Essentia Health
Essentia Health in Fargo, North Dakota charges 3.9x the Medicare reimbursement rate across 72 analyzed procedures, reflecting typical pricing patterns for nonprofit hospitals in the region.
Fargo, ND 58104 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
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Pricing grade
C
Average
Avg markup vs Medicare
3.85x
Charge / Medicare rate
Max markup
6.3x
Worst procedure
Procedures analyzed
72
With pricing data
Outlier procedures
0%
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 |
|---|---|---|---|---|---|
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $39,255 | $19,627 | — | 6.3x |
| HYPERTENSION WITHOUT MCC | 305 | $24,735 | $12,367 | — | 5.7x |
| SYNCOPE AND COLLAPSE | 312 | $31,326 | $15,663 | — | 5.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $68,526 | $34,263 | — | 5.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $30,366 | $15,183 | — | 5.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $15,655 | $7,828 | — | 5.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $40,119 | $20,060 | — | 5.3x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $20,936 | $10,468 | — | 5.1x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $31,646 | $15,823 | — | 4.9x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $74,941 | $37,471 | — | 4.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $29,224 | $14,612 | — | 4.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $21,733 | $10,867 | — | 4.8x |
| OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | 357 | $78,087 | $39,043 | — | 4.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $21,315 | $10,657 | — | 4.8x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $113,701 | $56,851 | — | 4.6x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $25,464 | $12,732 | — | 4.6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $38,190 | $19,095 | — | 4.6x |
| CELLULITIS WITH MCC | 602 | $36,895 | $18,447 | — | 4.3x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $43,297 | $21,649 | — | 4.1x |
| DIABETES WITH MCC | 637 | $36,266 | $18,133 | — | 4.1x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | 242 | $98,675 | $49,337 | — | 4.1x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $57,747 | $28,874 | — | 4.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $24,010 | $12,005 | — | 4.1x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $60,666 | $30,333 | — | 3.9x |
| RENAL FAILURE WITH CC | 683 | $21,257 | $10,629 | — | 3.9x |
| RENAL FAILURE WITH MCC | 682 | $43,292 | $21,646 | — | 3.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $16,580 | $8,290 | — | 3.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $39,510 | $19,755 | — | 3.8x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $23,232 | $11,616 | — | 3.8x |
| CELLULITIS WITHOUT MCC | 603 | $19,301 | $9,651 | — | 3.8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $79,329 | $39,665 | — | 3.8x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $137,125 | $68,562 | — | 3.8x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $50,645 | $25,323 | — | 3.7x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $50,983 | $25,492 | — | 3.7x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $49,248 | $24,624 | — | 3.7x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $96,467 | $48,234 | — | 3.6x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $14,065 | $7,033 | — | 3.6x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $19,590 | $9,795 | — | 3.6x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $21,333 | $10,667 | — | 3.6x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $18,664 | $9,332 | — | 3.6x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $31,153 | $15,577 | — | 3.5x |
| EXTRACRANIAL PROCEDURES WITH CC | 038 | $37,247 | $18,624 | — | 3.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $26,766 | $13,383 | — | 3.5x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | 270 | $146,980 | $73,490 | — | 3.5x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $42,947 | $21,473 | — | 3.5x |
| COAGULATION DISORDERS | 813 | $35,144 | $17,572 | — | 3.5x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $28,643 | $14,322 | — | 3.5x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $21,184 | $10,592 | — | 3.5x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | 266 | $153,346 | $76,673 | — | 3.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $28,336 | $14,168 | — | 3.5x |
Showing 50 of 72 procedures
How ESSENTIA HEALTH compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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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