CMS Price Transparency Data

X-ray, pelvis

Facility: Essentia Health St Joseph's Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $185
Cash Discount Price: $276
vs. Medicare Baseline: 1.73x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Essentia Health St Joseph's Medical Center is $185. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $276. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.73x the Medicare baseline. Located in 523 North 3Rd Street, Brainerd, MN.

Cash / Self-Pay

$276

Average discount available for prompt cash payment at this facility.

Insurance Median

$185

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $276 (258%)

Insurance Median: $185 (173%)

Cash: $276 (258% of Medicare)

Ins. Median: $185 (173% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$106	99%
Primewest	$106	99%
Advocare/Security Health	$114	107%
Blue Cross Blue Shield	$114 - $406	107%
Freedom Blue Ppo	$114	107%
Healthpartners Care Msho / Mcr Adv	$114	107%
Imcare Msho Pcc Prime	$114	107%
Imcare Msho Ref Req	$114	107%
Medica Advantage Solutions	$114	107%
Medica Msho/Dual Solutions	$114	107%
Medica Prime Solution Group	$114	107%
Medicare (plans)	$114	107%
Nd Va Administration	$114	107%
Platinum Blue/Vantage Blue	$114	107%
Primewest Msho	$114	107%
Secure Blue Msho	$114	107%
Ubh Cost Plan	$114	107%
Ubh Msho	$114	107%
Ucare Msho	$114	107%
UnitedHealthcare	$114 - $312	107%
Medica Access	$130	122%
Healthpartners Care Pmap	$176	165%
Sanford Health Plan	$176 - $185	165%
Blue Plus Pmap Pcc Prime	$184 - $405	172%
Medica	$261 - $290	244%
Medica Uplan	$261	244%
Ucare	$270	253%
Wea	$295 - $316	276%
Medica Choice	$298	279%
Cigna	$301	282%
Healthpartners	$301	282%
Healthpartners Pcc Prime	$301	282%
America'S Ppo	$318	298%
Wps	$340 - $344	318%
Aetna	$348	326%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $276.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72170.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Essentia Health St Joseph's Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72170.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.