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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 $4,895–$22,675 once facility and physician fees are combined. The median reported facility price across 17 hospitals is $3,154. 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. 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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Knee Replacement price gauge for North Dakota Radial gauge showing the reported price range, expected patient band, and median for Knee Replacement in North Dakota. WHERE THIS PRICE FALLS Knee Replacement Cost in North Dakota $512 lowest reported $35,827 highest reported MEDIAN PRICE $3,154 Below-market Expected range $2,475-$16,223 Outlier tail Based on 17 reporting facilities, CMS hospital price transparency data.

Example: two commercially insured patients in Fargo could pay ~$2,475 and ~$16,223 for the identical procedure - a $13,748 difference driven entirely by facility choice.

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.

Hospital (below avg) Hospital (above avg) Click a pin for details.

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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 -$1,098
2 Altru Hospital Grand Forks, ND $2,182 -$972
3 Sanford Medical Center Bismarck Bismarck, ND $2,475 -$679
4 Essentia Health Fargo ND $2,511 -$643
5 Altru Hospital Devils Lake Devils Lake, ND $3,065 -$89

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 - $1,098 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 $3,242, 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.

Hospital Outpatient
$1,772–$24,495
  • Facility fee $567–$17,555
  • Professional fee $1,205–$6,940

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient
$3,227–$11,095
  • Facility fee $2,022–$4,155
  • Professional fee $1,205–$6,940

Estimated from CMS fee schedules + commercial rate multipliers

North Dakota Knee 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 $567 -$2,587 $567–$1,219
#2 Sanford Fargo Medical Center Fargo, ND $2,022 -$1,132 $2,528–$5,489
#3 CHI St. Alexius Health Williston Williston, ND $2,056 -$1,098 $3,546–$4,829
#4 Altru Hospital Grand Forks, ND $4,155 +$1,001 $6,812–$20,292
#5 Sanford Medical Center Bismarck Bismarck, ND $2,475 -$679 $2,170–$21,736
#6 Essentia Health Fargo ND $2,511 -$643 $3,349
#7 Altru Hospital Devils Lake Devils Lake, ND $3,065 -$89 $6,812–$20,292
#8 Jamestown Regional Medical Center Jamestown, ND $3,242 +$88 $4,052–$15,499
#9 CHI St. Alexius Health Bismarck Bismarck, ND $12,866 +$9,712 $12,866
#10 Trinity Hospitals Minot, ND $13,116 +$9,962 $13,116–$17,913
#11 CHI Lisbon Health Lisbon, ND $17,555 +$14,401 $17,555
#12 CHI Oakes Hospital Oakes, ND $17,555 +$14,401 $17,555
#13 CHI St. Alexius Health Carrington Carrington, ND $17,555 +$14,401 $17,555
#14 CHI St. Alexius Health Turtle Lake Turtle Lake, ND $17,555 +$14,401 $17,555
#15 CHI Mercy Health Valley City, ND $17,555 +$14,401 $17,555
#16 CHI St. Alexius Health Dickinson Dickinson, ND $17,555 +$14,401 $17,555
#17 CHI St. Alexius Health Garrison Garrison, ND $17,555 +$14,401 $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.

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Why prices vary - and what it means for your coverage

Setting matters too: the median outpatient price is $8,510 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 ~$7,186
Deductible met - 20% coinsurance ~$1,437
Out-of-network provider $15,809+

Frequently asked questions: knee replacement costs in North Dakota

How much does a knee replacement cost in North Dakota?

Across 17 North Dakota hospitals that publish prices, a knee replacement ranges from $512 to $35,827, with a median of $3,154. Most facilities fall between $2,255 and $16,223. 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 ($2,022). 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 70× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In North Dakota, the median cash (self-pay) price is $3,242 versus a median negotiated rate of $2,482 - about 1.3× 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

