Essentia Health · Duluth, MN
41
In-network payers
360
Disclosed rate categories
165
Beds
5
Care quality
Essentia Health - Duluth is a 165-bed voluntary non-profit - private hospital in Duluth, MN, affiliated with Essentia Health. Below you'll find publicly disclosed negotiated rates and facility details, including 41 in-network payers and 360 disclosed rate categories.
CCN (Medicare provider number)
240019
NPI
1033153895
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
165
Care Quality
5
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Essentia Health - Duluth most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$819 - $2,785
from 4 insurers · median $1,779
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$8,320 - $16,800
from 3 insurers · median $10,502
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$12,482 - $20,625
from 3 insurers · median $17,616
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
CT imaging
CPT 70450
$180 - $1,326
from 4 insurers · median $772
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$506 - $2,176
from 4 insurers · median $1,463
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$398 - $2,003
from 4 insurers · median $1,210
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 216
$157,516 - $233,301
from 3 insurers · median $204,136
Hospital reports cardiac thoracic surgery services to CMS
Gynecology
CPT 58558
$2,611 - $7,469
from 3 insurers · median $2,673
28 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
MRI imaging
CPT 70553
$614 - $2,874
from 4 insurers · median $1,823
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$35 - $239
from 4 insurers · median $220
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$219 - $1,641
from 4 insurers · median $1,383
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$1,077 - $4,826
from 2 insurers · median $2,951
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$233 - $251
from 2 insurers · median $242
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,680 - $2,446
from 3 insurers · median $2,390
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$8,320 - $16,800
from 3 insurers · median $10,502
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
MRI imaging
CPT 70551
$375 - $2,150
from 4 insurers · median $1,334
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$59,701 - $90,211
from 3 insurers · median $74,952
Hospital reports neurosurgical services to CMS
MRI imaging
CPT 72148
$279 - $2,073
from 4 insurers · median $1,283
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 69436
$3,480
negotiated rate
27 Medicare claims in Level 3 ENT Procedures (CMS 2024)
Medicine & Surgery
CPT 66984
$710 - $5,099
from 2 insurers · median $2,904
Typical for a hospital with this service line
MRI imaging
CPT 73721
$387 - $2,128
from 4 insurers · median $1,309
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,680 - $2,243
from 3 insurers · median $2,191
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,201 - $3,067
from 4 insurers · median $2,822
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$38,638 - $60,834
from 3 insurers · median $51,992
Hospital reports neurosurgical services to CMS
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 20 | 794% | 12 | 4 |
| Insurer B* | 20 | 775% | 14 | 3 |
| Insurer C* | 24 | 229% | 7 | 10 |
| Insurer D* | 14 | 156% | 11 | 1 |
How we chose these services: 2 appear in this hospital's own Medicare claims, 15 are common here based on CMS Medicare volume, and 7 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Essentia Health - Duluth.
502 East Second Street, Duluth, MN 55805
(218) 786-2806
The nearest hospitals of similar type and size. Their rates are compared with Essentia Health - Duluth for the same insurers and services above.
St. Lukes Hospital Of Duluth
▼ Rates typically 26% lower than Essentia Health - Duluth (21 services)
Fairview Range Medical Center
▼ Rates typically 21% lower than Essentia Health - Duluth (18 services)
Cambridge Medical Center
▼ Rates typically 18% lower than Essentia Health - Duluth (21 services)
Lakeview Hospital
▼ Rates typically 33% lower than Essentia Health - Duluth (21 services)
Howard Young Medical Center
▲ Rates typically 29% higher than Essentia Health - Duluth (20 services)
M Health Fairview St Johns Hospital
▼ Rates typically 24% lower than Essentia Health - Duluth (21 services)
Essentia Health - St Marys Medical Center
Essentia Health - St. Josephs Medical Center
Essentia Health-Virginia
About Essentia Health - Duluth's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Essentia Health - Duluth range from $614 to $2,874 across 4 insurers. Cigna's rate is $2,807. The median at nearby comparable hospitals is $1,316. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Essentia Health - Duluth range from $819 to $2,785 across 4 insurers. Aetna's rate is $819. The median at nearby comparable hospitals is $998. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Essentia Health - Duluth range from $1,680 to $2,446 across 3 insurers. Blue Cross Blue Shield's rate is $1,680. The median at nearby comparable hospitals is $3,134. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Essentia Health - Duluth range from $8,320 to $16,800 across 3 insurers. UnitedHealthcare's rate is $10,502. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Essentia Health - Duluth range from $233 to $251 across 2 insurers. Blue Cross Blue Shield's rate is $251. The median at nearby comparable hospitals is $236. What a patient pays depends on their plan's deductible, coinsurance and network status.
Essentia Health - Duluth has 165 beds. Facility type: Short Term Acute Care Hospital.
Essentia Health - Duluth is located at 502 East Second Street, Duluth, MN 55805. Its main phone number is (218) 786-2806.
Essentia Health - Duluth's CMS Certification Number (CCN), also called its Medicare provider number, is 240019.
The National Provider Identifier (NPI) on file for Essentia Health - Duluth is 1033153895.
Essentia Health - Duluth is affiliated with Essentia Health.
Essentia Health - Duluth lists 41 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
360 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers