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

Jefferson County Health Center in Fairfield, IA currently has 111 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Jefferson County Health Center's median negotiated commercial rate is 1.6× the regionally adjusted fair BaseRate benchmark.

What is Jefferson County Health Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Jefferson County Health Center an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Government - Local 25 Beds · rural Updated: 2026-08-20

Jefferson County Health Center

2000 S Main, Fairfield, IA 52556 · 111 Priced Procedures · 72% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

High Markup · Shop Alternatives

1.61×vs. Fair Market Price

Typical commercial prices here are +61% above the fair benchmark (1.61×) even after accounting for local nurse/doctor wages and patient complexity.

72/100 · Corroborated

72/100Self-Pay Cash Beats Insurance 41% of the Time

File Completeness85

Price Logic45

Peer Alignment63

Clean Billing76

Real Cash Discount100

High-Markup · Check Safety

4-Star CMS clinical quality rating paired with 1.61× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +109% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Jefferson County Health Center prices routine shoppable procedures at 2.2× Medicare (median 1.23× Fair BaseRate) while upper-quartile commercial rates jump +109% to 2.57× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#66 of 87 in IA · 74th State Percentile#2,775 of 3,385 in U.S. · 81st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 41% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 72% patient recommendation (73/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.61× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 1.23× Fair BaseRate (2.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.57×) jump +109% above the median procedure ratio (Q50 1.23×)
Unnegotiated chargemaster list prices average 6.0× Medicare (23¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.2× Medicare

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

Back-Door Captive & ER0.73× Divergence

1.6× Medicare

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

Quantile Tail Spread+109% Upper Tail

Q25 0.78× · Q50 1.23× · Q75 2.57×

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

2.2× MedicareFair

Outpatient Surgery & ORBack-Door Captive

0.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.6× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.3× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.6× MedicareFair

