Elgin, ND
27
In-network payers
282
Disclosed rate categories
25
Beds
Jacobson Memorial Hospital is a 25-bed voluntary non-profit - private hospital in Elgin, ND. Below you'll find publicly disclosed negotiated rates and facility details, including 27 in-network payers and 282 disclosed rate categories.
CCN (Medicare provider number)
351314
NPI
1336196039
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
25
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Jacobson Memorial Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$1,731 - $2,885
from 4 insurers · median $2,398
Typical for a hospital with this service line
CT imaging
CPT 70450
$795 - $953
from 4 insurers · median $864
Typical for a hospital with this service line
CT imaging
CPT 71275
$1,520 - $2,533
from 4 insurers · median $2,105
Typical for a hospital with this service line
Mammography
CPT 77067
$316 - $527
from 4 insurers · median $438
Typical for a hospital with this service line
MRI imaging
CPT 70553
$2,305 - $3,842
from 4 insurers · median $3,193
Typical for a hospital with this service line
CT imaging
CPT 74176
$797 - $1,328
from 4 insurers · median $1,104
Typical for a hospital with this service line
MRI imaging
CPT 72148
$1,461 - $2,435
from 4 insurers · median $2,023
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$445 - $746
from 4 insurers · median $565
Typical for a hospital with this service line
MRI imaging
CPT 73721
$1,265 - $2,271
from 4 insurers · median $1,639
Typical for a hospital with this service line
MRI imaging
CPT 72197
$2,151 - $3,585
from 4 insurers · median $2,979
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$87 - $145
from 4 insurers · median $120
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$421 - $701
from 4 insurers · median $583
Typical for a hospital with this service line
Ultrasound
CPT 76705
$227 - $379
from 4 insurers · median $315
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$52 - $95
from 4 insurers · median $83
Typical for a hospital with this service line
Ultrasound
CPT 76830
$295 - $492
from 4 insurers · median $409
Typical for a hospital with this service line
Mammography
CPT 77065
$299 - $499
from 4 insurers · median $415
Typical for a hospital with this service line
Mammography
CPT 77066
$383 - $638
from 4 insurers · median $530
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$610 - $1,016
from 4 insurers · median $844
Typical for a hospital with this service line
Ultrasound
CPT 76536
$290 - $483
from 4 insurers · median $401
Typical for a hospital with this service line
Ultrasound
CPT 76642
$178 - $297
from 4 insurers · median $247
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93880
$571 - $952
from 4 insurers · median $791
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$156 - $260
from 4 insurers · median $216
Typical for a hospital with this service line
Laboratory and pathology
CPT 85025
$39 - $70
from 4 insurers · median $53
Typical for a hospital with this service line
X-ray and bone density
CPT 73630
$85 - $142
from 4 insurers · median $118
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 521% | 21 | 3 |
| Insurer B* | 24 | 512% | 0 | 0 |
| Insurer C* | 24 | 434% | 12 | 7 |
| Insurer D* | 24 | 342% | 1 | 18 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Jacobson Memorial Hospital.
601 East Street North, Elgin, ND 58533
(701) 584-2792
The nearest hospitals of similar type and size. Their rates are compared with Jacobson Memorial Hospital for the same insurers and services above.
West River Regional Medical Center
â–¼ Rates typically 18% lower than Jacobson Memorial Hospital (21 services)
Chi St. Alexius Health Dickinson Medical Center
â–² Rates typically 21% higher than Jacobson Memorial Hospital (24 services)
Sakakawea Medical Center
â–¼ Rates typically 49% lower than Jacobson Memorial Hospital (24 services)
Southwest Healthcare Services
â–¼ Rates typically 30% lower than Jacobson Memorial Hospital (22 services)
Linton Regional Medical Center
â–¼ Rates typically 30% lower than Jacobson Memorial Hospital (24 services)
Chi St. Alexius Health Garrison Hospital
Rates about the same as Jacobson Memorial Hospital (24 services)
Sanford Mayville
Chi Mercy Health Valley City
Chi St. Alexius Health Williston
About Jacobson Memorial Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Jacobson Memorial Hospital range from $2,305 to $3,842 across 4 insurers. Blue Cross Blue Shield's rate is $3,842. The median at nearby comparable hospitals is $2,184. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Jacobson Memorial Hospital range from $1,731 to $2,885 across 4 insurers. Aetna's rate is $1,731. The median at nearby comparable hospitals is $1,940. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Jacobson Memorial Hospital range from $316 to $527 across 4 insurers. Aetna's rate is $316. The median at nearby comparable hospitals is $361. What a patient pays depends on their plan's deductible, coinsurance and network status.
Jacobson Memorial Hospital has 25 beds. Facility type: Critical Access Hospital.
Jacobson Memorial Hospital is located at 601 East Street North, Elgin, ND 58533. Its main phone number is (701) 584-2792.
Jacobson Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 351314.
The National Provider Identifier (NPI) on file for Jacobson Memorial Hospital is 1336196039.
Jacobson Memorial Hospital lists 27 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
282 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers