surgery itself
- ✓ The separate anesthesia bill that can be out-of-network even at an in-network hospital
- ✓ How physical therapy is billed - per visit, for weeks - and the plan limits to confirm first
- ✓ The questions to ask before scheduling, including whether you qualify for a lower-cost surgery center
- ✓ A real patient billing breakdown, line by line
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About the Author
John Caruso, FSA, MAAA
Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.
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