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ALTRU HOSPITAL

GRAND FORKS, ND 58201 · Acute Care Hospitals

84 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024

By BillRazor Research · Last updated March 27, 2026 · Methodology

Procedures Analyzed

84

With CMS pricing data

Avg Charge-to-Medicare Ratio

4.1x

Chargemaster ÷ Medicare

CMS Quality Rating

Patient experience & outcomes

Hospital Type

Acute Care Hospitals

Government - Local

Above 90th Percentile

1%

Compared to ND hospitals

Understanding Your Costs

When you receive a bill from ALTRU HOSPITAL, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, ALTRU HOSPITAL lists chargemaster rates that average 4.1x the corresponding Medicare reimbursement amount across 84 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).

The median hospital in ND has a chargemaster-to-Medicare ratio of 3.9x, with ratios across the state ranging from 3.8x to 4.2x. At 4.1x, this facility’s average ratio is above the state median. 6 hospitals in ND report pricing data to CMS (Source: CMS IPPS Provider Summary).

The procedure with the largest gap between the listed price and Medicare reimbursement at ALTRU HOSPITAL is OTHER VASCULAR PROCEDURES WITH MCC (DRG 252). The listed chargemaster rate is $279,769, while Medicare reimburses $29,276 for the same procedure — a ratio of 9.6x (Source: CMS IPPS Provider Summary, FY2024).

What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.

1 of 84 procedures (1%) at this facility have listed rates above the 90th percentile compared to other ND hospitals reporting the same procedure data to CMS (Source: CMS IPPS Provider Summary).

ALTRU HOSPITAL is a government - local acute care hospitals facility with a CMS quality rating of 3/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.

Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio

Listed Chargemaster Rate Medicare Reimbursement

Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.

Procedure Pricing Lookup

Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.

ProcedureDRGListed ChargeMedicare Reimb.RatioState Position
OTHER VASCULAR PROCEDURES WITH MCC252$279,769$29,2769.6x
1th
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PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE175$75,305$9,5217.9x
1th
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ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$41,538$5,4717.6x
0th
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$79,812$13,0206.1x
0th
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OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC394$38,025$6,9925.4x
1th
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PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC243$92,931$17,4155.3x
1th
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ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC267$209,911$39,4425.3x
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PULMONARY EDEMA AND RESPIRATORY FAILURE189$40,744$7,7135.3x
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PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC274$123,793$23,6035.2x
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GASTROINTESTINAL OBSTRUCTION WITH CC389$23,250$4,6425.0x
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RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS208$95,411$19,0265.0x
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MAJOR CHEST TRAUMA WITH CC184$31,980$6,5454.9x
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PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC242$130,429$26,9734.8x
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ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$23,957$4,9834.8x
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ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC897$22,724$4,8404.7x
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CELLULITIS WITHOUT MCC603$25,186$5,4624.6x
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PNEUMOTHORAX WITH MCC199$58,386$12,7334.6x
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SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$30,303$6,6314.6x
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LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC418$49,149$10,8454.5x
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PSYCHOSES885$42,189$9,3774.5x
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$28,751$6,4574.5x
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OTHER VASCULAR PROCEDURES WITH CC253$87,334$20,0784.3x
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OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC565$26,226$6,0364.3x
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INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC854$62,663$14,5804.3x
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ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC280$47,022$10,9354.3x
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ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC266$221,114$51,4834.3x
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CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC432$60,678$14,1414.3x
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POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC917$52,178$12,3234.2x
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GASTROINTESTINAL HEMORRHAGE WITH CC378$28,131$6,6664.2x
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AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC269$135,301$32,1394.2x
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MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$20,259$4,8514.2x
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MEDICAL BACK PROBLEMS WITHOUT MCC552$25,277$6,0944.2x
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GASTROINTESTINAL HEMORRHAGE WITH MCC377$52,822$12,9424.1x
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DIABETES WITH CC638$20,076$4,9394.1x
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ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC391$37,023$9,2004.0x
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CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC190$27,464$6,8474.0x
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OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC699$24,680$6,2384.0x
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SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS870$234,672$59,7373.9x
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CELLULITIS WITH MCC602$41,236$10,5793.9x
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$86,825$22,4903.9x
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POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC862$53,945$14,1023.8x
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MEDICAL BACK PROBLEMS WITH MCC551$46,590$12,1813.8x
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MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC640$37,215$9,8313.8x
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DIABETES WITH MCC637$37,079$9,8953.8x
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SEIZURES WITHOUT MCC101$21,278$5,6693.8x
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PLEURAL EFFUSION WITH MCC186$37,940$10,2033.7x
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CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC233$220,429$59,5563.7x
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CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION219$230,792$62,5263.7x
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SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$54,710$14,8133.7x
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NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC070$48,718$13,2863.7x
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Showing 50 of 84 procedures

All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.

Statewide Context

Charge-to-Medicare ratio range across ND hospitals

3.8x
Median: 3.9x
4.2x
4.1x

6 hospitals in ND report pricing data to CMS. This facility's average ratio of 4.1x places it at the upper-middle range of the state range (Source: CMS IPPS Provider Summary).

What You Can Do

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Learn how

Check for Common Errors

Research suggests 49-80% of hospital bills contain errors — from duplicate charges to incorrect procedure codes.

How it works

Data: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).

Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.

Read our methodology·Report a data error

Frequently Asked Questions About ALTRU HOSPITAL

How much does ALTRU HOSPITAL charge compared to Medicare?

According to CMS IPPS data, ALTRU HOSPITAL's listed chargemaster rates average 4.1x the Medicare reimbursement amount across 84 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.

What is the most expensive procedure at ALTRU HOSPITAL?

The procedure with the highest chargemaster-to-Medicare ratio at ALTRU HOSPITAL is OTHER VASCULAR PROCEDURES WITH MCC (DRG 252), with a listed charge of $279,769 compared to Medicare reimbursement of $29,276 — a ratio of 9.6x. Source: CMS IPPS Provider Summary.

Is ALTRU HOSPITAL expensive compared to other ND hospitals?

ALTRU HOSPITAL's average chargemaster-to-Medicare ratio is 4.1x. Ratios vary significantly across ND hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.

Where does the pricing data for ALTRU HOSPITAL come from?

All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.

How can I check if my bill from ALTRU HOSPITAL is correct?

You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.

Does ALTRU HOSPITAL in GRAND FORKS, ND accept Medicare?

ALTRU HOSPITAL is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact ALTRU HOSPITAL directly or check with your insurance provider.

Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.