CMS Price Transparency Data

X-ray, hand

Facility: Essentia Health

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73130
  • Insurance Median: $156
  • Cash Discount Price: $251
  • vs. Medicare Baseline: 1.75x Medicare
The contracted insurance negotiated median rate for a X-ray, hand at Essentia Health is $156. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $251. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.75x the Medicare baseline. Located in 3000 32Nd Ave South, Fargo, ND.
Cash / Self-Pay
$251

Average discount available for prompt cash payment at this facility.

Insurance Median
$156

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: $251 (282%)
Insurance Median: $156 (175%)
Cash: $251 (282% of Medicare)
Ins. Median: $156 (175% 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 - $226 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 - $267 99%
Medica Access $90 101%
Healthpartners Care Pmap $130 146%
Sanford Health Plan $144 - $156 162%
Medica $186 - $206 209%
Medica Uplan $186 209%
Medica Choice $212 238%
Ucare $220 247%
Cigna $224 252%
Healthpartners $224 252%
Healthpartners Pcc Prime $224 252%
Wea $241 - $258 271%
America'S Ppo $260 292%
Wps $278 - $281 313%
Aetna $285 321%

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