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

1.2× MedicareGood

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

41% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 73/100Fair

Procedure Prices at Jefferson County Health Center

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.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$67,677	$34,588	$19,432	1.8×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$12,526	$12,526	$19,087	unverified
Total knee replacement CPT Code: `27447`	$3,109	$3,109	$13,523	0.2×
Total hip replacement CPT Code: `27130`	$2,215	$2,215	$13,413	0.2×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$1,967	$1,967	$8,223	0.2×
Trauma team activation HCPCS Code: `G0390`	$1,080	$1,800	$1,453	1.2×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,744	$1,744	$448	3.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,462	$1,462	$1,021	1.4×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,831	$1,225	$511	2.4×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,174	$1,174	$6,109	0.2×
Bunion correction surgery CPT Code: `28296`	$1,020	$1,020	$3,446	0.3×
CT scan, head (no contrast) CPT Code: `70450`	$1,031	$993	$160	6.2×
CT scan, head (with contrast) CPT Code: `70460`	$1,235	$993	$242	4.1×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,292	$993	$258	3.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,928	$993	$303	3.3×
MRI, lower back (no contrast) CPT Code: `72148`	$1,310	$888	$338	2.6×
MRI, brain (no contrast) CPT Code: `70551`	$1,718	$888	$343	2.6×
MRI, knee or other leg joint CPT Code: `73721`	$1,616	$888	$369	2.4×
Breast lump removal CPT Code: `19120`	$781	$781	$3,875	0.2×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$609	$609	$583	1.0×
CT scan, pelvis CPT Code: `72192`	$731	$457	$163	2.8×
CT scan, sinuses CPT Code: `70486`	$1,034	$457	$166	2.8×
CT scan, chest (no contrast) CPT Code: `71250`	$1,069	$457	$167	2.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,154	$457	$168	2.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,147	$457	$169	2.7×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,166	$467	$3,372	0.1×
Cataract surgery with lens implant CPT Code: `66984`	$712	$434	$2,540	0.2×
Inguinal hernia repair CPT Code: `49505`	$881	$451	$3,629	0.1×
Ultrasound, pelvis CPT Code: `76856`	$397	$334	$130	2.6×
Ultrasound, abdomen (complete) CPT Code: `76700`	$470	$334	$134	2.5×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$671	$334	$272	1.2×
Rabies immune globulin HCPCS Code: `90375`	$403	$330	$322	1.0×
Screening mammogram (both breasts) CPT Code: `77067`	$182	$223	$123	1.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$396	$211	$126	1.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$332	$211	$132	1.6×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$276	$226	$148	1.5×
Speech therapy (language evaluation) CPT Code: `92507`	$161	$142	$86	1.7×
Office visit, established patient (30-39 min) CPT Code: `99214`	$131	$155	$123	1.3×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,114	$153	$981	0.2×
Colonoscopy with biopsy CPT Code: `45380`	$1,214	$165	$1,256	0.1×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$67	$111	$35	3.2×
Physical therapy (gait training) CPT Code: `97116`	$62	$99	$33	3.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$65	$109	$40	2.7×
New patient office visit (30-44 min) CPT Code: `99203`	$124	$131	$110	1.2×
Occupational therapy (self-care training) CPT Code: `97535`	$62	$99	$38	2.6×
Office visit, established patient (20-29 min) CPT Code: `99213`	$91	$105	$87	1.2×
X-ray, shoulder CPT Code: `73030`	$101	$101	$92	1.1×
X-ray, ankle CPT Code: `73610`	$100	$100	$93	1.1×
X-ray, foot CPT Code: `73630`	$98	$98	$92	1.1×
X-ray, hand CPT Code: `73130`	$99	$99	$93	1.1×
X-ray, pelvis CPT Code: `72170`	$92	$92	$110	0.8×
Upper endoscopy with biopsy CPT Code: `43239`	$680	$115	$987	0.1×
Breathing treatment (nebulizer) CPT Code: `94640`	$83	$83	$201	0.4×
Blood transfusion CPT Code: `36430`	$526	$83	$498	0.2×
Typhoid vaccine HCPCS Code: `90675`	$292	$378	$347	1.1×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$180	$192	$203	0.9×
Drug screening test HCPCS Code: `G0480`	$77	$123	$116	1.1×
Blood test, potassium CPT Code: `84132`	$63	$63	$5	12.6×
Blood test, amylase CPT Code: `82150`	$62	$62	$7	8.9×
Blood test, basic metabolic panel CPT Code: `80048`	$72	$72	$9	8.0×
Blood test, liver function panel CPT Code: `80076`	$72	$72	$9	8.0×
Blood test, lipase CPT Code: `83690`	$55	$55	$7	7.9×
Culture, blood CPT Code: `87040`	$74	$74	$11	6.7×
Culture, bacterial CPT Code: `87070`	$57	$57	$9	6.3×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$65	$65	$11	5.9×
Hepatitis C antibody test CPT Code: `86803`	$66	$66	$15	4.4×
Speech therapy (group session) CPT Code: `92508`	$75	$75	$27	2.8×
Blood test, vitamin D CPT Code: `82306`	$83	$83	$31	2.7×
Physical therapy (manual therapy) CPT Code: `97140`	$63	$63	$34	1.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$62	$62	$38	1.6×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$95	$87	$111	0.8×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$35	$35	$3	11.7×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$31	$31	$4	7.8×
Blood test, sodium CPT Code: `84295`	$35	$35	$5	7.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$56	$56	$8	7.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$42	$42	$6	7.0×
Blood test, calcium CPT Code: `82310`	$34	$34	$5	6.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$34	$34	$5	6.8×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$56	$56	$14	4.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$48	$48	$14	3.4×
Flu vaccine injection HCPCS Code: `G0008`	$41	$52	$48	1.1×
Pneumonia vaccine injection HCPCS Code: `G0009`	$41	$52	$49	1.1×
Colorectal cancer screening HCPCS Code: `G0010`	$41	$52	$49	1.1×
X-ray, neck (cervical spine) CPT Code: `72040`	$167	$65	$93	0.7×
X-ray, hip CPT Code: `73502`	$153	$65	$93	0.7×
X-ray, lower back CPT Code: `72110`	$249	$65	$112	0.6×
Pneumococcal vaccine HCPCS Code: `90732`	$67	$67	$140	0.5×
Blood test, magnesium CPT Code: `83735`	$36	$36	$7	5.1×
Blood test, vitamin B12 CPT Code: `82607`	$30	$30	$16	1.9×
Hepatitis B vaccine HCPCS Code: `90744`	$43	$48	$37	1.3×
Physical therapy (functional capacity test) CPT Code: `97750`	$41	$41	$38	1.1×
Orthotic fitting and training CPT Code: `97760`	$53	$53	$51	1.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$51	$57	$56	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$20	$20	$4	5.0×
Extended office visit (prolonged) HCPCS Code: `G2212`	$40	$26	$33	0.8×
Hospital observation (per hour) HCPCS Code: `G0378`	$45	$45	$86	0.5×
Blood test, hemoglobin CPT Code: `85018`	$15	$15	$3	5.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$19	$19	$5	3.8×
Electrical stimulation therapy HCPCS Code: `G0283`	$34	$34	$14	2.4×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$21	$21	$10	2.1×
Blood test, PSA (prostate screen) CPT Code: `84153`	$24	$38	$19	2.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$24	$35	$18	1.9×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$84	$23	$20	1.1×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$55	$39	$39	1.0×
Blood antibody screen CPT Code: `86850`	$88	$43	$46	0.9×
Prosthetic fitting and training CPT Code: `97761`	$42	$42	$45	0.9×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$59	$14	$25	0.6×
X-ray, chest (two views) CPT Code: `71046`	$86	$23	$93	0.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$66	$15	$64	0.2×
X-ray, chest (single view) CPT Code: `71045`	$80	$18	$92	0.2×
Flu vaccine (high dose) HCPCS Code: `90656`	$30	$30	$25	unverified

Showing top 25 high-impact procedures of 111 total

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

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

CMS CCN: 161364

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash $67,677

Insurer Median $34,588

1. Amount on Your Bill or Quote ($) Pre-filled with Jefferson County 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 Save $45,118 Paying Cash

Self-Pay Cash Rate ($67,677) Beats Your Bill

Jefferson County Health Center's published 45 CFR § 180 self-pay cash rate is $67,677 (vs. $34,588 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$93,363 Above Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your bill ($112,795) is $93,363 above the denoised Fair BaseRate ($19,432) and 8.0× the $14,044 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 Jefferson County 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

CMS Overall4/5 Stars (4/5)

Safety Composite73/100

Would Recommend72%

Rated 9 or 10 (HCAHPS)79%

Median ER Wait117 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Jefferson County Health Center. Prior administrative notices do not necessarily reflect current compliance status.

2024-06-26·administrative_or_closure
Closure Notice
Recorded
2024-03-22·warning_notice
Warning Notice
Recorded
2023-12-12·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (123 completed HCAHPS patient surveys). 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 Value & Quality Leader

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

Price Index: 0.81× regional baseline

Quality: 69/100 CMS composite

Median Household Income$56,824U.S. Census ACS

Local Uninsured Share7.2%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 72/100 · Corroborated CMS CCN 161364

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 161364) ↗ CMS HCRIS Cost Reports ↗

Published MRF Fileurl

Publication / Vintage2026-08-20 · 86.39 MB

Validated Rate Rows1,952 (CMS v3.0.0)

File Integrity Digest01e96752d6cb3a81672e…

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