Other procedures in North Dakota

Knee Replacement, elsewhere

Other North Dakota Hospitals and ambulatory surgery centers for Knee 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
ABDULLAH SURGICAL CENTER LLC
7012937408 		FARGO, ND Ambulatory Surgical Center -
ALTRU HEALTH SYSTEM
7017802311 		GRAND FORKS, ND General Acute Care Hospital $1,772–$24,495 bundled est.
ASHLEY MEDICAL CENTER
7012883433 		ASHLEY, ND Critical Access Hospital $1,772–$24,495 bundled est.
AURORA MEDICAL CENTER, LLC
7017322626 		GRAND FORKS, ND General Acute Care Hospital $1,772–$24,495 bundled est.
AURORA SURGERY CENTER, LLC
7017322222 		GRAND FORKS, ND Ambulatory Surgical Center -
BECKER PLASTIC SURGERY CENTER
7015303333 		BISMARCK, ND Ambulatory Surgical Center -
BISMARCK SINUS CENTER
7019341393 		BISMARCK, ND Ambulatory Surgical Center -
BISMARCK SURGICAL ASSOCIATES LLC
7012212299 		BISMARCK, ND Ambulatory Surgical Center -
BRIGHTSIDE SURGICAL, LLC
7018771550 		BISMARCK, ND Ambulatory Surgical Center -
CARRINGTON HEALTH CENTER
7016523141 		CARRINGTON, ND Critical Access Hospital $1,772–$24,495 bundled est.
CARRINGTON HEALTH CENTER
7016523141 		CARRINGTON, ND Critical Access Hospital $1,772–$24,495 bundled est.
CAVALIER COUNTY MEMORIAL HOSPITAL ASSOCIATION
7012566100 		LANGDON, ND Critical Access Hospital $1,772–$24,495 bundled est.
▼ Show 112 more North Dakota hospitals and ambulatory surgery centers
CAVALIER COUNTY MEMORIAL HOSPITAL ASSOCIATION
7012566100 		LANGDON, ND Critical Access Hospital $1,772–$24,495 bundled est.
CHI ST. JOSEPH'S HOSPITAL
7014564000 		DICKINSON, ND Rural Acute Care Hospital $1,772–$24,495 bundled est.
CHRISTIAN UNITY HOSPITAL CORPORATION
7013521620 		GRAFTON, ND Critical Access Hospital $1,772–$24,495 bundled est.
CHRISTIAN UNITY HOSPITAL CORPORATION
7013521620 		GRAFTON, ND Critical Access Hospital $1,772–$24,495 bundled est.
COOPERSTOWN MEDICAL CENTER
7017861700 		COOPERSTOWN, ND Critical Access Hospital $1,772–$24,495 bundled est.
DAKOTA CLINIC LTD
7016422000 		WAHPETON, ND Ambulatory Surgical Center -
DAKOTA CLINIC, LTD.
7013648000 		FARGO, ND Ambulatory Surgical Center -
DAKOTA GASTROENTEROLOGY, LTD
7013561001 		FARGO, ND Ambulatory Surgical Center -
DAKOTA SPECIALTY INSTITUTE
7013648051 		FARGO, ND General Acute Care Hospital $1,772–$24,495 bundled est.
DOCTORS HOSPITAL-GRAND FORKS, LLC
5744851711 		GRAND FORKS, ND General Acute Care Hospital $1,772–$24,495 bundled est.
ESSENTIA HEALTH SURGERY CENTERS-NORTH DAKOTA, LLC
7016452000 		WAHPETON, ND Ambulatory Surgical Center -
FARGO VAMC
9135784409 		FARGO, ND General Acute Care Hospital $1,772–$24,495 bundled est.
FM ENDOSCOPY CENTER LLC
7013564770 		WEST FARGO, ND Ambulatory Surgical Center -
FORT YATES IHS HOSPITAL
6058543831 		FORT YATES, ND General Acute Care Hospital $1,772–$24,495 bundled est.
FORT YATES IHS HOSPITAL
7018543831 		FORT YATES, ND General Acute Care Hospital $1,772–$24,495 bundled est.
FORT YATES INDIAN HEALTH SERVICE HOSPITAL
7018543831 		FORT YATES, ND Rural Acute Care Hospital $1,772–$24,495 bundled est.
GOOD SAMARITAN HOSPITAL ASSOCIATION
7017765261 		RUGBY, ND General Acute Care Hospital $1,772–$24,495 bundled est.
GREAT PLAINS CLINIC P.C.
7014836017 		DICKINSON, ND Ambulatory Surgical Center -
HAZEN MEMORIAL HOSPITAL ASSOCIATION
7017482225 		HAZEN, ND Critical Access Hospital $1,772–$24,495 bundled est.
