J Paul Jones Hospital
317 McWilliams Avenue, Camden, AL 36726 · 111 Priced Procedures
Typical commercial prices here are 12% below the fair benchmark (0.88×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Uniform Value Leader · Low-Cost Across Departments
J Paul Jones Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (0.9× Medicare, p50 0.86× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 0.97× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 12% below peer Fair BaseRate (0.88×)
- Self-pay cash beats commercial insurance on 5% of shoppable procedures (25/100 Cash Honesty)
- CMS clinical safety score (54/100 safety score) with 72% patient recommendation
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.1× markup over Medicare rates
- Captive ER (1.3×) & laboratory (1.2×) services average 1.11× higher multiples than routine shoppable care (0.9×)
- Specialty infusion drugs (J-codes) average 1.1× Medicare — verify per-unit billing on itemized statements
- Unnegotiated chargemaster list prices average 4.4× Medicare (24¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at J Paul Jones Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 111 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Total hip replacement CPT Code: 27130 | $11,065 | 0.8× |
| Total knee replacement CPT Code: 27447 | $11,065 | 0.8× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $5,210 | 0.9× |
| Breast lump removal CPT Code: 19120 | $3,375 | 0.9× |
| Inguinal hernia repair CPT Code: 49505 | $3,086 | 0.9× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $2,820 | 0.8× |
| Bunion correction surgery CPT Code: 28296 | $2,820 | 0.8× |
| Cataract surgery with lens implant CPT Code: 66984 | $1,989 | 0.8× |
| Trauma team activation HCPCS Code: G0390 | $1,149 | 0.8× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,031 | 0.8× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $801 | 0.8× |
| Upper endoscopy with biopsy CPT Code: 43239 | $782 | 0.8× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $740 | 0.7× |
| Injection procedure for pain management HCPCS Code: G0260 | $608 | 0.7× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $471 | 0.8× |
| Psychological testing by technician CPT Code: 96138 | $385 | 1.0× |
| Blood transfusion CPT Code: 36430 | $380 | 0.8× |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $299 | 2.4× |
| Rabies immune globulin HCPCS Code: 90375 | $280 | 0.9× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $301 | 0.7× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $301 | 0.6× |
| Hospital observation (per hour) HCPCS Code: G0378 | $238 | 2.8× |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $225 | 2.6× |
| Neurobehavioral status check CPT Code: 96116 | $186 | 0.8× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $206 | 0.8× |
Audit a Bill or Quote at J Paul Jones Hospital (Zero PHI Required)
Above Standard 400% FPL Financial-Assistance Ceiling
At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask J Paul Jones Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)
Your bill ($26,556) is $13,143 above the denoised Fair BaseRate ($13,413) and 2.0× the $13,117 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify J Paul Jones Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for J Paul Jones Hospital.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.