North Dakota · 33517

Coronary Artery Bypass Using Vein Or Artery Graft, 1 Graft in North Dakota

North Dakota Medicare Avg
$85.24
12% below national avg
National Medicare Avg
$96.75
All states combined
Billed Charge (ND)
$724.38
What providers submit
Est. Commercial (ND)
$212.95
National avg: $271.37
Est. Cash / Self-Pay (ND)
$279.06
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

82
Services in ND
20
Providers
N/A
Min Payment
N/A
Max Payment

North Dakota Pricing in Context

In North Dakota, CPT code 33517 (Coronary Artery Bypass Using Vein Or Artery Graft, 1 Graft) carries an average Medicare payment of $85.24 — 12% below the national benchmark of $96.75. 20 providers across the state submitted claims for this procedure in 2023, performing 82 total services. Individual payments in ND ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in North Dakota is $724.38, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because North Dakota sits below the national Medicare average, commercial rates in the state may also run lower than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Cardiovascular Surgery procedures, the estimated commercial insurance price in North Dakota lands near $212.95, with self-pay cash prices typically around $279.06. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Coronary Artery Bypass Using Vein Or Artery Graft, 1 Graft cost in North Dakota?

The average Medicare payment for Coronary Artery Bypass Using Vein Or Artery Graft, 1 Graft in North Dakota is $85.24, which is 12% below the national average of $96.75. Providers in ND typically bill $724.38 for this procedure.

What does Coronary Artery Bypass Using Vein Or Artery Graft, 1 Graft cost with insurance in North Dakota?

With commercial insurance in North Dakota, Coronary Artery Bypass Using Vein Or Artery Graft, 1 Graft costs an estimated $212.95. Without insurance, the estimated cash price is $279.06. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Coronary Artery Bypass Using Vein Or Artery Graft, 1 Graft in North Dakota?

20 providers in North Dakota billed Medicare for Coronary Artery Bypass Using Vein Or Artery Graft, 1 Graft in 2023, performing 82 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Coronary Artery Bypass Using Vein Or Artery Graft, 1 Graft cheaper in North Dakota than the national average?

Yes — Coronary Artery Bypass Using Vein Or Artery Graft, 1 Graft costs 12% below the national average in North Dakota. The state average Medicare payment is $85.24 compared to $96.75 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial