CMS Price Transparency Data

X-ray, foot

Facility: Essentia Health St Mary's Medical Center

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $159
  • Cash Discount Price: $214
  • vs. Medicare Baseline: 1.79x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Essentia Health St Mary's Medical Center is $159. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $214. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.79x the Medicare baseline. Located in 402 East Second Street, Duluth, MN.
Cash / Self-Pay
$214

Average discount available for prompt cash payment at this facility.

Insurance Median
$159

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: $214 (241%)
Insurance Median: $159 (179%)
Cash: $214 (241% of Medicare)
Ins. Median: $159 (179% 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 - $246 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 - $237 99%
Medica Access $107 120%
Healthpartners Care Pmap $129 145%
Sanford Health Plan $139 - $156 156%
Blue Plus Pmap Pcc Prime $143 - $162 161%
Medica $179 - $184 201%
Medica Uplan $179 201%
Healthpartners $194 - $232 218%
Medica Choice $198 223%
Ucare $213 240%
Cigna $232 261%
Healthpartners Pcc Prime $232 261%
Wea $233 - $249 262%
Security Health $249 280%
America'S Ppo $251 282%
Wps $269 - $272 303%
Aetna $275 309%
Healthscope Benefits $275 309%
Healtheos $279 314%

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