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Hospital Profile Critical Access Hospitals Voluntary non-profit - Private

Jacobson Memorial Hospital Care Center

601 EAST ST N, Elgin, ND 58533

CMS Overall Rating No CMS Rating
Factual Overview

Jacobson Memorial Hospital Care Center is a Critical Access Hospitals (Voluntary non-profit - Private) operating in Elgin, ND. Mapped commercial insurance prices across 72 procedures average 5.69x the Medicare baseline. CMS has not published a quality star rating for this facility.

Facility Overview

Setting: rural Bed Count: 25 Beds Teaching Status: Non-Teaching Annual Discharges: 33

Patient Experience

Recommendation Rate: N/A High Patient Rating: N/A ER Wait Time (Med): 111 min Readmission Rate: N/A

Pricing & Transparency

Procedures Mapped: 72 codes Avg Markup vs Medicare: 5.69x Price File In Index: Yes MRF Version: 3.0.0
Procedure & Code Cash Price Actions
Blood transfusion
CPT Code: 36430
 $3,327 Calc
CT scan, head (no contrast)
CPT Code: 70450
 $794 Calc
CT scan, head (with contrast)
CPT Code: 70460
 $843 Calc
CT scan, head (with and without contrast)
CPT Code: 70470
 $1,050 Calc
CT scan, sinuses
CPT Code: 70486
 $901 Calc
MRI, brain (no contrast)
CPT Code: 70551
 $1,119 Calc
MRI, brain (with and without contrast)
CPT Code: 70553
 $2,882 Calc
X-ray, chest (single view)
CPT Code: 71045
 $78 Calc
X-ray, chest (two views)
CPT Code: 71046
 $109 Calc
CT scan, chest (no contrast)
CPT Code: 71250
 $1,019 Calc
X-ray, neck (cervical spine)
CPT Code: 72040
 $116 Calc
X-ray, lower back
CPT Code: 72110
 $154 Calc
CT scan, neck (cervical spine)
CPT Code: 72125
 $1,119 Calc
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $1,110 Calc
MRI, lower back (no contrast)
CPT Code: 72148
 $1,826 Calc
X-ray, pelvis
CPT Code: 72170
 $98 Calc
CT scan, pelvis
CPT Code: 72192
 $857 Calc
X-ray, shoulder
CPT Code: 73030
 $102 Calc
X-ray, hand
CPT Code: 73130
 $113 Calc
X-ray, hip
CPT Code: 73502
 $145 Calc
X-ray, ankle
CPT Code: 73610
 $114 Calc
X-ray, foot
CPT Code: 73630
 $106 Calc
MRI, knee or other leg joint
CPT Code: 73721
 $1,892 Calc
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $996 Calc
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $2,164 Calc
Ultrasound, thyroid and neck
CPT Code: 76536
 $362 Calc
Ultrasound, abdomen (complete)
CPT Code: 76700
 $370 Calc
Ultrasound, abdomen (limited)
CPT Code: 76705
 $284 Calc
Ultrasound, pelvis
CPT Code: 76856
 $333 Calc
Diagnostic mammogram (both breasts)
CPT Code: 77066
 $478 Calc
Screening mammogram (both breasts)
CPT Code: 77067
 $395 Calc
Blood test, basic metabolic panel
CPT Code: 80048
 $63 Calc
Blood test, comprehensive metabolic panel
CPT Code: 80053
 $79 Calc
Blood test, cholesterol (lipid panel)
CPT Code: 80061
 $100 Calc
Blood test, liver function panel
CPT Code: 80076
 $44 Calc
Urinalysis (automated, with microscopy)
CPT Code: 81001
 $16 Calc
Blood test, amylase
CPT Code: 82150
 $34 Calc
Blood test, vitamin D
CPT Code: 82306
 $193 Calc
Blood test, calcium
CPT Code: 82310
 $28 Calc
Blood test, creatinine (kidney)
CPT Code: 82565
 $28 Calc
Blood test, vitamin B12
CPT Code: 82607
 $80 Calc
Blood test, ferritin (iron stores)
CPT Code: 82728
 $71 Calc
Blood test, glucose (blood sugar)
CPT Code: 82947
 $22 Calc
Blood test, average blood sugar (A1c)
CPT Code: 83036
 $73 Calc
Blood test, lipase
CPT Code: 83690
 $37 Calc
Blood test, magnesium
CPT Code: 83735
 $37 Calc
Blood test, potassium
CPT Code: 84132
 $25 Calc
Blood test, PSA (prostate screen)
CPT Code: 84153
 $97 Calc
Blood test, sodium
CPT Code: 84295
 $26 Calc
Blood test, thyroid (TSH)
CPT Code: 84443
 $126 Calc
Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
 $22 Calc
Blood test, hemoglobin
CPT Code: 85018
 $13 Calc
Blood test, complete blood count (CBC)
CPT Code: 85025
 $58 Calc
Blood test, clotting time (PT/INR)
CPT Code: 85610
 $28 Calc
Blood test, clotting time (PTT)
CPT Code: 85730
 $32 Calc
Hepatitis C antibody test
CPT Code: 86803
 $75 Calc
Blood antibody screen
CPT Code: 86850
 $265 Calc
Culture, blood
CPT Code: 87040
 $54 Calc
Culture, bacterial
CPT Code: 87070
 $46 Calc
Speech therapy (language evaluation)
CPT Code: 92507
 $261 Calc
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
 $56 Calc
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $622 Calc
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $762 Calc
Breathing treatment (nebulizer)
CPT Code: 94640
 $61 Calc
Physical therapy (therapeutic exercise)
CPT Code: 97110
 $106 Calc
Physical therapy (neuromuscular re-education)
CPT Code: 97112
 $116 Calc
Physical therapy (gait training)
CPT Code: 97116
 $99 Calc
Physical therapy (manual therapy)
CPT Code: 97140
 $98 Calc
Occupational therapy (therapeutic activities)
CPT Code: 97530
 $132 Calc
Occupational therapy (self-care training)
CPT Code: 97535
 $84 Calc
Physical therapy (functional capacity test)
CPT Code: 97750
 $118 Calc
Orthotic fitting and training
CPT Code: 97760
 $159 Calc