How many shoppable procedure prices are published for Jersey Community Hospital?

Jersey Community Hospital in Jerseyville, IL currently has 108 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Jersey Community Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Jersey Community Hospital's median negotiated commercial rate is 2.0× the regionally adjusted fair BaseRate benchmark.

What is Jersey Community Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Jersey Community Hospital an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Government - Local 46 Beds · urban Updated: 2026-03-10

Jersey Community Hospital

400 Maple Summit Road, Jerseyville, IL 62052 · 108 Priced Procedures · 82% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

High Markup · Shop Alternatives

2.02×vs. Fair Market Price

Typical commercial prices here are +102% above the fair benchmark (2.02×) even after accounting for local nurse/doctor wages and patient complexity.

53/100 · Caution

53/100Self-Pay Cash Beats Insurance 29% of the Time

File Completeness51

Price Logic59

Peer Alignment60

Clean Billing80

Real Cash Discount11

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 2.02× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Jersey Community Hospital prices shoppable and inpatient services (3.0× to 4.6× Medicare, divergence 1.53×) in alignment with regional hospital peers (2.02× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#119 of 126 in IL · 93rd State Percentile#3,084 of 3,385 in U.S. · 91st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.44× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 29% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (69/100 safety score) with 82% 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 1.9× markup over Medicare rates
Captive ER (4.4×) & laboratory (6.5×) services average 1.53× higher multiples than routine shoppable care (3.0×)
Specialty infusion drugs (J-codes) average 1.1× Medicare — verify per-unit billing on itemized statements
Unnegotiated chargemaster list prices average 7.2× Medicare (26¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

3.0× Medicare

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

Back-Door Captive & ER1.53× Divergence

4.6× Medicare

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

Quantile Tail Spread+11% Upper Tail

Q25 1.44× · Q50 2.41× · Q75 2.68×

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

3.0× MedicareFair

Outpatient Surgery & ORBack-Door Captive

1.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.6× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

