CMS Price Transparency Data

X-ray, chest (two views)

Facility: Essentia Health

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $174
  • Cash Discount Price: $289
  • vs. Medicare Baseline: 1.96x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at Essentia Health is $174. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $289. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.96x the Medicare baseline. Located in 3000 32Nd Ave South, Fargo, ND.
Cash / Self-Pay
$289

Average discount available for prompt cash payment at this facility.

Insurance Median
$174

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: $289 (325%)
Insurance Median: $174 (196%)
Cash: $289 (325% of Medicare)
Ins. Median: $174 (196% 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.

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 $88 99%
Blue Cross Blue Shield $88 - $260 99%
Freedom Blue Ppo $88 99%
Healthpartners Care Msho / Mcr Adv $88 99%
Imcare Msho Pcc Prime $88 99%
Imcare Msho Ref Req $88 99%
Itasca Med Care $88 99%
Medica Advantage Solutions $88 99%
Medica Msho/Dual Solutions $88 99%
Medica Prime Solution Group $88 99%
Medicare (plans) $88 99%
Nd Va Administration $88 99%
Platinum Blue/Vantage Blue $88 99%
Primewest $88 99%
Primewest Msho $88 99%
Secure Blue Msho $88 99%
Ubh Cost Plan $88 99%
Ubh Msho $88 99%
Ucare Msho $88 99%
UnitedHealthcare $88 - $307 99%
Medica Access $103 116%
Healthpartners Care Pmap $150 169%
Sanford Health Plan $156 - $174 175%
Medica $213 - $237 240%
Medica Uplan $213 240%
Medica Choice $244 274%
Ucare $253 285%
Cigna $258 290%
Healthpartners $258 290%
Healthpartners Pcc Prime $258 290%
Wea $277 - $296 312%
America'S Ppo $298 335%
Wps $320 - $323 360%
Aetna $327 368%

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