Essentia Health · Virginia, MN
42
In-network payers
317
Disclosed rate categories
83
Beds
3
Care quality
Essentia Health-Virginia is an 83-bed government - local hospital in Virginia, MN, affiliated with Essentia Health. Below you'll find publicly disclosed negotiated rates and facility details, including 42 in-network payers and 317 disclosed rate categories.
CCN (Medicare provider number)
240084
NPI
1083617120
Type
Short Term Acute Care Hospital
Ownership
Government - Local
Beds
83
Care Quality
3
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-Virginia 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
$758 - $3,433
from 4 insurers · median $2,083
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$8,320 - $14,094
from 3 insurers · median $10,320
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
$12,482 - $19,546
from 3 insurers · median $14,259
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 70450
$225 - $1,634
from 4 insurers · median $921
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$506 - $2,683
from 4 insurers · median $1,590
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$415 - $2,469
from 4 insurers · median $1,430
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$233 - $678
from 4 insurers · median $462
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$6,021 - $13,601
from 3 insurers · median $6,175
50 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
MRI imaging
CPT 70553
$699 - $3,543
from 4 insurers · median $2,144
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$34 - $295
from 4 insurers · median $247
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$217 - $2,023
from 4 insurers · median $1,568
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$8,320 - $14,094
from 3 insurers · median $10,320
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
Digestive procedures
CPT 49650
$13,601
negotiated rate
50 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45385
$1,400 - $3,016
from 3 insurers · median $2,941
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$375 - $2,651
from 4 insurers · median $1,574
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$5,931 - $13,601
from 3 insurers · median $6,083
50 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Gynecology
CPT 58571
$24,271
negotiated rate
Typical for a hospital with this service line
MRI imaging
CPT 72148
$209 - $2,556
from 4 insurers · median $1,528
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,400 - $2,630
from 3 insurers · median $2,564
Common here, based on CMS Medicare volume
MRI imaging
CPT 73721
$387 - $2,624
from 4 insurers · median $1,536
Common here, based on CMS Medicare volume
Ultrasound
CPT 76705
$115 - $656
from 4 insurers · median $444
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,201 - $3,526
from 4 insurers · median $3,238
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 49505
$8,227
negotiated rate
22 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
X-ray and bone density
CPT 73630
$57 - $292
from 4 insurers · median $245
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* | 21 | 688% | 18 | 0 |
| Insurer B* | 21 | 671% | 14 | 4 |
| Insurer C* | 24 | 230% | 11 | 9 |
| Insurer D* | 14 | 156% | 2 | 5 |
How we chose these services: 4 appear in this hospital's own Medicare claims, 16 are common here based on CMS Medicare volume, and 4 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-Virginia.
901 Ninth Street North, Virginia, MN 55792
(218) 741-3340
The nearest hospitals of similar type and size. Their rates are compared with Essentia Health-Virginia for the same insurers and services above.
Grand Itasca Clinic And Hospital
▼ Rates typically 43% lower than Essentia Health-Virginia (20 services)
Sanford Bemidji
▲ Rates typically 55% higher than Essentia Health-Virginia (21 services)
Cambridge Medical Center
▼ Rates typically 37% lower than Essentia Health-Virginia (21 services)
M Health Fairview Northland Medical Center
▼ Rates typically 17% lower than Essentia Health-Virginia (21 services)
M Health Fairview Lakes Medical Center
▼ Rates typically 17% lower than Essentia Health-Virginia (21 services)
Maple Grove Hospital
▼ Rates typically 25% lower than Essentia Health-Virginia (21 services)
Essentia Health - Duluth
Essentia Health St Marys - Detroit Lakes
Essentia Health - St. Josephs Medical Center
Essentia Health - St Marys Medical Center
About Essentia Health-Virginia's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Essentia Health-Virginia range from $699 to $3,543 across 4 insurers. Blue Cross Blue Shield's rate is $833. The median at nearby comparable hospitals is $1,209. 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-Virginia range from $758 to $3,433 across 4 insurers. Aetna's rate is $819. The median at nearby comparable hospitals is $1,067. 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-Virginia range from $1,400 to $3,016 across 3 insurers. Blue Cross Blue Shield's rate is $1,400. The median at nearby comparable hospitals is $2,269. 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-Virginia range from $8,320 to $14,094 across 3 insurers. Cigna's rate is $14,094. 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-Virginia range from $233 to $678 across 4 insurers. Aetna's rate is $233. The median at nearby comparable hospitals is $295. What a patient pays depends on their plan's deductible, coinsurance and network status.
Essentia Health-Virginia has 83 beds. Facility type: Short Term Acute Care Hospital.
Essentia Health-Virginia is located at 901 Ninth Street North, Virginia, MN 55792. Its main phone number is (218) 741-3340.
Essentia Health-Virginia's CMS Certification Number (CCN), also called its Medicare provider number, is 240084.
The National Provider Identifier (NPI) on file for Essentia Health-Virginia is 1083617120.
Essentia Health-Virginia is affiliated with Essentia Health.
Essentia Health-Virginia lists 42 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.
317 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