4.4× MedicareWatchout

Inpatient Lab & PathologyBack-Door Captive

6.5× MedicareWatchout

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

1.1× MedicareGood

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

29% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 69/100Fair

Procedure Prices at Jersey Community Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 108 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
C-section delivery (full package) CPT Code: `59510`	$8,566	$8,566	$2,975	2.9×
Vaginal delivery (full package) CPT Code: `59400`	$7,627	$7,627	$2,680	2.8×
Total hip replacement CPT Code: `27130`	$4,732	$4,732	$13,413	0.4×
Total knee replacement CPT Code: `27447`	$3,954	$3,954	$13,523	0.3×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$2,599	$2,599	$6,109	0.4×
Injection procedure for pain management HCPCS Code: `G0260`	$2,355	$2,355	$855	2.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,230	$2,230	$583	3.8×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,730	$1,730	$3,372	0.5×
Inguinal hernia repair CPT Code: `49505`	$1,651	$1,651	$3,629	0.5×
Blood transfusion CPT Code: `36430`	$1,565	$1,565	$498	3.1×
Breast lump removal CPT Code: `19120`	$1,576	$1,576	$3,875	0.4×
Colonoscopy with biopsy CPT Code: `45380`	$1,210	$1,210	$1,256	1.0×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,272	$1,182	$1,021	1.2×
MRI, lower back (no contrast) CPT Code: `72148`	$1,020	$816	$338	2.4×
MRI, brain (no contrast) CPT Code: `70551`	$1,019	$816	$343	2.4×
MRI, knee or other leg joint CPT Code: `73721`	$1,194	$816	$369	2.2×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,265	$816	$511	1.6×
Colonoscopy (diagnostic) CPT Code: `45378`	$705	$705	$981	0.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$577	$577	$201	2.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$611	$591	$272	2.2×
Upper endoscopy with biopsy CPT Code: `43239`	$553	$553	$987	0.6×
Psychiatric evaluation (first visit) CPT Code: `90791`	$473	$473	$185	2.6×
CT scan, head (no contrast) CPT Code: `70450`	$899	$437	$160	2.7×
CT scan, pelvis CPT Code: `72192`	$832	$437	$163	2.7×
CT scan, sinuses CPT Code: `70486`	$982	$437	$166	2.6×
CT scan, chest (no contrast) CPT Code: `71250`	$916	$437	$167	2.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$952	$437	$168	2.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$952	$437	$169	2.6×
CT scan, head (with contrast) CPT Code: `70460`	$1,307	$437	$242	1.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,454	$437	$258	1.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,041	$437	$303	1.4×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$5,712	$437	$448	1.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$696	$354	$126	2.8×
Ultrasound, pelvis CPT Code: `76856`	$1,252	$354	$130	2.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$1,252	$354	$132	2.7×
Ultrasound, abdomen (complete) CPT Code: `76700`	$711	$354	$134	2.6×
Family therapy session CPT Code: `90847`	$333	$333	$173	1.9×
X-ray, lower back CPT Code: `72110`	$366	$265	$112	2.4×
Psychotherapy session (60 minutes) CPT Code: `90837`	$275	$275	$181	1.5×
X-ray, neck (cervical spine) CPT Code: `72040`	$263	$265	$93	unverified
X-ray, chest (single view) CPT Code: `71045`	$237	$237	$92	unverified
X-ray, chest (two views) CPT Code: `71046`	$244	$244	$93	unverified
X-ray, pelvis CPT Code: `72170`	$327	$265	$110	unverified
X-ray, shoulder CPT Code: `73030`	$260	$260	$92	unverified
X-ray, hand CPT Code: `73130`	$259	$259	$93	unverified
X-ray, hip CPT Code: `73502`	$241	$241	$93	unverified
X-ray, ankle CPT Code: `73610`	$259	$259	$93	unverified
X-ray, foot CPT Code: `73630`	$259	$259	$92	unverified
New patient office visit (30-44 min) CPT Code: `99203`	$188	$188	$110	1.7×
Psychotherapy session (45 minutes) CPT Code: `90834`	$179	$179	$166	1.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$185	$134	$38	3.5×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$193	$134	$40	3.4×
Orthotic fitting and training CPT Code: `97760`	$170	$134	$51	2.6×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$136	$136	$64	2.1×
Office visit, established patient (30-39 min) CPT Code: `99214`	$145	$145	$123	1.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$167	$134	$35	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$154	$134	$34	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$182	$134	$38	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$302	$108	$86	1.3×
Office visit, established patient (20-29 min) CPT Code: `99213`	$99	$99	$87	1.1×
Group therapy session CPT Code: `90853`	$89	$89	$100	0.9×
Screening mammogram (both breasts) CPT Code: `77067`	$262	$108	$123	0.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$327	$108	$148	0.7×
Physical therapy (gait training) CPT Code: `97116`	$106	$106	$33	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$105	$105	$14	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$111	$111	$86	unverified
Typhoid vaccine HCPCS Code: `90675`	$974	$974	$347	2.8×
Blood antibody screen CPT Code: `86850`	$601	$601	$46	13.1×
Blood test, vitamin D CPT Code: `82306`	$360	$360	$31	11.6×
Drug screening test HCPCS Code: `G0480`	$286	$286	$116	2.5×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$246	$246	$20	12.3×
Blood test, PSA (prostate screen) CPT Code: `84153`	$214	$214	$19	11.3×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$162	$162	$11	14.7×
Blood test, ferritin (iron stores) CPT Code: `82728`	$175	$175	$14	12.5×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$171	$171	$14	12.2×
Hepatitis C antibody test CPT Code: `86803`	$183	$183	$15	12.2×
Blood test, vitamin B12 CPT Code: `82607`	$166	$166	$16	10.4×
Blood test, thyroid (TSH) CPT Code: `84443`	$157	$157	$18	8.7×
Blood test, liver function panel CPT Code: `80076`	$116	$116	$9	12.9×
Blood test, complete blood count (CBC) CPT Code: `85025`	$99	$99	$8	12.4×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$120	$120	$10	12.0×
Blood test, lipase CPT Code: `83690`	$90	$90	$7	12.9×
Blood test, basic metabolic panel CPT Code: `80048`	$111	$111	$9	12.3×
Culture, bacterial CPT Code: `87070`	$100	$100	$9	11.1×
Culture, blood CPT Code: `87040`	$115	$115	$11	10.5×
Blood test, potassium CPT Code: `84132`	$63	$63	$5	12.6×
Blood test, creatinine (kidney) CPT Code: `82565`	$61	$61	$5	12.2×
Blood test, amylase CPT Code: `82150`	$84	$84	$7	12.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$70	$70	$6	11.7×
Blood test, magnesium CPT Code: `83735`	$78	$78	$7	11.1×
Hepatitis B vaccine HCPCS Code: `90744`	$86	$82	$37	2.2×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$163	$82	$111	0.7×
Pneumococcal vaccine HCPCS Code: `90732`	$330	$82	$140	0.6×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$175	$82	$203	0.4×
Blood test, glucose (blood sugar) CPT Code: `82947`	$50	$50	$4	12.5×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$37	$37	$3	12.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$46	$46	$4	11.5×
Blood test, calcium CPT Code: `82310`	$55	$55	$5	11.0×
Blood test, sodium CPT Code: `84295`	$50	$50	$5	10.0×
Blood test, hemoglobin CPT Code: `85018`	$28	$28	$3	9.3×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$46	$46	$5	9.2×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$51	$51	$25	2.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$71	$71	$56	1.3×
Flu vaccine (high dose) HCPCS Code: `90656`	$45	$45	$25	1.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$63	$63	$39	1.6×
Flu vaccine injection HCPCS Code: `G0008`	$37	$37	$48	0.8×
Colorectal cancer screening HCPCS Code: `G0010`	$37	$37	$49	0.8×
Pneumonia vaccine injection HCPCS Code: `G0009`	$36	$36	$49	0.7×

Showing top 25 high-impact procedures of 108 total

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

Audit a Bill or Quote at Jersey Community Hospital (Zero PHI Required)

CMS CCN: 140059

CPT 59510

Select Procedure to Audit:

Fair BaseRate™ $2,975

Medicare Rate $2,473

Self-Pay Cash $8,566

Insurer Median $8,566

1. Amount on Your Bill or Quote ($) Pre-filled with Jersey Community Hospital’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: $8,566

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Jersey Community Hospital's published 45 CFR § 180 self-pay cash rate is $8,566 (vs. $8,566 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$5,591 Above Fair BaseRate

Negotiate Toward $2,975 Fair BaseRate ($2,473 Medicare)

Your bill ($8,566) is $5,591 above the denoised Fair BaseRate ($2,975) and 3.5× the $2,473 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 Jersey Community 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.

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 Overall3/5 Stars (3/5)

Safety Composite69/100

Would Recommend82%

Rated 9 or 10 (HCAHPS)81%

Median ER Wait126 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.6%

CMS Price Transparency Administrative Enforcement Log

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

2026-05-15·administrative_or_closure
Closure Notice
Recorded
2026-05-06·cap_corrective_action
CAP Request
Recorded
2026-01-28·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (97 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

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Jersey Community Hospital.

Price Index: 1.16× regional baseline

Quality: 60/100 CMS composite

Median Household Income$79,104U.S. Census ACS

Local Uninsured Share5.3%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 53/100 · Caution CMS CCN 140059

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 140059) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-10

Validated Rate Rows1,555 (CMS v3.0.0)

File Integrity DigestVerified · CCN 140059

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