Jacobson Memorial Hospital Care Center prices. From its own published file.

Jacobson Memorial Hospital Care Center in Elgin, ND publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

801prices published

Mar 2026file last updated

$2,164cash price for ct abdomen and pelvis with contrast (list $2,885)

Common services

Service	Cash price	List price	Insurers pay
Emergency visit, moderate (level 3) `99283`	$623	$831	$498–$1,163
Emergency visit, high (level 4) `99284`	$958	$1,277	$766–$1,788
Emergency visit, highest (level 5) `99285`	$1,379	$1,839	$1,104–$2,575
Comprehensive metabolic panel `80053`	$79.20	$106	$63.36–$148
Basic metabolic panel `80048`	$63.45	$84.60	$50.76–$118
Complete blood count (CBC) `85025`	$58.27	$77.70	$46.62–$109
Blood draw (venipuncture) `36415`	$17.25	$26.50	$13.80–$42.00
Urinalysis `81001`	$16.50	$22.00	$13.20–$30.80
Troponin (heart test) `84484`	$93.53	$125	$74.82–$175
EKG tracing `93005`	$55.69	$74.25	$44.55–$104
Chest X-ray, 2 views `71046`	$109	$145	$86.94–$203
CT head without contrast `70450`	$794	$1,059	$635–$1,483
CT abdomen and pelvis with contrast `74177`	$2,164	$2,885	$1,731–$4,039
MRI lower back without contrast `72148`	$1,826	$2,435	$1,461–$3,408
Ultrasound, abdomen `76700`	$370	$493	$296–$690
IV push, single drug `96374`	$373	$843	$298–$1,665
IV fluids, first hour `96360`	$268	$427	$214–$696

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: Jacobson Memorial Hospital Care Center price transparency page.

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Common billing problems to look for

Billed above the posted cash priceIf you're paying yourself, ask the hospital to apply its published cash price.
Panels billed inside panelsA basic metabolic panel (80048) billed with a comprehensive one (80053) on the same day.
Duplicate linesThe same service billed twice without explanation.
No itemized billYou can ask for every line with its code, date and amount.