Essentia Health · Brainerd, MN
36
In-network payers
299
Disclosed rate categories
162
Beds
4
Care quality
Essentia Health - St. Josephs Medical Center is a 162-bed voluntary non-profit - private hospital in Brainerd, MN, affiliated with Essentia Health. Below you'll find publicly disclosed negotiated rates and facility details, including 36 in-network payers and 299 disclosed rate categories.
CCN (Medicare provider number)
240075
NPI
1568415974
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
162
Care Quality
4
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 - St. Josephs Medical Center 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.
Childbirth · Inpatient
MS-DRG 807
$9,090 - $15,049
from 2 insurers · median $12,070
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 obstetrics / child birth services to CMS
Childbirth · Inpatient
MS-DRG 788
$12,818 - $21,401
from 2 insurers · median $17,110
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 obstetrics / child birth services to CMS
CT imaging
CPT 74177
$334 - $3,013
from 4 insurers · median $2,137
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$115 - $1,436
from 4 insurers · median $896
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$155 - $2,520
from 4 insurers · median $1,679
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$276 - $2,082
from 4 insurers · median $1,345
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$12,137
negotiated rate
11 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Nuclear imaging
CPT 78815
$1,577 - $5,568
from 4 insurers · median $4,403
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$13,166 - $44,245
from 3 insurers · median $32,307
11 Medicare discharges for this DRG in CMS hospital data
Childbirth · Inpatient
MS-DRG 807
$9,090 - $15,049
from 2 insurers · median $12,070
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 obstetrics / child birth services to CMS
X-ray and bone density
CPT 71046
$35 - $336
from 4 insurers · median $288
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$348 - $3,025
from 4 insurers · median $2,142
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$22,271
negotiated rate
46 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Cardiology and vascular testing
CPT 93306
$182 - $2,093
from 4 insurers · median $1,677
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$117 - $342
from 4 insurers · median $297
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$59,915 - $77,650
from 2 insurers · median $68,782
Hospital reports orthopedic surgery services to CMS
Gynecology
CPT 58571
$38,056
negotiated rate
14 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 49650
$22,271
negotiated rate
46 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 473
$41,820 - $56,580
from 2 insurers · median $49,200
Hospital reports orthopedic surgery services to CMS
MRI imaging
CPT 72148
$208 - $2,196
from 4 insurers · median $1,710
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$213 - $2,256
from 4 insurers · median $1,551
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$337 - $4,501
from 4 insurers · median $2,500
Common here, based on CMS Medicare volume
MRI imaging
CPT 73721
$221 - $2,230
from 4 insurers · median $1,538
Common here, based on CMS Medicare volume
Ultrasound
CPT 76705
$78 - $553
from 4 insurers · median $470
Common here, based on CMS Medicare volume
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 | 847% | 8 | 3 |
| Insurer B* | 20 | 818% | 14 | 2 |
| Insurer C* | 19 | 379% | 14 | 2 |
| Insurer D* | 14 | 89% | 0 | 5 |
How we chose these services: 5 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 5 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 - St. Josephs Medical Center.
523 North Third Street, Brainerd, MN 56401
(218) 829-2861
The nearest hospitals of similar type and size. Their rates are compared with Essentia Health - St. Josephs Medical Center for the same insurers and services above.
Alomere Health
▼ Rates typically 36% lower than Essentia Health - St. Josephs Medical Center (20 services)
Cambridge Medical Center
▼ Rates typically 22% lower than Essentia Health - St. Josephs Medical Center (21 services)
Sanford Bemidji
▲ Rates typically 46% higher than Essentia Health - St. Josephs Medical Center (19 services)
Fergus Falls Hospital
▲ Rates typically 22% higher than Essentia Health - St. Josephs Medical Center (19 services)
Maple Grove Hospital
▼ Rates typically 48% lower than Essentia Health - St. Josephs Medical Center (21 services)
Fairview Range Medical Center
▼ Rates typically 27% lower than Essentia Health - St. Josephs Medical Center (19 services)
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About Essentia Health - St. Josephs Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Essentia Health - St. Josephs Medical Center range from $348 to $3,025 across 4 insurers. Blue Cross Blue Shield's rate is $1,363. The median at nearby comparable hospitals is $1,107. 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 - St. Josephs Medical Center range from $334 to $3,013 across 4 insurers. Aetna's rate is $334. The median at nearby comparable hospitals is $946. 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 - St. Josephs Medical Center range from $337 to $4,501 across 4 insurers. Blue Cross Blue Shield's rate is $4,501. The median at nearby comparable hospitals is $2,029. 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 - St. Josephs Medical Center range from $9,090 to $15,049 across 2 insurers. UnitedHealthcare's rate is $9,090. 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 - St. Josephs Medical Center range from $117 to $342 across 4 insurers. Aetna's rate is $117. The median at nearby comparable hospitals is $322. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Essentia Health - St. Josephs Medical Center range from $13,166 to $44,245 across 3 insurers. Cigna's rate is $44,245. The median at nearby comparable hospitals is $21,787. What a patient pays depends on their plan's deductible, coinsurance and network status.
Essentia Health - St. Josephs Medical Center has 162 beds. Facility type: Short Term Acute Care Hospital.
Essentia Health - St. Josephs Medical Center is located at 523 North Third Street, Brainerd, MN 56401. Its main phone number is (218) 829-2861.
Essentia Health - St. Josephs Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 240075.
The National Provider Identifier (NPI) on file for Essentia Health - St. Josephs Medical Center is 1568415974.
Essentia Health - St. Josephs Medical Center is affiliated with Essentia Health.
Essentia Health - St. Josephs Medical Center lists 36 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.
299 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