Knee Replacement Cost in North Dakota (2026): Average Prices & What You'll Pay
What does a knee replacement cost in North Dakota?
For a commercially insured patient, a knee replacement in North Dakota typically runs $5,374–$24,007 once facility and physician fees are combined. The median reported facility price across 17 hospitals is $12,866. The figures draw on CMS fee schedules and hospital price transparency data published under federal law.
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Where knee 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.
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A knee replacement is four separate bills - and physical therapy, the longest of any joint replacement, is billed per visit.
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- ✓ Why a short inpatient stay adds a facility day-rate on top of the surgery itself
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Cheapest Knee 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 | $2,056 | -$10,810 |
| 2 | Sanford Medical Center Bismarck | Bismarck, ND | $2,475 | -$10,391 |
| 3 | Essentia Health Fargo | ND | $2,511 | -$10,355 |
| 4 | Altru Hospital Devils Lake | Devils Lake, ND | $3,065 | -$9,801 |
| 5 | Jamestown Regional Medical Center | Jamestown, ND | $3,242 | -$9,624 |
| 6 | Altru Hospital | Grand Forks, ND | $4,155 | -$8,711 |
| 7 | CHI St. Alexius Health Bismarck | Bismarck, ND | $12,866 | +$0 |
| 8 | Trinity Hospitals | Minot, ND | $13,116 | +$250 |
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 $2,056 - $10,810 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 $12,991, and it's often lower than what insurance pays before your deductible is satisfied.
- This dataset covers hospitals only - freestanding ASCs, which routinely run 30-60% cheaper for the same procedure, aren't included, so it's worth asking your doctor whether one is an option.
How where you go changes what you pay for knee replacement
The same knee 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 $567–$17,555
- Professional fee $1,205–$6,940
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $2,022–$4,155
- Professional fee $1,205–$6,940
Estimated from CMS fee schedules + commercial rate multipliers
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. Knee replacement is a high-cost elective procedure where facility selection has an outsized impact on total cost. Hospital outpatient and ambulatory surgery center rates for knee replacement have converged on outcomes but diverged further on price - ASC rates are typically 30–50% below hospital rates for the same implant and surgeon. Medicare Advantage plans increasingly direct patients to designated bundled-payment facilities where your out-of-pocket liability is capped.
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Why prices vary - and what it means for your coverage
Setting matters too: the median outpatient price is $17,555 versus $2,493 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.
What you pay out of pocket on top of this depends on your deductible, your plan's out-of-pocket maximum, and whether every provider involved is in-network - not just the facility.
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met | ~$16,898 |
| Deductible met - 20% coinsurance | ~$3,380 |
| Out-of-network provider | $37,176+ |
Frequently asked questions: knee replacement costs in North Dakota
How much does a knee replacement cost in North Dakota?
The typical insurer-negotiated rate is $13,116, with most facilities between $1,782 and $17,555 (based on 15 hospitals reporting negotiated rates). Full market pricing - including cash rates, gross charges, and outlier facilities - ranges more widely, from $567 to $21,736 across all 17 North Dakota hospitals that publish prices. What you pay depends on the facility, your insurance, and whether you have met your deductible.
Where is the cheapest place to get a knee 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 $567. By metro, Fargo has the lowest median ($1,294). 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 knee replacement so much cheaper at some North Dakota hospitals?
Prices vary up to 38.3× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In North Dakota, the median cash (self-pay) price is $12,991 versus a median negotiated rate of $13,116 - about 1× 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 knee 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
- Deductible vs out-of-pocket max
- How to negotiate your medical bills
- EOB vs medical bill: complete guide
- Already have a bill? Check it for errors
- How to read a Medicare Summary Notice
Other procedures in North Dakota
Knee Replacement, elsewhere
What matters before you schedule
ASC vs. hospital
Hospital outpatient departments typically charge 2-4x more than ASCs or independent centers for the same knee replacement - same outcome, very different bill. Call ahead and ask for a self-pay or cash quote at each setting you're considering.
What's on your bill
A knee replacement involves multiple providers who bill separately - typically ASC Facility Fee, 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 knee replacement changes the billing code, and what you pay. For example: A recognized variation that can change the billing code and what you owe.
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 knee replacement before you schedule.
CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).
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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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