CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Essentia Health Fosston

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $1,121
  • Cash Discount Price: $1,259
  • vs. Medicare Baseline: 10.50x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Essentia Health Fosston is $1,121. 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 10.50x the Medicare baseline. Located in 900 Hilligoss Boulevard Se, Fosston, MN.
Cash / Self-Pay
$1,259

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,121

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: $1,121 (1050%)
Cash: $1,259 (1179% of Medicare)
Ins. Median: $1,121 (1050% 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 1050% of the Medicare baseline (a markup of 950%). 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%
Healthpartners Care Pmap $662 620%
Medica Access $678 - $1,061 635%
Sanford Health Plan $730 - $769 683%
Advocare/Security Health $852 798%
Blue Cross Blue Shield $852 - $1,484 798%
Freedom Blue Ppo $852 798%
Healthpartners Care Msho / Mcr Adv $852 798%
Imcare Msho Pcc Prime $852 798%
Imcare Msho Ref Req $852 798%
Medica Advantage Solutions $852 798%
Medica Msho/Dual Solutions $852 798%
Medica Prime Solution Group $852 798%
Medicare (plans) $852 798%
Nd Va Administration $852 798%
Platinum Blue/Vantage Blue $852 798%
Primewest Msho $852 798%
Secure Blue Msho $852 798%
Ubh Cost Plan $852 798%
Ubh Msho $852 798%
Ucare Msho $852 798%
UnitedHealthcare $852 - $1,541 798%
Blue Plus Pmap Pcc Prime $937 - $1,484 877%
Healthpartners $1,035 - $1,132 969%
Ucare $1,121 1050%
Cigna $1,132 1060%
Healthpartners Pcc Prime $1,132 1060%
Wea $1,226 - $1,311 1148%
America'S Ppo $1,320 1236%
Wps $1,413 - $1,431 1323%
Medica $1,415 - $1,490 1325%
Medica Uplan $1,415 1325%
Aetna $1,448 1356%
Medica Choice $1,534 1436%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 900 Hilligoss Boulevard Se, Fosston, MN 56542
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals