CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$256 - $1,521
from 4 insurers ยท median $834
Common here, based on CMS Medicare volume
Fairview Health Services ยท Grand Rapids, MN
32
In-network payers
217
Disclosed rate categories
64
Beds
3
Care quality
Grand Itasca Clinic And Hospital is a 64-bed voluntary non-profit - private hospital in Grand Rapids, MN, affiliated with Fairview Health Services. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 217 disclosed rate categories.
CCN (Medicare provider number)
240064
NPI
1669426631
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
64
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 Grand Itasca Clinic And Hospital 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
$256 - $1,521
from 4 insurers ยท median $834
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$115 - $992
from 4 insurers ยท median $536
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$242 - $1,330
from 4 insurers ยท median $722
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$183 - $1,107
from 4 insurers ยท median $582
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$135 - $348
from 4 insurers ยท median $269
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$15,267
negotiated rate
Typical for a hospital with this service line
MRI imaging
CPT 70553
$293 - $1,865
from 4 insurers ยท median $988
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$219 - $1,377
from 4 insurers ยท median $752
Common here, based on CMS Medicare volume
Ultrasound
CPT 76705
$92 - $954
from 4 insurers ยท median $413
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$35 - $339
from 4 insurers ยท median $87
Common here, based on CMS Medicare volume
MRI imaging
CPT 73721
$221 - $2,053
from 4 insurers ยท median $1,154
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$1,630 - $7,348
from 2 insurers ยท median $4,489
28 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Nuclear imaging
CPT 78452
$462 - $6,290
from 4 insurers ยท median $2,724
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$337 - $2,433
from 4 insurers ยท median $1,395
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 73630
$36 - $304
from 4 insurers ยท median $269
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,796 - $2,348
from 3 insurers ยท median $1,887
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$208 - $1,573
from 4 insurers ยท median $849
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93971
$123 - $686
from 3 insurers ยท median $528
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$1,951 - $7,261
from 3 insurers ยท median $2,478
28 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
MRI imaging
CPT 74183
$372 - $2,595
from 4 insurers ยท median $1,433
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$371 - $1,750
from 3 insurers ยท median $1,534
Common here, based on CMS Medicare volume
Ultrasound
CPT 76642
$73 - $954
from 4 insurers ยท median $477
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 73030
$36 - $519
from 4 insurers ยท median $274
Common here, based on CMS Medicare volume
Ultrasound
CPT 76856
$111 - $954
from 4 insurers ยท median $460
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* | 23 | 418% | 13 | 6 |
| Insurer B* | 21 | 356% | 0 | 19 |
| Insurer C* | 23 | 222% | 10 | 13 |
| Insurer D* | 20 | 84% | 2 | 3 |
How we chose these services: 2 appear in this hospital's own Medicare claims, 21 are common here based on CMS Medicare volume, and 1 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 Grand Itasca Clinic And Hospital.
1601 Golf Course Road, Grand Rapids, MN 55744
(218) 326-3401
About Grand Itasca Clinic And Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Grand Itasca Clinic And Hospital range from $293 to $1,865 across 4 insurers. Blue Cross Blue Shield's rate is $388. The median at nearby comparable hospitals is $1,631. 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 Grand Itasca Clinic And Hospital range from $256 to $1,521 across 4 insurers. Aetna's rate is $334. The median at nearby comparable hospitals is $1,378. 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 Grand Itasca Clinic And Hospital range from $337 to $2,433 across 4 insurers. UnitedHealthcare's rate is $2,134. The median at nearby comparable hospitals is $2,023. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Grand Itasca Clinic And Hospital range from $135 to $348 across 4 insurers. UnitedHealthcare's rate is $318. The median at nearby comparable hospitals is $288. What a patient pays depends on their plan's deductible, coinsurance and network status.
Grand Itasca Clinic And Hospital has 64 beds. Facility type: Short Term Acute Care Hospital.
Grand Itasca Clinic And Hospital is located at 1601 Golf Course Road, Grand Rapids, MN 55744. Its main phone number is (218) 326-3401.
Grand Itasca Clinic And Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 240064.
The National Provider Identifier (NPI) on file for Grand Itasca Clinic And Hospital is 1669426631.
Grand Itasca Clinic And Hospital is affiliated with Fairview Health Services.
Grand Itasca Clinic And Hospital lists 32 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.
217 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.
For hospital finance and compliance teams
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