78/100
#393 nationally
Chi St Alexius Health
900 E Broadway, Bismarck, ND 58501 · (701) 530-7000
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Chi St Alexius Health billed $3.33 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
- 3.3x
- volume-weighted across all its priced work
- Procedures priced
- 72
- inpatient and outpatient combined
- Rank in ND
- #2
- lower markup ranks higher
- CMS quality stars
- 4/5
- 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 70% of U.S. hospitals.
Better than 90% of U.S. hospitals.
Better than 79% of U.S. hospitals.
Better than 77% 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 |
|---|---|---|---|---|
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
418 | $35,579 | $12,245 | -43% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
400 | $1,546 | $640 | -51% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
247 | $4,836 | $1,617 | -63% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
215 | $49,292 | $15,212 | -24% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
152 | $21,619 | $6,707 | -46% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
119 | $55,865 | $17,168 | -33% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
118 | $19,186 | $3,060 | -24% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
92 | $21,681 | $4,851 | -21% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
86 | $13,142 | $2,519 | -32% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
85 | $6,564 | $1,520 | -35% |
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 |
|---|---|---|---|
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$67,671 | $18,641 | +40% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
$36,061 | $7,965 | -5% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
$136,338 | $28,512 | -8% |
|
Level 4 Neurostimulator and Related Procedures
APC 5464 · Hospital outpatient visit |
$72,712 | $20,459 | -10% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$29,027 | $7,449 | -12% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$45,108 | $10,003 | -12% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$40,577 | $11,693 | -13% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
$58,536 | $10,305 | -13% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$7,385 | $3,244 | -68% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$4,151 | $1,810 | -63% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$4,836 | $1,617 | -63% |
|
Craniotomy and Endovascular Intracranial Procedures with Major Complications
MS-DRG 025 · Inpatient stay |
$83,792 | $30,258 | -56% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
$22,267 | $9,184 | -53% |
|
Level 2 Neurostimulator and Related Procedures
APC 5462 · Hospital outpatient visit |
$12,408 | $6,293 | -53% |
|
Combined Anterior and Posterior Spinal Fusion with Complications
MS-DRG 454 · Inpatient stay |
$107,443 | $44,388 | -52% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
$16,937 | $5,490 | -51% |
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.