INDEPENDENT PRACTIONERS OF AMERICA, LLC
7012552252 		BISMARCK, ND Ambulatory Surgical Center -
INNOVIS HEALTH, LLC
7016422000 		WAHPETON, ND Ambulatory Surgical Center -
INNOVIS HEALTH, LLC
7013648000 		FARGO, ND General Acute Care Hospital $1,772–$24,495 bundled est.
INSTITUTE OF SPECIALTY SURGERY LLC
7012711045 		FARGO, ND Ambulatory Surgical Center -
JACOBSON MEMORIAL HOSPITAL CARE CENTER
7015842792 		ELGIN, ND Critical Access Hospital $1,772–$24,495 bundled est.
JUDITH K. SCHMIDT, D.D.S., P.C.
7016729595 		WAHPETON, ND Ambulatory Surgical Center -
LASER & SURGERY CENTER, LLC
7012938242 		FARGO, ND Ambulatory Surgical Center -
LINTON HOSPITAL
7012544511 		LINTON, ND Critical Access Hospital $1,772–$24,495 bundled est.
LISBON AREA HEALTH SERVICES
7016836400 		LISBON, ND Critical Access Hospital $1,772–$24,495 bundled est.
LUTHERAN CHARITY ASSOCIATION
7012521050 		JAMESTOWN, ND Critical Access Hospital $1,772–$24,495 bundled est.
M SPINE & JOINT SURGERY CENTER LLC
7012488126 		FARGO, ND Ambulatory Surgical Center -
MCKENZIE COUNTY HEALTHCARE SYSTEMS, INC
7018423000 		WATFORD CITY, ND Critical Access Hospital $1,772–$24,495 bundled est.
MEDCENTER ONE
7013238400 		MANDAN, ND General Acute Care Hospital $1,772–$24,495 bundled est.
MEDCENTER ONE
7013238400 		MANDAN, ND General Acute Care Hospital $1,772–$24,495 bundled est.
MEDCENTER ONE
7013236048 		BISMARCK, ND General Acute Care Hospital $1,772–$24,495 bundled est.
MEDCENTER ONE, INC.
7013236097 		BISMARCK, ND General Acute Care Hospital $1,772–$24,495 bundled est.
MEDPARK SPECIALIZED SURGERY, LLC
7012939829 		FARGO, ND Ambulatory Surgical Center -
MERCY HOSPITAL OF DEVILS LAKE
7016622131 		DEVILS LAKE, ND Ambulatory Surgical Center -
MERCY HOSPITAL OF VALLEY CITY
7018456400 		VALLEY CITY, ND Ambulatory Surgical Center -
MERCY MEDICAL CENTER
7017747400 		WILLISTON, ND Rural Acute Care Hospital $1,772–$24,495 bundled est.
MID DAKOTA CLINIC, INC.
7015306100 		BISMARCK, ND Ambulatory Surgical Center -
MOUNTRAIL COUNTY MEDICAL CENTER, INC.
7016282424 		STANLEY, ND General Acute Care Hospital $1,772–$24,495 bundled est.
NELSON COUNTY HEALTH SYSTEM
7013224328 		MCVILLE, ND Critical Access Hospital $1,772–$24,495 bundled est.
NORTH DAKOTA SURGERY CENTER, LLC
7017384248 		GRAND FORKS, ND Ambulatory Surgical Center -
NORTHERN FACIAL SURGEONS, P.C.
7012554000 		BISMARCK, ND Ambulatory Surgical Center -
NORTHERN PLAINS SURGERY CENTER LLC
7012329200 		FARGO, ND Ambulatory Surgical Center -
O.M.S. ASSOCIATES LTD
7012329565 		FARGO, ND Ambulatory Surgical Center -
OAKES COMMUNITY HOSPITAL
7017423291 		OAKES, ND Critical Access Hospital $1,772–$24,495 bundled est.
OAKES COMMUNITY HOSPITAL
7017423291 		OAKES, ND Ambulatory Surgical Center -
OAKES COMMUNITY HOSPITAL
7017423291 		OAKES, ND Critical Access Hospital $1,772–$24,495 bundled est.
P R HEALTH CORPORATION
7012847500 		PARK RIVER, ND Critical Access Hospital $1,772–$24,495 bundled est.
PARACELSUS HEALTHCARE CORP
7012802033 		FARGO, ND General Acute Care Hospital $1,772–$24,495 bundled est.
PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION
7012658473 		CAVALIER, ND Critical Access Hospital $1,772–$24,495 bundled est.
PRESENTATION MEDICAL CENTER
7014773161 		ROLLA, ND Critical Access Hospital $1,772–$24,495 bundled est.
PRESENTATION MEDICAL CENTER
7014773161 		ROLLA, ND Critical Access Hospital $1,772–$24,495 bundled est.
