Altru Hospital
Altru Hospital in Grand Forks, ND charges 4.1x the Medicare reimbursement rate on average across 84 analyzed procedures, reflecting the pricing patterns typical of government-owned healthcare facilities.
Grand Forks, ND 58201 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Billing patterns — government
Government hospitals in our dataset demonstrate distinct billing patterns compared to other ownership types. With 374 facilities analyzed, these hospitals show an average markup of 4.2x Medicare rates, which typically falls below the industry average for comparable services. Government hospitals often maintain more standardized pricing structures due to regulatory oversight and public accountability requirements. Patients may encounter charges above the benchmark for certain procedures, though the potential difference between government hospital billing and private facilities can vary significantly by service type and geographic region. Common charge patterns include transparent itemization of services and adherence to established fee schedules. Patients should be aware that government hospitals frequently offer financial assistance programs and sliding scale payment options based on income eligibility. These facilities often provide detailed cost estimates upon request and maintain patient financial counselors to discuss billing arrangements before treatment when possible.
Pricing grade
C
Average
Avg markup vs Medicare
4.06x
Charge / Medicare rate
Max markup
9.56x
Worst procedure
Procedures analyzed
84
With pricing data
Outlier procedures
1.2%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $279,769 | $139,884 | — | 9.6x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $75,305 | $37,653 | — | 7.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $41,538 | $20,769 | — | 7.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $79,812 | $39,906 | — | 6.1x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $38,025 | $19,013 | — | 5.4x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $92,931 | $46,465 | — | 5.3x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $209,911 | $104,955 | — | 5.3x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $40,744 | $20,372 | — | 5.3x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $123,793 | $61,896 | — | 5.2x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $95,411 | $47,705 | — | 5x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $23,250 | $11,625 | — | 5x |
| MAJOR CHEST TRAUMA WITH CC | 184 | $31,980 | $15,990 | — | 4.9x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | 242 | $130,429 | $65,215 | — | 4.8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $23,957 | $11,978 | — | 4.8x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $22,724 | $11,362 | — | 4.7x |
| CELLULITIS WITHOUT MCC | 603 | $25,186 | $12,593 | — | 4.6x |
| PNEUMOTHORAX WITH MCC | 199 | $58,386 | $29,193 | — | 4.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $30,303 | $15,152 | — | 4.6x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $49,149 | $24,574 | — | 4.5x |
| PSYCHOSES | 885 | $42,189 | $21,094 | — | 4.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $28,751 | $14,376 | — | 4.5x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $87,334 | $43,667 | — | 4.4x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | 565 | $26,226 | $13,113 | — | 4.3x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $62,663 | $31,332 | — | 4.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $47,022 | $23,511 | — | 4.3x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 432 | $60,678 | $30,339 | — | 4.3x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | 266 | $221,114 | $110,557 | — | 4.3x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $52,178 | $26,089 | — | 4.2x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $28,131 | $14,066 | — | 4.2x |
| AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | 269 | $135,301 | $67,650 | — | 4.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $20,259 | $10,129 | — | 4.2x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $25,277 | $12,638 | — | 4.2x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $52,822 | $26,411 | — | 4.1x |
| DIABETES WITH CC | 638 | $20,076 | $10,038 | — | 4.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $37,023 | $18,512 | — | 4x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $27,464 | $13,732 | — | 4x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $24,680 | $12,340 | — | 4x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $234,672 | $117,336 | — | 3.9x |
| CELLULITIS WITH MCC | 602 | $41,236 | $20,618 | — | 3.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $86,825 | $43,413 | — | 3.9x |
| POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | 862 | $53,945 | $26,973 | — | 3.8x |
| MEDICAL BACK PROBLEMS WITH MCC | 551 | $46,590 | $23,295 | — | 3.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $37,215 | $18,608 | — | 3.8x |
| DIABETES WITH MCC | 637 | $37,079 | $18,539 | — | 3.8x |
| SEIZURES WITHOUT MCC | 101 | $21,278 | $10,639 | — | 3.8x |
| PLEURAL EFFUSION WITH MCC | 186 | $37,940 | $18,970 | — | 3.7x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | 233 | $220,429 | $110,215 | — | 3.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $54,710 | $27,355 | — | 3.7x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 219 | $230,792 | $115,396 | — | 3.7x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $48,718 | $24,359 | — | 3.7x |
Showing 50 of 84 procedures
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use