CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Essentia Health Deer River

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $997
Cash Discount Price: $1,339
vs. Medicare Baseline: 9.33x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Essentia Health Deer River is $997. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,339. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.33x the Medicare baseline. Located in 115 10Th Avenue Northeast, Deer River, MN.

Cash / Self-Pay

$1,339

Average discount available for prompt cash payment at this facility.

Insurance Median

$997

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: $1,339 (1254%)

Insurance Median: $997 (933%)

Cash: $1,339 (1254% of Medicare)

Ins. Median: $997 (933% 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 933% of the Medicare baseline (a markup of 833%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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%
Blue Cross Blue Shield	$696 - $1,268	652%
Blue Plus Pmap Pcc Prime	$696 - $997	652%
Healthpartners Care Pmap	$728	682%
Advocare/Security Health	$779	729%
Freedom Blue Ppo	$779	729%
Healthpartners Care Msho / Mcr Adv	$779	729%
Imcare Msho Pcc Prime	$779	729%
Imcare Msho Ref Req	$779	729%
Medica Advantage Solutions	$779	729%
Medica Msho/Dual Solutions	$779	729%
Medica Prime Solution Group	$779	729%
Medicare (plans)	$779	729%
Healthpartners	$1,225 - $1,444	1147%
America'S Ppo	$1,404	1314%
Cigna	$1,413 - $1,444	1323%
Healthpartners Pcc Prime	$1,413 - $1,444	1323%
Aetna	$1,540	1442%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,339.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71250.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Essentia Health Deer River is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 71250.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.