The Bill Rate Index What the hour costs, and who keeps it
58 facilities · most recent filing each

What North Dakota pays for an agency hour.

Hospitals and nursing homes in North Dakota, each against what it pays its own staff. Every figure below was filed by the facility itself.

Hospitals, FY2025
64% median premium
across 7 hospitals · national median 85%
Nursing homes, FY2024
86% median premium
across 51 nursing homes · national median 99%

Every hospital on record

7 hospitals, most recent filing each. In FY2025 the typical one paid 64% more for an hour of contract staff than for an hour of its own, against a national median of 85%.

HospitalCityEmployed hourContract hourPremiumYear
Altru Rehabilitation HospitalGrand Forks$44.16$87.11FY2025
Altru Health System-altru HospitalGrand Forks$57.23$94.59FY2025
Sanford BismarckBismarck$58.90$96.17FY2025
Trinity Hospitals/st JoesMinot$57.49$92.16FY2024
Innovis HealthFargo$68.64$97.91FY2024
Sanford Medical Center - FargoFargo$57.56$76.57FY2025
St Alexius Medical CenterBismarck$58.97$76.56FY2024

Every nursing home on record

51 nursing homes, most recent filing each. In FY2024 the typical one paid 86% more for an hour of contract staff than for an hour of its own, against a national median of 99%.

Nursing homeCityEmployed hourContract hourPremiumYear
Richardton Health Center IncRichardton$25.42$93.97FY2022
Bethany On 42ndFargo$28.94$92.12FY2024
American Lutheran HomesFargo$28.78$83.00FY2024
Souris Valley Care CenterVelva$23.27$63.14FY2024
Missouri Slope Lutheran Care CenterBismarck$26.75$70.63FY2024
Good Samaritan Society-mohallMohall$24.98$62.65FY2023
Good Samaritan Society-mottMott$23.18$56.11FY2021
Good Samaritan Society-bottineauBottineau$25.42$59.81FY2024
Augusta PlaceBismarck$28.67$66.54FY2024
Missouri Slope Lutheran Care CenterBismarck$27.88$63.30FY2024
Miller Pointe - A Prospera CommunityMandan$28.23$63.44FY2024
St Vincents - A Prospera CommunityBismarck$28.65$63.88FY2024
Eventide FargoFargo$29.67$63.83FY2024
Parkside Lutheran HomeLisbon$30.28$64.46FY2024
Good Samaritan Society-park RiverPark River$26.78$56.91FY2024
North Dakota Veterans HomeLisbon$29.87$61.58FY2024
Good Samaritan Society-oakesOakes$27.39$56.25FY2024
Sunset Drive - A Prospera CommunityMandan$27.72$56.65FY2024
Western Horizons Living CentersHettinger$27.99$56.95FY2024
Marian Manor Healthcare CenterGlen Ullin$30.34$60.34FY2024
Bethel Lutheran Nursing And RehibiliWilliston$26.41$52.34FY2024
Good Samaritan Society-larimoreLarimore$29.20$57.65FY2024
St. Lukes HomeDickinson$28.11$54.56FY2024
Smp Health - MaryhillEnderlin$19.11$36.71FY2021
Prince Of Peace Care CenterEllendale$26.29$49.44FY2022
Wishek Living CenterWishek$28.21$52.87FY2024
Good Samaritan Society-lakotaLakota$29.43$54.77FY2024
Benedictine Living Center GarrisonGarrison$33.85$62.72FY2024
Minot Health & RehabMinot$34.83$63.66FY2024
Eventide JamestownJamestown$29.26$52.53FY2024
Elim Home - FargoFargo$31.48$56.28FY2024
Napoleon Care CenterNapoleon$28.78$50.92FY2024
Eventide Devils Lake Care CenterDevils Lake$25.07$44.18FY2022
St Gerards Nursing HomeHankinson$27.28$48.03FY2024
Baptist HomeBismarck$28.80$50.54FY2024
Lutheran Home Of The Good ShepherdNew Rockford$25.50$44.57FY2024
Elm Crest ManorNew Salem$27.41$47.85FY2024
Lake Region Lutheran HomeDevils Lake$29.09$50.08FY2024
St Rose Care CenterLamoure$29.17$50.14FY2024
St Benedicts Health CenterDickinson$30.55$52.30FY2024
Luther Memorial HomeMayville$29.91$50.97FY2024
Lutheran Sunset HomeGrafton$28.14$47.89FY2024
Fargo Nursing And Rehab Center LlcFargo$31.04$52.63FY2024
Knife River Care CenterBeulah$29.83$50.18FY2024
Eventide Sheyenne Crossings Care CtrWest Fargo$29.19$48.87FY2024
Hilltop Home Of ComfortKilldeer$31.11$51.24FY2024
St Catherines Living CenterWahpeton$29.42$47.11FY2024
Maple Manor Care CenterLangdon$30.50$48.09FY2023
Smp Health - St. RaphaelValley City$35.85$55.73FY2023
Smp Health - Ave MariaJamestown$31.43$44.30FY2024
Golden Acres ManorCarrington$34.27$44.59FY2024

Working a contract in North Dakota?

See your own package against these figures.

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