CentraCare Health System · Saint Cloud, MN
28
In-network payers
365
Disclosed rate categories
489
Beds
4
Care quality
St. Cloud Hospital is a 489-bed voluntary non-profit - private hospital in Saint Cloud, MN, affiliated with CentraCare Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 28 in-network payers and 365 disclosed rate categories.
CCN (Medicare provider number)
240036
NPI
1043269798
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
489
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 St. Cloud 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.
Childbirth · Inpatient
MS-DRG 807
$11,916
negotiated rate
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
CT imaging
CPT 74177
$334 - $1,886
from 4 insurers · median $713
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 788
$16,445
negotiated rate
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
$115 - $1,080
from 4 insurers · median $579
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$6,671 - $16,998
from 3 insurers · median $14,309
106 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Gynecology
CPT 58571
$11,729 - $30,332
from 3 insurers · median $18,314
56 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Nuclear imaging
CPT 78815
$1,592 - $4,569
from 4 insurers · median $3,703
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$3,572 - $6,097
from 3 insurers · median $4,082
24 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Mammography
CPT 77067
$34 - $892
from 4 insurers · median $297
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$155 - $1,730
from 4 insurers · median $484
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$12,256 - $34,435
from 2 insurers · median $23,345
29 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery · Inpatient
MS-DRG 216
$175,034
negotiated rate
11 Medicare discharges for this DRG in CMS hospital data
X-ray and bone density
CPT 71046
$35 - $257
from 4 insurers · median $164
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$182 - $1,559
from 4 insurers · median $1,013
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 42820
$6,532 - $17,235
from 3 insurers · median $11,871
Typical for a hospital with this service line
Digestive procedures
CPT 47563
$6,671 - $15,297
from 3 insurers · median $14,309
106 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 71275
$194 - $1,302
from 4 insurers · median $397
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$63,938
negotiated rate
23 Medicare discharges for this DRG in CMS hospital data
MRI imaging
CPT 70553
$349 - $2,311
from 4 insurers · median $833
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$6,671 - $16,998
from 3 insurers · median $9,982
Typical for a hospital with this service line
Digestive procedures
CPT 49650
$5,199 - $13,202
from 3 insurers · median $6,671
106 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$11,916
negotiated rate
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
Urology
CPT 50590
$3,889 - $14,007
from 3 insurers · median $10,048
125 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Digestive procedures
CPT 45385
$337 - $2,033
from 4 insurers · median $1,345
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* | 19 | 282% | 15 | 3 |
| Insurer B* | 18 | 258% | 15 | 1 |
| Insurer C* | 24 | 108% | 1 | 18 |
| Insurer D* | 10 | 96% | 0 | 4 |
How we chose these services: 9 appear in this hospital's own Medicare claims, 10 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 St. Cloud Hospital.
1406 Sixth Avenue North, Saint Cloud, MN 56303
(320) 255-5661
The nearest hospitals of similar type and size. Their rates are compared with St. Cloud Hospital for the same insurers and services above.
Mercy Hospital
▲ Rates typically 24% higher than St. Cloud Hospital (21 services)
North Memorial Health Care
▲ Rates typically 14% higher than St. Cloud Hospital (21 services)
Methodist Hospital
▼ Rates typically 29% lower than St. Cloud Hospital (21 services)
Hennepin County Medical Center
▼ Rates typically 17% lower than St. Cloud Hospital (21 services)
Abbott Northwestern Hospital
▼ Rates typically 6% lower than St. Cloud Hospital (21 services)
M Health Fairview Southdale Hospital
▲ Rates typically 14% higher than St. Cloud Hospital (21 services)
Centracare - Rice Memorial Hospital
Buffalo Hospital
Faribault Medical Center
Mayo Clinic Health System - Red Wing
About St. Cloud Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at St. Cloud Hospital range from $349 to $2,311 across 4 insurers. Cigna's rate is $2,311. The median at nearby comparable hospitals is $821. 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 St. Cloud Hospital range from $334 to $1,886 across 4 insurers. Aetna's rate is $334. The median at nearby comparable hospitals is $708. 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 St. Cloud Hospital range from $337 to $2,033 across 4 insurers. Blue Cross Blue Shield's rate is $1,369. The median at nearby comparable hospitals is $1,597. 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 St. Cloud Hospital range from $11,916 to $11,916 across 1 insurers. UnitedHealthcare's rate is $11,916. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at St. Cloud Hospital range from $34 to $892 across 4 insurers. Aetna's rate is $117. The median at nearby comparable hospitals is $219. 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 St. Cloud Hospital range from $12,256 to $34,435 across 2 insurers. UnitedHealthcare's rate is $34,435. The median at nearby comparable hospitals is $22,825. What a patient pays depends on their plan's deductible, coinsurance and network status.
St. Cloud Hospital has 489 beds. Facility type: Short Term Acute Care Hospital.
St. Cloud Hospital is located at 1406 Sixth Avenue North, Saint Cloud, MN 56303. Its main phone number is (320) 255-5661.
St. Cloud Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 240036.
The National Provider Identifier (NPI) on file for St. Cloud Hospital is 1043269798.
St. Cloud Hospital is affiliated with CentraCare Health System.
St. Cloud Hospital lists 28 in-network payers, including Aetna, Aspirus Health Plan, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
365 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.
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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