CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Jacobson Memorial Hospital Care Center

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $953
  • Cash Discount Price: $794
  • vs. Medicare Baseline: 8.92x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Jacobson Memorial Hospital Care Center is $953. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $794. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.92x the Medicare baseline. Located in 601 East St N, Elgin, ND.
Cash / Self-Pay
$794

Average discount available for prompt cash payment at this facility.

Insurance Median
$953

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $794 (743%)
Insurance Median: $953 (892%)
Cash: $794 (743% of Medicare)
Ins. Median: $953 (892% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 892% of the Medicare baseline (a markup of 792%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $635 - $1,059 595%
Medicaid / KanCare $758 710%
Tricare $794 743%
UnitedHealthcare $807 - $1,059 756%
Medica $847 793%
Tlc Advantage $847 793%
Cigna $953 892%
Healthpartners $953 892%
Medicare (plans) $953 - $1,271 892%
Multiplan Commercial $953 892%
Blue Cross Blue Shield $1,059 - $1,483 991%
Humana $1,059 991%
Nextblue $1,059 991%
Sanford Health Plan $1,059 991%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

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