Hip Replacement Surgery Cost in North Dakota (2026)
Modest savings vs. the US average · ND
What Drives Pricing Here
Three factors explain most of why hip replacement surgery costs what it does in North Dakota.
Regional Price Parity
North Dakota's cost-of-living index sits at 95.2 — meaningfully below the national benchmark (100). This directly scales facility and staffing overhead, which flow through to every procedure price.
Specialist Availability
20 facilities perform this procedure in North Dakota — competition keeps pricing honest and gives you real leverage to shop quotes.
Vs. National Benchmark
At -4.8% below the national average ($32,000), North Dakota is a discount market. Often driven by lower overhead or less metro concentration — quality can still be excellent.
Hip Replacement Surgery in North Dakota: What to Know
North Dakota sees a higher prevalence of total hip replacement than the national average, with several excellent options for care. Sanford Health’s Center for Joint Success in Fargo is uniquely certified by The Joint Commission for hip replacement. Altru Health System in Grand Forks utilizes Mako™ Robotic Arm technology for enhanced accuracy, while Sanford Medical Center in Bismarck specializes in anterior hip replacement.
For potential cost savings, consider Ambulatory Surgery Centers (ASCs) in North Dakota, such as the North Dakota Surgery Center, which can offer significant out-of-pocket savings compared to hospital outpatient departments. Patients sometimes travel to larger metropolitan areas for advanced care. Verify current pricing directly with providers.
Estimated Cost Breakdown in North Dakota
North Dakota falls slightly below the national average for hip replacement surgery costs. Here's the typical cost breakdown.
Facility Fee
OR time and hospital staffing
Most significant cost
Surgeon Fee
Expertise and experience level
Implants & Supplies
Post-Op Care
Recovery and aftercare
Anesthesia
Anesthesiologist or CRNA fee
Total Estimated Cost
North Dakota all-in range
Financing Options
Many North Dakota clinics partner with CareCredit or Alphaeon. A typical 24-month, 0% APR term on $30,464 looks like:
- Soft credit check — no hard pull
- Instant approval decisions
- HSA/FSA eligible for qualifying cases
Prices reflect regional cost-of-living adjustments. How we calculate these numbers →
Ranges adjusted for North Dakota's regional price parity (95.2). See the national percentage breakdown →
Facility Costs in North Dakota
You can get hip replacement surgery at hospitals or ambulatory surgery centers across North Dakota. The table below shows real negotiated rates from CMS Medicare data — not sticker prices.
| Facility | City | Negotiated Rate | Medicare | Volume |
|---|---|---|---|---|
| Sanford | Fargo | $6,464 | $5,139 | 345 |
| Chi St Alexius Health | Bismarck | $6,509 | $5,184 | 189 |
| Sanford Medical Center Bismarck | Bismarck | $6,509 | $5,185 | 173 |
| Altru Hospital | Grand Forks | $6,733 | $5,343 | 158 |
| Essentia Health Fargo | Fargo | $6,475 | $5,151 | 135 |
| Trinity Hospitals | Minot | $6,912 | $5,494 | 95 |
| Facility | City | Negotiated Rate | Medicare | Volume |
|---|---|---|---|---|
| Sanford | Fargo | $16,690 | $14,213 | 66 |
| Sanford | Fargo | $22,441 | $20,460 | 52 |
| Altru Hospital | Grand Forks | $16,733 | $15,082 | 44 |
| Chi St Alexius Health | Bismarck | $15,263 | $13,572 | 43 |
| Sanford Medical Center Bismarck | Bismarck | $15,736 | $13,995 | 38 |
| Essentia Health Fargo | Fargo | $14,904 | $13,431 | 34 |
| Sanford Medical Center Bismarck | Bismarck | $23,776 | $20,022 | 32 |
| Trinity Hospitals | Minot | $22,830 | $21,455 | 31 |
| Altru Hospital | Grand Forks | $25,366 | $23,800 | 31 |
| Trinity Hospitals | Minot | $16,674 | $13,669 | 24 |
Hip Replacement Surgery Cost in Nearby States
Compared to surrounding states, North Dakota is the most affordable option for hip replacement surgery.
Expert Answers for North Dakota Patients
Local regulations, insurance nuance, and surgical standards specific to North Dakota.
Compare North Dakota with any other state
See national pricing, all 50 state comparisons, and detailed cost factors in the main hip replacement surgery cost guide.
View full hip replacement surgery guideHow much does hip replacement surgery cost in North Dakota?
Can I use insurance for hip replacement surgery in North Dakota?
When can I return to work after hip replacement surgery?
What payment options exist for hip replacement surgery in North Dakota?
What should I look for in a North Dakota hip replacement surgery provider?
Is hip replacement surgery covered under North Dakota's Medicaid program?
Can I use my HSA or FSA for hip replacement surgery?
How we calculate hip replacement surgery costs in North Dakota
Cost estimates combine procedure-specific pricing data with regional cost-of-living and provider-supply adjustments. Primary sources:
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Hospital pricing transparency files — CMS-required machine-readable data published by hospitals under the CMS Hospital Price Transparency rule (effective January 2021). Provides actual negotiated rates between hospitals and insurers.
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HCUP (Healthcare Cost & Utilization Project) — AHRQ's HCUP databases provide nationally-representative procedure cost data by state, payer, and patient demographics.
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Bureau of Labor Statistics — Healthcare Practitioner Occupational Wages — BLS OEWS data on surgeon, anesthesiologist, and surgical staff wages by state, used to model regional labor-cost differences in procedure pricing.
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BEA Regional Price Parities (RPP) — U.S. Bureau of Economic Analysis state-level price-level indices, used to adjust national procedure averages for North Dakota's cost-of-living relative to the national mean.
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FAIR Health Consumer Cost Lookup — the FAIR Health database aggregates billed and allowed amounts from over 36 billion claim records, providing a check on procedure-cost ranges by ZIP code.
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Medicare Provider Utilization & Payment Data — CMS public-use files on Medicare-allowed amounts and submitted charges by HCPCS/CPT code and state, used as a baseline for procedure-cost ranges.
Estimates are illustrative and reflect typical pricing ranges; actual costs depend on insurance coverage, surgical complexity, anesthesia type, hospital vs. ambulatory setting, and individual patient factors. Always confirm pricing directly with providers and your insurance carrier. See our methodology page for full calculation details.