Visits & medical services prices at Jacobson Memorial Hospital Care Center
Elgin, ND · every code in this section with a posted price and a Medicare benchmark.
72 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) | $60.75 | $81 | 0.3× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $45.75 | $61 | 3.2× |
| Basic vestibular evaluation (92540) | $103.50 | $138 | 0.5× |
| Canalith repositioning proc (95992) | $171.75 | $229 | 4.2× |
| Cardiopulmonary resuscitation (92950) | $1,089.75 | $1,453 | 4.9× |
| Cardioversion (92960) | $528 | $704 | 0.8× |
| Chemo Hormon Antineopl Sq/Im (96402) | $114 | $152 | 1.5× |
| Color/duplex Doppler, complete (93975) | $892.50 | $1,190 | 3.7× |
| Critical care first hour (99291) | $1,895.87 | $2,527.83 | 2.2× |
| Debridement Open Wound 20 Sq Cm< (97597) | $321.75 | $429 | 1.6× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $762 | $1,016 | 3.1× |
| Dup-scan xtr veins unilateral/limited study (93971) | $525.75 | $701 | 4.9× |
| Echo Heart Xthoracic,Limited (93308) | $306 | $408 | 1.3× |
| Electrical Stimulation Ea 15 Min (97032) | $62.25 | $83 | 4.2× |
| Electrocardiogram Tracing (93005) | $55.69 | $74.25 | 0.9× |
| Emergency Dept Visit Level 2 (99282) | $356.31 | $475.08 | 2.3× |
| Emergency Dept Visit Level 3 (99283) | $623 | $830.67 | 2.2× |
| Emergency Dept Visit Level 4 (99284) | $958.10 | $1,277.46 | 2.2× |
| Er level 1 (99281) | $198.11 | $264.15 | 2.3× |
| Er level v (99285) | $1,379.48 | $1,839.30 | 2.3× |
| Evaluate Swallowing Function (92610) | $291.75 | $389 | 3.4× |
| Evaluation of speech fluency (92521) | $439.50 | $586 | 3.3× |
| External ECG rec>48hr<7d recording (93242) | $31.50 | $42 | 0.8× |
| External ECG rec>7d<15d recording (93246) | $31.50 | $42 | 0.8× |
| Extracranial Bilat Study (93880) | $714 | $952 | 2.9× |
| Holter monitor recording (93225) | $85.50 | $114 | 0.6× |
| Immunization administration (90471) range across 3 matching MRF lines |
$51–$53.25 | $68–$71 | varies |
| Iontophoresis 15 min (97033) | $71.25 | $95 | 3.7× |
| Irrig Drug Delivery Device (96523) | $105 | $140 | 1.7× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$72.75–$2,339.62 | $97–$3,119.50 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$267.53–$372.75 | $356.70–$497 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$114–$311.10 | $152–$414.80 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$72.75–$4,775.59 | $97–$6,367.45 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$372.75–$891.75 | $497–$1,189 | varies |
| Motion Fluoroscopy/Swallow (92611) | $301.50 | $402 | 3.3× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $1,101 | $1,468 | 2.7× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $1,071 | $1,428 | 2.6× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $145.50 | $194 | 0.7× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $161.25 | $215 | 0.4× |
| Neuromuscular Reeducation (97112) | $115.50 | $154 | 3.5× |
| Oral Function Therapy (92526) | $285 | $380 | 3.4× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $159 | $212 | 3.4× |
| Ot eval high complexity (97167) | $344.25 | $459 | 3.4× |
| Ot Eval Low Complex (97165) | $295.50 | $394 | 2.9× |
| Ot Eval Moderate Complexity (97166) | $315.75 | $421 | 3.1× |
| Ot manual therapy 15 min (97140) | $97.50 | $130 | 3.5× |
| Ot paraffin bath (97018) | $36 | $48 | 6.0× |
| Ot Re-Eval Est Plan Care (97168) | $203.25 | $271 | 3.0× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $84.75 | $113 | 0.6× |
| Phlebotomy therapeutic (99195) | $348.75 | $465 | 2.6× |
| Physical Performance Test (97750) | $118.50 | $158 | 3.5× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $30.75 | $41 | 0.6× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $37.50 | $50 | 0.8× |
| Pt Eval High Complex (97163) | $309.75 | $413 | 3.2× |
| Pt eval low complex 20 min (97161) | $276 | $368 | 2.8× |
| Pt Eval Mod Complex (97162) | $293.25 | $391 | 3.0× |
| Pt gait training 15 min (97116) | $99 | $132 | 3.4× |
| Pt mechanical traction (97012) | $53.25 | $71 | 3.7× |
| Pt Re-Eval Est Plan Care (97164) | $190.50 | $254 | 2.8× |
| Remote 30 Day Ecg Rev/Report (93270) | $30.75 | $41 | 0.8× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$307.50–$312.75 | $410–$417 | varies |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$54.75–$114 | $73–$152 | varies |
| Sensory Integration Ea 15 Min (97533) | $141.75 | $189 | 2.3× |
| Speech sound lang comprehen (92523) | $756 | $1,008 | 3.3× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $75.75 | $101 | 3.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$114–$4,452.62 | $152–$5,936.82 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$372.75–$1,738.91 | $497–$2,318.55 | varies |
| Therapeutic Activities (97530) | $132 | $176 | 3.8× |
| Tte w/doppler, complete (93306) | $621.86 | $829.15 | 1.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $261 | $348 | 3.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$72.75–$674.36 | $97–$899.15 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) | $110.25 | $147 | 3.5× |
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.