CMS Price Transparency Data

Culture, blood

Facility: Jacobson Memorial Hospital Care Center

Billing Code: 87040 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$90
about 9.0× the $10 Medicare rate · typically $14–$130
modeled estimate · not a bill or quote
Medicare pays $10 Fair price $90 Cash price $54 Hospital's list price $72

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 $55 - $72 533%
Blue Cross Blue Shieldmajor $72 - $101 698%
Aetnamajor $43 - $72 417%
Cignamajor $65 630%
Humanamajor $72 698%
HealthPartners $65 630%
Medica $58 562%
Sanford Health Plan $72 698%
+ 2 smaller / regional plans $58 - $72
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