PRESENTATION MEDICAL CENTER
7014773161 		ROLLA, ND Critical Access Hospital $1,772–$24,495 bundled est.
PSI SURGICAL CENTER LLC
7012937408 		FARGO, ND Ambulatory Surgical Center -
QUENTIN N BURDICK COMPREHENSIVE HEALTH CARE FACILITY
7014776111 		BELCOURT, ND Rural Acute Care Hospital $1,772–$24,495 bundled est.
QUENTIN N BURDICK COMPREHENSIVE HEALTH CARE FACILITY
7014776111 		BELCOURT, ND Rural Acute Care Hospital $1,772–$24,495 bundled est.
QUENTIN N BURDICK COMPREHENSIVE HEALTH CARE FACILITY
7014776111 		BELCOURT, ND Rural Acute Care Hospital $1,772–$24,495 bundled est.
QUENTIN N BURDICK COMPREHENSIVE HEALTH CARE FACILITY
7014776111 		BELCOURT, ND Rural Acute Care Hospital $1,772–$24,495 bundled est.
QUENTIN N BURDICK COMPREHENSIVE HEALTH CARE FACILITY
7014776111 		BELCOURT, ND Rural Acute Care Hospital $1,772–$24,495 bundled est.
QUENTIN N BURDICK COMPREHENSIVE HEALTH CARE FACILITY
7014776111 		BELCOURT, ND Rural Acute Care Hospital $1,772–$24,495 bundled est.
QUENTIN N BURDICK COMPREHENSIVE HEALTH CARE FACILITY
7014776111 		BELCOURT, ND Rural Acute Care Hospital $1,772–$24,495 bundled est.
QUENTIN N BURDICK COMPREHENSIVE HEALTH CARE FACILITY
7014776111 		BELCOURT, ND Rural Acute Care Hospital $1,772–$24,495 bundled est.
QUENTIN N BURDICK COMPREHENSIVE HEALTH CARE FACILITY
7014776111 		BELCOURT, ND Rural Acute Care Hospital $1,772–$24,495 bundled est.
QUENTIN N BURDICK COMPREHENSIVE HEALTH CARE FACILITY
7014776111 		BELCOURT, ND Rural Acute Care Hospital $1,772–$24,495 bundled est.
QUENTIN N BURDICK COMPREHENSIVE HEALTH CARE FACILITY
7014776111 		BELCOURT, ND Rural Acute Care Hospital $1,772–$24,495 bundled est.
QUENTIN N. BURDICK MEMORIAL HEALTH CARE FACILITY
7014776111 		BELCOURT, ND General Acute Care Hospital $1,772–$24,495 bundled est.
QUINTEN BURDICK MEMORIAL HOSPITAL CARE FACILITY
7014778415 		BELCOURT, ND General Acute Care Hospital $1,772–$24,495 bundled est.
RURAL SURGICAL SOLUTIONS, PLLC
7018526143 		MINOT, ND Ambulatory Surgical Center -
SANFORD BISMARCK
7013235550 		BISMARCK, ND Ambulatory Surgical Center -
SANFORD BISMARCK
7014566000 		DICKINSON, ND Ambulatory Surgical Center -
SANFORD HEALTH NETWORK NORTH
7017883800 		MAYVILLE, ND Critical Access Hospital $1,772–$24,495 bundled est.
SANFORD HEALTH ORGANIZATION
7012802212 		FARGO, ND General Acute Care Hospital $1,772–$24,495 bundled est.
SANFORD MEDICAL CENTER FARGO
7012348999 		FARGO, ND General Acute Care Hospital $1,772–$24,495 bundled est.
SANFORD MEDICAL CENTER FARGO
7012342000 		FARGO, ND General Acute Care Hospital $1,772–$24,495 bundled est.
SCCI HOSPITALS OF AMERICA INC.
7012419099 		FARGO, ND Long Term Care Hospital $1,772–$24,495 bundled est.
ST ALEXIUS SAME DAY SURGERY CENTER
7015305000 		BISMARCK, ND Ambulatory Surgical Center -
ST ALOISIUS HOSPITAL INC
7013244651 		HARVEY, ND Critical Access Hospital $1,772–$24,495 bundled est.
ST ANDREWS HOSPITAL
7012289300 		BOTTINEAU, ND Critical Access Hospital $1,772–$24,495 bundled est.
ST JOSEPH'S HOSPITAL AND HEALTH CENTER
7014564000 		DICKINSON, ND Critical Access Hospital $1,772–$24,495 bundled est.
ST JOSEPHS HOSPITAL AND HEALTH CENTER
7014564000 		DICKINSON, ND Rural Acute Care Hospital $1,772–$24,495 bundled est.
ST LUKES HOPITAL
7019656384 		CROSBY, ND Critical Access Hospital $1,772–$24,495 bundled est.
ST. ALEXIUS MEDICAL CENTER
