CMS Price Transparency Data

X-ray, hip

Facility: Essentia Health St Mary's Medical Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $169
  • Cash Discount Price: $247
  • vs. Medicare Baseline: 1.90x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Essentia Health St Mary's Medical Center is $169. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $247. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.90x the Medicare baseline. Located in 402 East Second Street, Duluth, MN.
Cash / Self-Pay
$247

Average discount available for prompt cash payment at this facility.

Insurance Median
$169

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: $247 (278%)
Insurance Median: $169 (190%)
Cash: $247 (278% of Medicare)
Ins. Median: $169 (190% 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 - $284 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 - $274 99%
Medica Access $124 139%
Healthpartners Care Pmap $149 168%
Sanford Health Plan $156 - $169 175%
Blue Plus Pmap Pcc Prime $165 - $187 186%
Medica $207 - $212 233%
Medica Uplan $207 233%
Healthpartners $224 - $267 252%
Medica Choice $229 258%
Ucare $246 277%
Cigna $267 300%
Healthpartners Pcc Prime $267 300%
Wea $269 - $288 303%
Security Health $288 324%
America'S Ppo $290 326%
Wps $310 - $314 349%
Aetna $318 358%
Healthscope Benefits $318 358%
Healtheos $322 362%

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