CMS Price Transparency Data

X-ray, chest (two views)

Facility: Essentia Health St Mary's Medical Center

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $156
  • Cash Discount Price: $216
  • vs. Medicare Baseline: 1.75x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at Essentia Health St Mary's Medical Center is $156. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $216. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.75x the Medicare baseline. Located in 402 East Second Street, Duluth, MN.
Cash / Self-Pay
$216

Average discount available for prompt cash payment at this facility.

Insurance Median
$156

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $216 (243%)
Insurance Median: $156 (175%)
Cash: $216 (243% of Medicare)
Ins. Median: $156 (175% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Advocare/Security Health $88 99%
Blue Cross Blue Shield $88 - $249 99%
Freedom Blue Ppo $88 99%
Healthpartners Care Msho / Mcr Adv $88 99%
Imcare Msho (Ref Req) $88 99%
Imcare Msho Pcc Prime $88 99%
Imcare Msho Ref Req $88 99%
Itasca Med Care $88 99%
Medica Advantage Solutions $88 99%
Medica Msho/Dual Solutions $88 99%
Medica Prime Solution Group $88 99%
Medicare (plans) $88 99%
Nd Va Administration $88 99%
Platinum Blue / Vantage Blue $88 99%
Primewest $88 99%
Primewest Msho $88 99%
Secure Blue Msho $88 99%
Ubh Cost Plan $88 99%
Ubh Msho $88 99%
Ucare Msho $88 99%
UnitedHealthcare $88 - $239 99%
Medica Access $108 121%
Healthpartners Care Pmap $130 146%
Sanford Health Plan $140 - $156 157%
Blue Plus Pmap Pcc Prime $144 - $164 162%
Medica $181 - $186 204%
Medica Uplan $181 204%
Healthpartners $196 - $234 220%
Medica Choice $200 225%
Ucare $215 242%
Cigna $234 263%
Healthpartners Pcc Prime $234 263%
Wea $235 - $252 264%
Security Health $252 283%
America'S Ppo $253 285%
Wps $271 - $275 305%
Aetna $278 313%
Healthscope Benefits $278 313%
Healtheos $281 316%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 402 East Second Street, Duluth, MN 55805
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals