CMS Price Transparency Data

Trauma team activation

Facility: Jacobson Memorial Hospital Care Center

Billing Code: G0390 (HCPCS)

The BaseRate · fair price medium confidence

A fair price for this

$1,580

about 1.2× the $1,362 Medicare rate · typically $458–$2,136

modeled estimate · not a bill or quote

What this hospital charges insurers

$695

Below the fair price — a good deal

about $885 under the fair price · 0.5× Medicare

Medicare pays $1,362 Fair price $1,580 This hospital $695 Cash price $521 Hospital's list price $695

How we calculate the fair BaseRate →

How this hospital compares to other ND hospitals

One of the lower prices — 7 of 8 other ND hospitals charge more for the same procedure.

Cheapest $607 Priciest $1,363

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

A fair price for a Trauma team activation is about $1,580 (about 1.2× the $1,362 Medicare rate). Jacobson Memorial Hospital Care Center charges insurers about $695, or about $521 in cash — below the fair price — a good deal. Located in Elgin, ND.

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	$530 - $695	39%
Blue Cross Blue Shieldmajor	$695 - $973	51%
Aetnamajor	$417 - $695	31%
Cignamajor	$626	46%
Humanamajor	$695	51%
HealthPartners	$626	46%
Medica	$556	41%
Sanford Health Plan	$695	51%
+ 2 smaller / regional plans	$556 - $695

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 521), 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 HCPCS code on your bill matches exactly: G0390.

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 HCPCS code G0390.
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: Trauma team activation at other ND hospitals

Linton Hospital - Cah · Linton $607
CHI St Alexius Health Dickinson · Dickinson $1,077
Garrison Memorial Hospital · Garrison $1,153
CHI St Alexius Health Turtle Lake · Turtle Lake $1,275
Essentia Health · Fargo $1,323
Trinity Hospitals · Minot $1,362
Sanford Medical Center Fargo · Fargo $1,363
Sanford Medical Center Bismarck · Bismarck $1,363

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