CMS Price Transparency Data

X-ray, pelvis

Facility: Essentia Health Fosston

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $203
  • Cash Discount Price: $228
  • vs. Medicare Baseline: 1.90x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Essentia Health Fosston is $203. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $228. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.90x the Medicare baseline. Located in 900 Hilligoss Boulevard Se, Fosston, MN.
Cash / Self-Pay
$228

Average discount available for prompt cash payment at this facility.

Insurance Median
$203

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: $228 (213%)
Insurance Median: $203 (190%)
Cash: $228 (213% of Medicare)
Ins. Median: $203 (190% 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.

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 $120 112%
Medica Access $123 - $192 115%
Sanford Health Plan $132 - $139 124%
Advocare/Security Health $154 144%
Blue Cross Blue Shield $154 - $268 144%
Freedom Blue Ppo $154 144%
Healthpartners Care Msho / Mcr Adv $154 144%
Imcare Msho Pcc Prime $154 144%
Imcare Msho Ref Req $154 144%
Medica Advantage Solutions $154 144%
Medica Msho/Dual Solutions $154 144%
Medica Prime Solution Group $154 144%
Medicare (plans) $154 144%
Nd Va Administration $154 144%
Platinum Blue/Vantage Blue $154 144%
Primewest Msho $154 144%
Secure Blue Msho $154 144%
Ubh Cost Plan $154 144%
Ubh Msho $154 144%
Ucare Msho $154 144%
UnitedHealthcare $154 - $279 144%
Blue Plus Pmap Pcc Prime $169 - $268 158%
Healthpartners $187 - $205 175%
Ucare $203 190%
Cigna $205 192%
Healthpartners Pcc Prime $205 192%
Wea $222 - $237 208%
America'S Ppo $239 224%
Medica $256 - $270 240%
Medica Uplan $256 240%
Wps $256 - $259 240%
Aetna $262 245%
Medica Choice $278 260%

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