CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Jacobson Memorial Hospital Care Center

Billing Code: 85025 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$59
about 7.4× the $8 Medicare rate · typically $12–$89
modeled estimate · not a bill or quote
Medicare pays $8 Fair price $59 Cash price $58 Hospital's list price $78

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $59 - $78 759%
Blue Cross Blue Shieldmajor $78 - $109 1004%
Aetnamajor $47 - $78 605%
Cignamajor $70 901%
Humanamajor $78 1004%
HealthPartners $70 901%
Medica $62 798%
Sanford Health Plan $78 1004%
+ 2 smaller / regional plans $62 - $78
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 601 East St N, Elgin, ND 58533
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals