CMS Price Transparency Data

CT scan, sinuses

Facility: Jacobson Memorial Hospital Care Center

Billing Code: 70486 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$744
about 7.0× the $107 Medicare rate · typically $136–$1,289
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,202
Above the fair price
about $458 over the fair price · 11.2× Medicare
Medicare pays $107 Fair price $744 This hospital $1,202 Cash price $901 Hospital's list price $1,202

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 $76 Priciest $1,202

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, sinuses is about $744 (about 7.0× the $107 Medicare rate). Jacobson Memorial Hospital Care Center charges insurers about $1,202, or about $901 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 $744. 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 $916 - $1,202 858%
Blue Cross Blue Shieldmajor $1,202 - $1,682 1125%
Aetnamajor $721 - $1,202 675%
Cignamajor $1,082 1013%
Humanamajor $1,202 1125%
HealthPartners $1,082 1013%
Medica $961 900%
Sanford Health Plan $1,202 1125%
+ 2 smaller / regional plans $961 - $1,202
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

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

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