CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Essentia Health St Joseph's Medical Center

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$116
about 1.2× the $95 Medicare rate · typically $58–$170
modeled estimate · not a bill or quote
What this hospital charges insurers
$117
About the fair price
about $1 over the fair price · 1.2× Medicare
Medicare pays $95 Fair price $116 This hospital $117 Cash price $162 Hospital's list price $241

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

Highest price of the 9 MN hospitals we have prices for — worth calling around.

Cheapest $55 Priciest $117

Black dot = this hospital, among the 9 MN hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (20-29 min) is about $116 (about 1.2× the $95 Medicare rate). Essentia Health St Joseph's Medical Center charges insurers about $117, or about $162 in cash — about the fair price. Located in Brainerd, MN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $84 - $282 88%
Blue Cross Blue Shieldmajor $50 - $260 53%
Aetnamajor $94 - $315 99%
Cignamajor $82 - $273 86%
HealthPartners $48 - $273 50%
Medica $35 - $270 37%
Sanford Health Plan $48 - $168 50%
UCare $73 - $244 77%
+ 2 smaller / regional plans $50 - $286
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 523 North 3Rd Street, Brainerd, MN 56401
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals