CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Essentia Health Northern Pines Medical Center

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $1,183
  • Cash Discount Price: $1,259
  • vs. Medicare Baseline: 11.08x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Essentia Health Northern Pines Medical Center is $1,183. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,259. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 11.08x the Medicare baseline. Located in 5211 Highway 110, Aurora, MN.
Cash / Self-Pay
$1,259

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,183

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: $1,259 (1179%)
Insurance Median: $1,183 (1108%)
Cash: $1,259 (1179% of Medicare)
Ins. Median: $1,183 (1108% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1108% of the Medicare baseline (a markup of 1008%). 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 $106 99%
Primewest $106 99%
Blue Cross Blue Shield $654 - $1,368 612%
Blue Plus Pmap Pcc Prime $654 - $937 612%
Advocare/Security Health $664 622%
Freedom Blue Ppo $664 622%
Healthpartners Care Msho / Mcr Adv $664 622%
Imcare Msho Pcc Prime $664 622%
Imcare Msho Ref Req $664 622%
Medica Advantage Solutions $664 622%
Medica Msho/Dual Solutions $664 622%
Medica Prime Solution Group $664 622%
Medicare (plans) $664 622%
Nd Va Administration $664 622%
Platinum Blue/Vantage Blue $664 622%
Primewest Msho $664 622%
Secure Blue Msho $664 622%
Ubh Cost Plan $664 622%
Ubh Msho $664 622%
Ucare Msho $664 622%
UnitedHealthcare $664 - $1,541 622%
Medica Access $678 - $1,061 635%
Healthpartners Care Pmap $685 641%
Sanford Healthplan $730 - $769 683%
Ucare $1,121 1050%
Healthpartners $1,151 - $1,357 1078%
Medica $1,218 - $1,354 1140%
Medica Uplan $1,218 1140%
Wea $1,226 - $1,311 1148%
America'S Ppo $1,320 1236%
Cigna $1,328 - $1,357 1243%
Healthpartners Pcc Prime $1,328 - $1,357 1243%
Medica Choice $1,395 1306%
Wps $1,413 - $1,431 1323%
Aetna $1,448 1356%
Healtheos $1,465 1372%
Security Health $1,703 1594%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5211 Highway 110, Aurora, MN 55705
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals