How many shoppable procedure prices are published for Jackson County Regional Health Center?

Jackson County Regional Health Center in Maquoketa, IA currently has 114 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Jackson County Regional Health Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Jackson County Regional Health Center's median negotiated commercial rate is 1.9× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Government - Local 25 Beds · rural Updated: 7/29/2025

Jackson County Regional Health Center

700 W Grove St, Maquoketa, IA 52060 · 114 Priced Procedures

CMS Overall Rating No CMS Rating

High Markup · Shop Alternatives

1.87×vs. Fair Market Price

Typical commercial prices here are +87% above the fair benchmark (1.87×) even after accounting for local nurse/doctor wages and patient complexity.

59/100 · Caution

59/100Self-Pay Cash Beats Insurance 25% of the Time

File Completeness66

Price Logic54

Peer Alignment70

Clean Billing90

Real Cash Discount13

High-Markup · Check Safety

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintUpper-Quartile Spread · +33% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Jackson County Regional Health Center prices routine shoppable procedures at 2.6× Medicare (median 1.83× Fair BaseRate) while upper-quartile commercial rates jump +33% to 2.44× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#76 of 87 in IA · 86th State Percentile#3,000 of 3,385 in U.S. · 88th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.96× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 25% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (69/100 safety score) with 72% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.1× markup over Medicare rates
Commercial insurance median sits at 1.83× Fair BaseRate (2.6× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.44×) jump +33% above the median procedure ratio (Q50 1.83×)
Unnegotiated chargemaster list prices average 8.9× Medicare (24¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.6× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.73× Divergence

1.9× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+33% Upper Tail

Q25 0.96× · Q50 1.83× · Q75 2.44×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

2.6× MedicareFair

Outpatient Surgery & ORBack-Door Captive

1.1× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

4.2× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

3.8× MedicareElevated

Inpatient Lab & PathologyBack-Door Captive

4.8× MedicareWatchout

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.2× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

25% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 69/100Fair

Procedure Prices at Jackson County Regional Health Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 114 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Rabies immune globulin HCPCS Code: `90375`	$5,958	$5,958	$322	unverified
Vaginal delivery (full package) CPT Code: `59400`	$6,768	$5,211	$2,680	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,632	$2,632	$168	unverified
C-section delivery (full package) CPT Code: `59510`	$4,347	$2,602	$2,975	0.9×
CT scan, head (with contrast) CPT Code: `70460`	$2,488	$2,488	$242	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$2,513	$2,513	$167	unverified
CT scan, pelvis CPT Code: `72192`	$2,429	$2,429	$163	unverified
CT scan, head (no contrast) CPT Code: `70450`	$2,326	$2,326	$160	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$2,961	$2,221	$338	unverified
MRI, knee or other leg joint CPT Code: `73721`	$2,979	$2,154	$369	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	$3,008	$2,080	$6,109	0.3×
CT scan, sinuses CPT Code: `70486`	$2,007	$2,007	$166	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$2,518	$2,015	$1,021	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,299	$1,724	$448	unverified
Bunion correction surgery CPT Code: `28296`	$2,183	$1,696	$3,446	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$1,687	$1,687	$64	unverified
MRI, brain (no contrast) CPT Code: `70551`	$1,913	$1,435	$343	4.2×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,912	$1,434	$258	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$1,735	$1,301	$169	7.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,595	$1,196	$511	2.3×
Inguinal hernia repair CPT Code: `49505`	$1,551	$1,183	$3,629	0.3×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,079	$1,079	$134	unverified
Breast lump removal CPT Code: `19120`	$1,450	$964	$3,875	0.2×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,525	$794	$981	0.8×
Hepatitis B immune globulin HCPCS Code: `90371`	$499	$499	$151	3.3×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$761	$509	$272	1.9×
Colonoscopy with biopsy CPT Code: `45380`	$995	$520	$1,256	0.4×
Diagnostic procedure preparation HCPCS Code: `G0279`	$692	$524	$35	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$573	$420	$123	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$519	$379	$148	2.6×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$510	$357	$583	0.6×
Upper endoscopy with biopsy CPT Code: `43239`	$2,810	$368	$987	0.4×
Ultrasound, pelvis CPT Code: `76856`	$416	$323	$130	2.5×
X-ray, neck (cervical spine) CPT Code: `72040`	$387	$346	$93	unverified
Psychiatric evaluation (first visit) CPT Code: `90791`	$345	$259	$185	1.4×
X-ray, chest (single view) CPT Code: `71045`	$328	$253	$92	unverified
X-ray, chest (two views) CPT Code: `71046`	$450	$269	$93	unverified
X-ray, hip CPT Code: `73502`	$357	$272	$93	unverified
X-ray, foot CPT Code: `73630`	$349	$261	$92	unverified
X-ray, shoulder CPT Code: `73030`	$364	$223	$92	2.4×
X-ray, hand CPT Code: `73130`	$348	$223	$93	2.4×
X-ray, ankle CPT Code: `73610`	$348	$222	$93	2.4×
Ultrasound, thyroid and neck CPT Code: `76536`	$337	$224	$132	1.7×
Family therapy session CPT Code: `90847`	$276	$214	$173	1.2×
Neurobehavioral status check CPT Code: `96116`	$286	$222	$231	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	$224	$168	$86	2.0×
New patient office visit (30-44 min) CPT Code: `99203`	$241	$170	$110	1.5×
Office visit, established patient (30-39 min) CPT Code: `99214`	$284	$181	$123	1.5×
Psychotherapy session (60 minutes) CPT Code: `90837`	$232	$188	$181	1.0×
X-ray, pelvis CPT Code: `72170`	$364	$212	$110	unverified
Speech therapy (group session) CPT Code: `92508`	$139	$139	$27	5.1×
Office visit, established patient (20-29 min) CPT Code: `99213`	$218	$160	$87	1.8×
Blood transfusion CPT Code: `36430`	$264	$178	$498	0.4×
Care planning with family CPT Code: `90887`	$192	$149	$107	1.4×
Review of medical records for care CPT Code: `90889`	$192	$152	$114	1.3×
Psychotherapy session (45 minutes) CPT Code: `90834`	$181	$146	$166	0.9×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$150	$114	$25	4.6×
X-ray, lower back CPT Code: `72110`	$194	$139	$112	1.2×
Physical therapy (manual therapy) CPT Code: `97140`	$124	$90	$34	2.6×
Occupational therapy (self-care training) CPT Code: `97535`	$131	$99	$38	2.6×
Physical therapy (functional capacity test) CPT Code: `97750`	$119	$93	$38	2.4×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$116	$89	$38	2.3×
Hospital observation (per hour) HCPCS Code: `G0378`	$145	$94	$86	1.1×
Typhoid vaccine HCPCS Code: `90675`	$834	$619	$347	1.8×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$535	$408	$203	unverified
Drug screening test HCPCS Code: `G0480`	$390	$390	$116	unverified
Blood test, calcium CPT Code: `82310`	$234	$234	$5	unverified
Blood test, magnesium CPT Code: `83735`	$232	$232	$7	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$139	$139	$20	7.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$294	$163	$111	1.5×
Pneumococcal vaccine HCPCS Code: `90732`	$233	$172	$140	1.2×
Blood test, glucose (blood sugar) CPT Code: `82947`	$191	$191	$4	unverified
Hepatitis C antibody test CPT Code: `86803`	$165	$165	$15	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$132	$132	$6	22.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$128	$128	$14	9.1×
Blood test, vitamin B12 CPT Code: `82607`	$132	$132	$16	8.3×
Blood test, PSA (prostate screen) CPT Code: `84153`	$129	$129	$19	6.8×
Blood test, vitamin D CPT Code: `82306`	$140	$140	$31	4.5×
Blood test, creatinine (kidney) CPT Code: `82565`	$155	$155	$5	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$128	$128	$3	unverified
Blood test, potassium CPT Code: `84132`	$149	$149	$5	unverified
Culture, bacterial CPT Code: `87070`	$119	$119	$9	13.2×
Culture, blood CPT Code: `87040`	$100	$100	$11	9.1×
Blood test, thyroid (TSH) CPT Code: `84443`	$120	$120	$18	6.7×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$156	$116	$56	2.1×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$135	$135	$4	unverified
Blood test, lipase CPT Code: `83690`	$102	$102	$7	14.6×
Blood test, amylase CPT Code: `82150`	$90	$90	$7	12.9×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$108	$108	$10	10.8×
Blood test, basic metabolic panel CPT Code: `80048`	$81	$81	$9	9.0×
Blood test, liver function panel CPT Code: `80076`	$80	$80	$9	8.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$87	$87	$11	7.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$100	$100	$14	7.1×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$109	$77	$35	2.2×
Blood antibody screen CPT Code: `86850`	$149	$99	$46	2.2×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$100	$75	$39	1.9×
Blood test, complete blood count (CBC) CPT Code: `85025`	$95	$95	$8	unverified
Blood test, hemoglobin CPT Code: `85018`	$51	$51	$3	17.0×
Physical therapy (gait training) CPT Code: `97116`	$97	$67	$33	2.0×
Extended office visit (prolonged) HCPCS Code: `G2212`	$79	$61	$33	1.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$118	$73	$40	1.8×
Hepatitis B vaccine HCPCS Code: `90744`	$89	$65	$37	1.8×
Prosthetic fitting and training CPT Code: `97761`	$121	$78	$45	1.7×
Orthotic fitting and training CPT Code: `97760`	$95	$67	$51	1.3×
Ultrasound, abdomen (limited) CPT Code: `76705`	$99	$77	$126	0.6×
Electrical stimulation therapy HCPCS Code: `G0283`	$78	$37	$14	2.6×
Flu vaccine injection HCPCS Code: `G0008`	$52	$40	$48	0.8×
Pneumonia vaccine injection HCPCS Code: `G0009`	$52	$40	$49	0.8×
Colorectal cancer screening HCPCS Code: `G0010`	$52	$40	$49	0.8×
Psychological testing evaluation CPT Code: `96136`	$85	$65	$128	0.5×
Breathing treatment (nebulizer) CPT Code: `94640`	$78	$61	$201	0.3×
Blood test, sodium CPT Code: `84295`	$81	$81	$5	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$34	$34	$5	6.8×
Group therapy session CPT Code: `90853`	$58	$47	$100	0.5×

Showing top 25 high-impact procedures of 114 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Jackson County Regional Health Center (Zero PHI Required)

CMS CCN: 161329

CPT 90375

Select Procedure to Audit:

Fair BaseRate™ $322

Medicare Rate $275

Self-Pay Cash $5,958

Insurer Median $5,958

1. Amount on Your Bill or Quote ($) Pre-filled with Jackson County Regional Health Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

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.

Step 2 · Cash vs. Insurance Arbitrage Published Cash: $5,958

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Jackson County Regional Health Center's published 45 CFR § 180 self-pay cash rate is $5,958 (vs. $5,958 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$5,636 Above Fair BaseRate

Negotiate Toward $322 Fair BaseRate ($275 Medicare)

Your bill ($5,958) is $5,636 above the denoised Fair BaseRate ($322) and 21.7× the $275 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Jackson County Regional Health Center 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.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

Safety Composite69/100

Median ER Wait80 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Jackson County Regional Health Center.

Price Index: 1.01× regional baseline

Quality: 57/100 CMS composite

Median Household Income$71,605U.S. Census ACS

Local Uninsured Share5.4%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 59/100 · Caution CMS CCN 161329

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 161329) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage7/29/2025

Validated Rate Rows3,493 (CMS v2.0.0)

File Integrity DigestVerified · CCN 161329

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.

Submit MRF Update Correction Policy