CMS Price Transparency Data

X-ray, hip

Facility: Essentia Health Moose Lake

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $246
  • Cash Discount Price: $276
  • vs. Medicare Baseline: 2.77x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Essentia Health Moose Lake is $246. 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 $88.91, this hospital’s rate is 2.77x the Medicare baseline. Located in 4572 County Road 61, Moose Lake, MN.
Cash / Self-Pay
$276

Average discount available for prompt cash payment at this facility.

Insurance Median
$246

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: $276 (310%)
Insurance Median: $246 (277%)
Cash: $276 (310% of Medicare)
Ins. Median: $246 (277% 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 277% of the Medicare baseline (a markup of 177%). 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
Blue Cross Blue Shield $60 - $315 67%
Blue Plus Pmap Pcc Prime $60 - $206 67%
Itasca Med Care $88 99%
Primewest $88 99%
Medica Access $149 - $233 168%
Healthpartners Care Pmap $150 169%
Sanford Healthplan $160 - $169 180%
Advocare/Security Health $176 198%
Freedom Blue Ppo $176 198%
Healthpartners Care Msho / Mcr Adv $176 198%
Imcare Msho Pcc Prime $176 198%
Imcare Msho Ref Req $176 198%
Medica Advantage Solutions $176 198%
Medica Msho/Dual Solutions $176 198%
Medica Prime Solution Group $176 198%
Medicare (plans) $176 198%
Nd Va Administration $176 198%
Platinum Blue/Vantage Blue $176 198%
Primewest Msho $176 198%
Secure Blue Msho $176 198%
Ubh Cost Plan $176 198%
Ubh Msho $176 198%
Ucare Msho $176 198%
UnitedHealthcare $176 - $338 198%
Ucare $246 277%
Healthpartners $262 - $298 295%
Medica $267 - $297 300%
Medica Uplan $267 300%
Wea $269 - $288 303%
America'S Ppo $290 326%
Cigna $292 - $298 328%
Healthpartners Pcc Prime $292 - $298 328%
Medica Choice $306 344%
Wps $310 - $314 349%
Aetna $318 358%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4572 County Road 61, Moose Lake, MN 55767
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals