CMS Price Transparency Data

X-ray, chest (single view)

Facility: Essentia Health Holy Trinity Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $201
  • Cash Discount Price: $226
  • vs. Medicare Baseline: 2.26x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Essentia Health Holy Trinity Hospital is $201. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $226. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.26x the Medicare baseline. Located in 115 Second Street West, Box 157, Graceville, MN.
Cash / Self-Pay
$226

Average discount available for prompt cash payment at this facility.

Insurance Median
$201

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: $226 (254%)
Insurance Median: $201 (226%)
Cash: $226 (254% of Medicare)
Ins. Median: $201 (226% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 226% of the Medicare baseline (a markup of 126%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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%
Healthpartners Care Pmap $119 134%
Medica Access $122 - $191 137%
Sanford Healthplan $131 - $138 147%
Blue Cross Blue Shield $164 - $267 184%
Blue Plus Pmap Pcc Prime $168 - $267 189%
Healthpartners $186 - $203 209%
Advocare/Security Health $190 214%
Freedom Blue Ppo $190 214%
Healthpartners Care Msho / Mcr Adv $190 214%
Imcare Msho Pcc Prime $190 214%
Imcare Msho Ref Req $190 214%
Medica Advantage Solutions $190 214%
Medica Msho/Dual Solutions $190 214%
Medica Prime Solution Group $190 214%
Medicare (plans) $190 214%
Nd Va Administration $190 214%
Platinum Blue/Vantage Blue $190 214%
Primewest Msho $190 214%
Secure Blue Msho $190 214%
Ubh Cost Plan $190 214%
Ubh Msho $190 214%
Ucare Msho $190 214%
UnitedHealthcare $190 - $277 214%
Ucare $201 226%
Cigna $203 228%
Healthpartners Pcc Prime $203 228%
Wea $220 - $236 247%
America'S Ppo $237 267%
Medica $254 - $268 286%
Medica Uplan $254 286%
Wps $254 - $257 286%
Aetna $260 292%
Medica Choice $276 310%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 115 Second Street West, Box 157, Graceville, MN 56240
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals