CMS Price Transparency Data

X-ray, hip

Facility: Essentia Health St Joseph's Medical Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $169
  • Cash Discount Price: $252
  • vs. Medicare Baseline: 1.90x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Essentia Health St Joseph's Medical Center is $169. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $252. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.90x the Medicare baseline. Located in 523 North 3Rd Street, Brainerd, MN.
Cash / Self-Pay
$252

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: $252 (283%)
Insurance Median: $169 (190%)
Cash: $252 (283% 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
Itasca Med Care $88 99%
Primewest $88 99%
Advocare/Security Health $95 107%
Blue Cross Blue Shield $95 - $336 107%
Freedom Blue Ppo $95 107%
Healthpartners Care Msho / Mcr Adv $95 107%
Imcare Msho Pcc Prime $95 107%
Imcare Msho Ref Req $95 107%
Medica Advantage Solutions $95 107%
Medica Msho/Dual Solutions $95 107%
Medica Prime Solution Group $95 107%
Medicare (plans) $95 107%
Nd Va Administration $95 107%
Platinum Blue/Vantage Blue $95 107%
Primewest Msho $95 107%
Secure Blue Msho $95 107%
Ubh Cost Plan $95 107%
Ubh Msho $95 107%
Ucare Msho $95 107%
UnitedHealthcare $95 - $285 107%
Medica Access $118 133%
Sanford Health Plan $160 - $169 180%
Healthpartners Care Pmap $161 181%
Blue Plus Pmap Pcc Prime $168 - $329 189%
Medica $238 - $264 268%
Medica Uplan $238 268%
Ucare $246 277%
Wea $269 - $288 303%
Medica Choice $272 306%
Cigna $275 309%
Healthpartners $275 309%
Healthpartners Pcc Prime $275 309%
America'S Ppo $290 326%
Wps $310 - $314 349%
Aetna $318 358%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

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