CMS Price Transparency Data

X-ray, pelvis

Facility: Jacobson Memorial Hospital Care Center

Billing Code: 72170 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$146
about 1.4× the $107 Medicare rate · typically $31–$249
modeled estimate · not a bill or quote
What this hospital charges insurers
$130
Below the fair price — a good deal
about $16 under the fair price · 1.2× Medicare
Medicare pays $107 Fair price $146 This hospital $130 Cash price $98 Hospital's list price $130

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 $21 Priciest $130

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

A fair price for a X-ray, pelvis is about $146 (about 1.4× the $107 Medicare rate). Jacobson Memorial Hospital Care Center charges insurers about $130, or about $98 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 $99 - $130 93%
Blue Cross Blue Shieldmajor $130 - $182 122%
Aetnamajor $78 - $130 73%
Cignamajor $117 110%
Humanamajor $130 122%
HealthPartners $117 110%
Medica $104 97%
Sanford Health Plan $130 122%
+ 2 smaller / regional plans $104 - $130
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.

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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