Jacobson Memorial Hospital Care Center
Elgin, ND · Critical Access Hospital
Posts prices for 27 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-08.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| CT head/brain without contrast (70450) | $794.36 | $1,059.15 | 7.4× |
| MRI brain without contrast (70551) | $1,119 | $1,492 | 4.6× |
| MRI brain without and with contrast (70553) | $2,881.61 | $3,842.15 | 8.1× |
| X-ray lower spine, 4+ views (72110) | $154.50 | $206 | 1.4× |
| MRI lumbar spine without contrast (72148) | $1,825.91 | $2,434.55 | 7.5× |
| CT pelvis with contrast (72193) | $1,484.25 | $1,979 | 8.3× |
| MRI lower-extremity joint without contrast (73721) | $1,892.32 | $2,523.10 | 7.8× |
| CT abdomen and pelvis with contrast (74177) | $2,164.01 | $2,885.35 | 6.1× |
| Ultrasound, abdomen complete (76700) | $369.75 | $493 | 3.5× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $378.75 | $505 | 3.5× |
| Ultrasound, transvaginal (76830) | $369 | $492 | 3.5× |
| Mammography, one breast (diagnostic) (77065) | $374.25 | $499 | 4.3× |
| Mammography, both breasts (diagnostic) (77066) | $478.50 | $638 | 4.3× |
| Mammography, screening (bilateral) (77067) | $395.25 | $527 | 4.3× |
| Basic metabolic panel (80048) | $63.45 | $84.60 | 7.5× |
| Comprehensive metabolic panel (80053) | $79.20 | $105.60 | 7.5× |
| Lipid panel (80061) | $100.43 | $133.90 | 7.5× |
| Renal function panel (80069) | $46.50 | $62 | 5.4× |
| Hepatic function panel (80076) | $43.50 | $58 | 5.3× |
| Urinalysis, non-automated, without microscopy (81002) | $17.25 | $23 | 5.0× |
| PSA, total (84153) | $96.75 | $129 | 5.3× |
| Thyroid stimulating hormone (TSH) (84443) | $126 | $168 | 7.5× |
| CBC with automated differential (85025) | $58.27 | $77.70 | 7.5× |
| CBC, automated (85027) | $33.75 | $45 | 5.2× |
| Prothrombin time (PT) (85610) range across 3 matching MRF lines |
$24.75–$32.17 | $33–$42.90 | varies |
| Partial thromboplastin time (PTT) (85730) | $31.50 | $42 | 5.2× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $106.50 | $142 | 3.7× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
More prices at this hospital
- Imaging: 159 codes with posted prices and Medicare benchmarks
- Lab & pathology: 356 codes with posted prices and Medicare benchmarks
- Visits & medical services: 72 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 140 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 4 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (JSON, 8.7 MB) ↓ — captured 2026-09-08
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.