CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$334 - $3,096
from 4 insurers ยท median $2,576
Typical for a hospital with this service line
Essentia Health ยท Graceville, MN
31
In-network payers
215
Disclosed rate categories
15
Beds
Essentia Health - Holy Trinity Hospital (Graceville) is a 15-bed voluntary non-profit - private hospital in Graceville, MN, affiliated with Essentia Health. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 215 disclosed rate categories.
CCN (Medicare provider number)
241321
NPI
1982673620
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
15
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 - Holy Trinity Hospital (Graceville) 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
$334 - $3,096
from 4 insurers ยท median $2,576
Typical for a hospital with this service line
CT imaging
CPT 70450
$95 - $1,541
from 4 insurers ยท median $1,162
Typical for a hospital with this service line
CT imaging
CPT 74176
$197 - $2,691
from 4 insurers ยท median $2,029
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$219 - $1,986
from 4 insurers ยท median $1,498
Typical for a hospital with this service line
CT imaging
CPT 71275
$276 - $2,367
from 4 insurers ยท median $1,785
Typical for a hospital with this service line
MRI imaging
CPT 70553
$293 - $3,553
from 4 insurers ยท median $2,679
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$2,058 - $2,801
from 3 insurers ยท median $2,167
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$2,222 - $3,024
from 3 insurers ยท median $2,546
Typical for a hospital with this service line
Mammography
CPT 77067
$135 - $414
from 4 insurers ยท median $313
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$424 - $2,773
from 4 insurers ยท median $2,096
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$35 - $283
from 4 insurers ยท median $235
Typical for a hospital with this service line
MRI imaging
CPT 70551
$178 - $2,657
from 4 insurers ยท median $2,004
Typical for a hospital with this service line
MRI imaging
CPT 72148
$209 - $2,563
from 4 insurers ยท median $1,933
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$423 - $3,474
from 4 insurers ยท median $2,626
Hospital reports nuclear medicine services to CMS
MRI imaging
CPT 73721
$221 - $2,577
from 4 insurers ยท median $2,073
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$249 - $2,558
from 4 insurers ยท median $2,032
Typical for a hospital with this service line
Ultrasound
CPT 76705
$92 - $573
from 4 insurers ยท median $432
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$9 - $196
from 2 insurers ยท median $103
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$134 - $749
from 4 insurers ยท median $565
Typical for a hospital with this service line
Laboratory and pathology
CPT 85025
$7 - $149
from 4 insurers ยท median $113
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$687 - $4,357
from 4 insurers ยท median $3,293
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$40 - $488
from 4 insurers ยท median $368
Typical for a hospital with this service line
Ultrasound
CPT 76856
$111 - $599
from 4 insurers ยท median $453
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$211 - $1,184
from 4 insurers ยท median $893
Typical for a hospital with this service line
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* | 23 | 536% | 11 | 5 |
| Insurer B* | 23 | 415% | 11 | 12 |
| Insurer C* | 24 | 403% | 0 | 0 |
| Insurer D* | 22 | 86% | 0 | 22 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 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 - Holy Trinity Hospital (Graceville).
115 West Second Street, Graceville, MN 56240
(320) 748-8200
About Essentia Health - Holy Trinity Hospital (Graceville)'s rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Essentia Health - Holy Trinity Hospital (Graceville) range from $293 to $3,553 across 4 insurers. Blue Cross Blue Shield's rate is $2,748. The median at nearby comparable hospitals is $2,255. 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 - Holy Trinity Hospital (Graceville) range from $334 to $3,096 across 4 insurers. Aetna's rate is $334. The median at nearby comparable hospitals is $2,463. 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 - Holy Trinity Hospital (Graceville) range from $2,222 to $3,024 across 3 insurers. Cigna's rate is $2,222. The median at nearby comparable hospitals is $4,502. 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 - Holy Trinity Hospital (Graceville) range from $135 to $414 across 4 insurers. UnitedHealthcare's rate is $414. The median at nearby comparable hospitals is $383. What a patient pays depends on their plan's deductible, coinsurance and network status.
Essentia Health - Holy Trinity Hospital (Graceville) has 15 beds. Facility type: Critical Access Hospital.
Essentia Health - Holy Trinity Hospital (Graceville) is located at 115 West Second Street, Graceville, MN 56240. Its main phone number is (320) 748-8200.
Essentia Health - Holy Trinity Hospital (Graceville)'s CMS Certification Number (CCN), also called its Medicare provider number, is 241321.
The National Provider Identifier (NPI) on file for Essentia Health - Holy Trinity Hospital (Graceville) is 1982673620.
Essentia Health - Holy Trinity Hospital (Graceville) is affiliated with Essentia Health.
Essentia Health - Holy Trinity Hospital (Graceville) lists 31 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.
215 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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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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