67/100
#720 nationally
Altru Hospital
1200 S Columbia Rd, Grand Forks, ND 58201 · (701) 780-5000
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Altru Hospital billed $3.84 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 3.8x
- volume-weighted across all its priced work
- Procedures priced
- 124
- inpatient and outpatient combined
- Rank in ND
- #6
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 61% of U.S. hospitals.
Better than 77% of U.S. hospitals.
Better than 68% of U.S. hospitals.
Better than 64% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
559 | $13,668 | $2,697 | -30% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
470 | $2,056 | $674 | -34% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
354 | $63,670 | $17,189 | about average |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
339 | $7,691 | $2,015 | -40% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
337 | $7,506 | $1,586 | -26% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
270 | $53,649 | $12,942 | -14% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
263 | $19,025 | $3,232 | -25% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
198 | $15,681 | $3,115 | -18% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
189 | $9,212 | $1,572 | -18% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
179 | $27,761 | $5,638 | -20% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 4 Neurostimulator and Related Procedures
APC 5464 · Hospital outpatient visit |
$125,237 | $21,909 | +55% |
|
Complex GI Procedures
APC 5331 · Hospital outpatient visit |
$45,815 | $5,723 | +53% |
|
Level 3 Upper GI Procedures
APC 5303 · Hospital outpatient visit |
$28,731 | $3,654 | +31% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
$183,605 | $32,933 | +24% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$49,226 | $9,912 | +18% |
|
Level 4 Pacemaker and Similar Procedures
APC 5224 · Hospital outpatient visit |
$112,193 | $19,518 | +17% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
$40,284 | $14,061 | +12% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
$60,437 | $12,604 | +11% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
$9,223 | $3,827 | -61% |
|
Coagulation Disorders
MS-DRG 813 · Inpatient stay |
$29,236 | $12,887 | -56% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$26,252 | $10,327 | -56% |
|
Laparoscopic Cholecystectomy without C.d.e. with Major Complications
MS-DRG 417 · Inpatient stay |
$52,025 | $19,435 | -51% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
$19,567 | $6,469 | -50% |
|
Infection Needing Surgery (with complications)
MS-DRG 854 · Inpatient stay |
$41,458 | $16,824 | -50% |
|
Kidney and Ureter Procedures for Non-neoplasm with Major Complications
MS-DRG 659 · Inpatient stay |
$49,295 | $18,751 | -50% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$11,886 | $3,440 | -49% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.