CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Jacobson Memorial Hospital Care Center

Billing Code: 74176 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$985

about 4.0× the $244 Medicare rate · typically $216–$2,486

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,328

Above the fair price

about $343 over the fair price · 5.4× Medicare

Medicare pays $244 Fair price $985 This hospital $1,328 Cash price $996 Hospital's list price $1,328

How we calculate the fair BaseRate →

How this hospital compares to other ND hospitals

Highest price of the 9 ND hospitals we have prices for — worth calling around.

Cheapest $140 Priciest $1,328

Black dot = this hospital, among the 9 ND hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, abdomen and pelvis (no contrast) is about $985 (about 4.0× the $244 Medicare rate). Jacobson Memorial Hospital Care Center charges insurers about $1,328, or about $996 in cash — above the fair price. Located in Elgin, ND.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $985. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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	$1,012 - $1,328	415%
Blue Cross Blue Shieldmajor	$1,328 - $1,860	545%
Aetnamajor	$797 - $1,328	327%
Cignamajor	$1,195	490%
Humanamajor	$1,328	545%
HealthPartners	$1,195	490%
Medica	$1,063	436%
Sanford Health Plan	$1,328	545%
+ 2 smaller / regional plans	$1,063 - $1,328

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

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 996), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 74176.

Insurance Before you use insurance

Call your insurance company to confirm Jacobson Memorial Hospital Care Center is in-network.
Ask your insurer whether prior approval is required for CPT code 74176.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Jacobson Memorial Hospital Care Center

Compare: CT scan, abdomen and pelvis (no contrast) at other ND hospitals

Insurance negotiated median for the same procedure, sorted lowest first.