Knee Replacement Surgery Cost in North Dakota (2026)

Modest savings vs. the US average · ND

North Dakota Average

$33,320

Typical Range

$19,040 – $47,600

National Average

$35,000

▼ -4.8% below national average

Knee Replacement Surgery in North Dakota: What to Know

North Dakota offers advanced options for knee replacement. Sanford Health in Fargo boasts a "Center for Joint Success" specializing in total joint replacements, while their Bismarck facility provides robotic-assisted and partial knee surgery. CHI St. Alexius Health in Bismarck also utilizes the ROSA Knee robotic system, and Altru Health System in Grand Forks employs the Mako™ Robotic Arm for customized surgical planning using 3D models.

For potential cost savings, consider Ambulatory Surgery Centers (ASCs) in North Dakota, which can reduce out-of-pocket expenses significantly compared to hospitals. You'll find a 24% savings at a surgery center versus an outpatient hospital for this procedure. Patients should also be aware that extensive travel is generally advised against for at least six weeks post-surgery. Verify current pricing directly with providers.

Estimated Cost Breakdown in North Dakota

North Dakota falls slightly below the national average for knee replacement surgery costs. Here's the typical cost breakdown.

Component	Estimated Range
Facility Fee	$6,996 - $12,995
Surgeon Fee	$6,996 - $12,995
Implants Supplies	$3,498 - $6,497
Post Op Care	$3,498 - $6,497
Anesthesia	$2,332 - $4,332
Total Estimated Cost	$19,040 – $47,600

Based on CMS Medicare data and regional price parities. Learn about our methodology →

Ranges adjusted for North Dakota's regional price parity (95.2). See the national percentage breakdown →

Facility Costs in North Dakota

North Dakota has both hospital and outpatient surgery center options for knee replacement surgery. Outpatient centers typically charge less due to lower overhead. Rates shown are negotiated amounts — what insurers actually pay, not inflated list prices.

Facility	City	Negotiated Rate	Medicare Payment	Volume
Sanford	Fargo	$12,816	$11,216	760
Chi St Alexius Health	Bismarck	$12,778	$11,178	552
Essentia Health Fargo	Fargo	$12,819	$11,218	299
Sanford Medical Center Bismarck	Bismarck	$12,819	$11,219	280
Altru Hospital	Grand Forks	$13,632	$12,031	254
Trinity Hospitals	Minot	$13,565	$11,964	225

Facility	City	Negotiated Rate	Medicare Payment	Volume
Sanford	Fargo	$15,188	$12,472	56
Essentia Health Fargo	Fargo	$13,677	$12,225	29
Chi St Alexius Health	Bismarck	$13,789	$12,082	16

Knee Replacement Surgery Cost in Neighboring States

North Dakota has the lowest knee replacement surgery costs in the region. Neighboring states all run higher — here's how they compare.

Knee Replacement Surgery in North Dakota: Common Questions

How much does knee replacement surgery cost in North Dakota?

North Dakota patients pay an average of $33,320 for knee replacement surgery. Quotes from individual providers generally fall between $19,040 and $47,600, with facility fees and surgeon experience accounting for most of the variation.

Does insurance cover knee replacement surgery?

For medically necessary cases, knee replacement surgery is usually covered. Your out-of-pocket cost in North Dakota will depend on your plan's deductible, copay structure, and whether your provider is in-network. Always get a pre-authorization before the procedure.

How long is recovery after knee replacement surgery?

The recovery timeline for knee replacement surgery is 42 to 120 days. Here's the general pattern: days 1-42 involve significant rest, days 42-120 are a gradual return to activity. North Dakota patients should also budget for post-op care costs — follow-up visits, pain management, and any required imaging or lab work.

How can I finance knee replacement surgery in North Dakota?

Many North Dakota providers offer financing through medical credit companies like CareCredit or Prosper Healthcare Lending. You can also use HSA/FSA funds, negotiate a cash-pay discount (often 10-20% off), or ask about in-house payment plans that split the $33,320 cost into monthly installments.

How do I compare knee replacement surgery facilities in North Dakota?

Compare facilities on volume (higher volume correlates with better outcomes), accreditation status, and the negotiated rate vs. what you'd pay out of pocket. In North Dakota, check whether an outpatient surgery center can perform your knee replacement surgery — ASCs typically charge 30-50% less than hospitals for the same procedure.

Does North Dakota Medicaid cover knee replacement surgery?

North Dakota Medicaid may cover knee replacement surgery when it's medically necessary and your doctor provides supporting documentation. Coverage details vary by managed care plan, so check directly with your Medicaid provider for pre-authorization steps.

Is knee replacement surgery eligible for HSA/FSA funds?

Yes — knee replacement surgery is generally eligible for HSA and FSA reimbursement when medically necessary. At $33,320 in North Dakota, using pre-tax dollars can save you 20-35% compared to paying with after-tax income. Keep all receipts and get an itemized bill from your provider.

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