7015307000 		BISMARCK, ND Ambulatory Surgical Center -
ST. ANDREW'S HOSPITAL
7012289300 		BOTTINEAU, ND General Acute Care Hospital $1,772–$24,495 bundled est.
ST. ANDREW'S HOSPITAL
7012289300 		BOTTINEAU, ND General Acute Care Hospital $1,772–$24,495 bundled est.
ST. ANDREW'S HOSPITAL
7012289300 		BOTTINEAU, ND Critical Access Hospital $1,772–$24,495 bundled est.
ST. LUKE'S HOSPITAL
7019656384 		CROSBY, ND Critical Access Hospital $1,772–$24,495 bundled est.
SWEET DREAMS ANESTHESIA PLLC
7017322222 		GRAND FORKS, ND Critical Access Hospital $1,772–$24,495 bundled est.
TIOGA MEDICAL CENTER
7016643305 		TIOGA, ND Critical Access Hospital $1,772–$24,495 bundled est.
TOWNER COUNTY MEDICAL CENTER INC
7019682541 		CANDO, ND Critical Access Hospital $1,772–$24,495 bundled est.
TRINITY HEALTH
7015727711 		WILLISTON, ND Ambulatory Surgical Center -
TRINITY HEALTH
7015727711 		WILLISTON, ND Ambulatory Surgical Center -
TRINITY HEALTH
7018577951 		MINOT, ND Ambulatory Surgical Center -
TRINITY HEALTH
7018575637 		MINOT, ND Ambulatory Surgical Center -
TRINITY HOSPITALS
7018575083 		MINOT, ND General Acute Care Hospital $1,772–$24,495 bundled est.
TRINITY HOSPITALS
7018575000 		MINOT, ND Rural Acute Care Hospital $1,772–$24,495 bundled est.
TRINITY HOSPITALS
7018575083 		MINOT, ND General Acute Care Hospital $1,772–$24,495 bundled est.
TRINITY HOSPITALS
7014775915 		BELCOURT, ND General Acute Care Hospital $1,772–$24,495 bundled est.
TRINITY HOSPITALS
7018575000 		MINOT, ND General Acute Care Hospital $1,772–$24,495 bundled est.
TRINITY KENMARE HOSPITAL
7013854296 		KENMARE, ND Critical Access Hospital $1,772–$24,495 bundled est.
TRINITY KENMARE HOSPITAL
7013854296 		KENMARE, ND Critical Access Hospital $1,772–$24,495 bundled est.
UNION HOSPITAL SOCEITY OF MAYVILLE ND
7017883800 		MAYVILLE, ND Critical Access Hospital $1,772–$24,495 bundled est.
UNION HOSPITAL SOCIETY OF MAYVILE ND
7017883800 		MAYVILLE, ND Critical Access Hospital $1,772–$24,495 bundled est.
UNION HOSPITAL SOCIETY OF MAYVILLE ND
7017883800 		MAYVILLE, ND Critical Access Hospital $1,772–$24,495 bundled est.
UNION HOSPITAL SOCIETY OF MAYVILLE ND
7017883800 		MAYVILLE, ND Critical Access Hospital $1,772–$24,495 bundled est.
VETERANS ADMINISTRATION HEALTH CARE
7012393700 		FARGO, ND General Acute Care Hospital $1,772–$24,495 bundled est.
VIBRA HOSPITAL OF CENTRAL DAKOTAS LLC
7016672000 		MANDAN, ND Long Term Care Hospital $1,772–$24,495 bundled est.
VIBRA HOSPITAL OF FARGO LLC
7012419099 		FARGO, ND Long Term Care Hospital $1,772–$24,495 bundled est.
WEST RIVER HEALTH SERVICES
7015674561 		HETTINGER, ND Critical Access Hospital $1,772–$24,495 bundled est.
WISHEK HOSPITAL-CLINIC ASSOCIATION
7014523207 		WISHEK, ND Ambulatory Surgical Center -
WISHEK HOSPITAL-CLINIC ASSOCIATION
7014522326 		WISHEK, ND Critical Access Hospital $1,772–$24,495 bundled est.

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

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).

A knee replacement is four separate bills - and physical therapy, the longest of any joint replacement, is billed per visit.

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, often for months - 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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Published July 17, 2026

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