CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Essentia Health

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $849
  • Cash Discount Price: $1,415
  • vs. Medicare Baseline: 7.95x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Essentia Health is $849. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,415. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.95x the Medicare baseline. Located in 3000 32Nd Ave South, Fargo, ND.
Cash / Self-Pay
$1,415

Average discount available for prompt cash payment at this facility.

Insurance Median
$849

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: $1,415 (1325%)
Insurance Median: $849 (795%)
Cash: $1,415 (1325% of Medicare)
Ins. Median: $849 (795% 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 795% of the Medicare baseline (a markup of 695%). 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
Advocare/Security Health $106 99%
Blue Cross Blue Shield $106 - $1,273 99%
Freedom Blue Ppo $106 99%
Healthpartners Care Msho / Mcr Adv $106 99%
Imcare Msho Pcc Prime $106 99%
Imcare Msho Ref Req $106 99%
Itasca Med Care $106 99%
Medica Advantage Solutions $106 99%
Medica Msho/Dual Solutions $106 99%
Medica Prime Solution Group $106 99%
Medicare (plans) $106 99%
Nd Va Administration $106 99%
Platinum Blue/Vantage Blue $106 99%
Primewest $106 99%
Primewest Msho $106 99%
Secure Blue Msho $106 99%
Ubh Cost Plan $106 99%
Ubh Msho $106 99%
Ucare Msho $106 99%
UnitedHealthcare $106 - $1,503 99%
Sanford Health Plan $188 - $852 176%
Medica Access $505 473%
Healthpartners Care Pmap $734 687%
Medica $1,045 - $1,162 978%
Medica Uplan $1,045 978%
Medica Choice $1,196 1120%
Ucare $1,241 1162%
Cigna $1,264 1183%
Healthpartners $1,264 1183%
Healthpartners Pcc Prime $1,264 1183%
Wea $1,358 - $1,452 1271%
America'S Ppo $1,462 1369%
Wps $1,565 - $1,584 1465%
Aetna $1,603 1501%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3000 32Nd Ave South, Fargo, ND 58104
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals