How many shoppable procedure prices are published for Jackson Purchase Medical Center?

Jackson Purchase Medical Center in Mayfield, KY currently has 73 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Jackson Purchase Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Jackson Purchase Medical Center's median negotiated commercial rate is 1.4× the regionally adjusted fair BaseRate benchmark.

What is Jackson Purchase Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Jackson Purchase Medical Center an overall hospital quality rating of 1 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Government - Hospital District or Authority 95 Beds · rural Updated: 7/10/2026

Jackson Purchase Medical Center

1099 Medical Center Circle, Mayfield, KY 42066 · 73 Priced Procedures · 60% Patient Recommendation

CMS Overall Rating 1 / 5 Stars

Above Fair Market · Negotiate

1.37×vs. Fair Market Price

Typical commercial prices here are +37% above the fair benchmark (1.37×) even after accounting for local nurse/doctor wages and patient complexity.

65/100 · Caution

65/100Self-Pay Cash Beats Insurance 0% of the Time

File Completeness50

Price Logic97

Peer Alignment52

Clean Billing64

Real Cash Discount50

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.37× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +142% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Jackson Purchase Medical Center prices routine shoppable procedures at 2.9× Medicare (median 0.93× Fair BaseRate) while upper-quartile commercial rates jump +142% to 2.25× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#51 of 68 in KY · 73rd State Percentile#2,397 of 3,385 in U.S. · 70th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.80× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 0% of shoppable procedures (50/100 Cash Honesty)
1-Star CMS clinical rating with 60% patient recommendation (64/100 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)

Outpatient surgery & OR suites carry a 3.6× markup over Medicare rates
Commercial insurance median sits at 0.93× Fair BaseRate (2.9× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.25×) jump +142% above the median procedure ratio (Q50 0.93×)
Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

2.9× Medicare

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

Back-Door Captive & ER0.28× Divergence

0.8× Medicare

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

Quantile Tail Spread+142% Upper Tail

Q25 0.80× · Q50 0.93× · Q75 2.25×

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

2.9× MedicareFair

Outpatient Surgery & ORBack-Door Captive

3.6× MedicareElevated

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.1× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

4.2× MedicareElevated

Inpatient Lab & PathologyBack-Door Captive

3.8× MedicareElevated

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

3.3× MedicareElevated

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

0% Cash Edge · 50/100Elevated

CMS Clinical Safety & Star ValueIntegrity & Outcomes

1 CMS · 64/100Elevated

Procedure Prices at Jackson Purchase Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 73 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$15,617	$3,372	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$14,491	$19,087	0.8×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$14,024	$6,109	2.3×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$13,925	$19,432	0.7×
Inguinal hernia repair CPT Code: `49505`	—	$10,191	$3,629	2.8×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$6,550	$981	unverified
Colonoscopy with biopsy CPT Code: `45380`	—	$6,550	$1,256	unverified
Upper endoscopy with biopsy CPT Code: `43239`	—	$6,093	$987	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$5,763	$8,223	0.7×
Total knee replacement CPT Code: `27447`	—	$3,602	$13,523	0.3×
Breast lump removal CPT Code: `19120`	—	$1,845	$3,875	0.5×
Blood transfusion CPT Code: `36430`	—	$1,202	$498	2.4×
Injection procedure for pain management HCPCS Code: `G0260`	—	$1,202	$855	1.4×
MRI, brain (no contrast) CPT Code: `70551`	—	$618	$343	1.8×
MRI, knee or other leg joint CPT Code: `73721`	—	$618	$369	1.7×
MRI, brain (with and without contrast) CPT Code: `70553`	—	$618	$511	1.2×
MRI, lower back (no contrast) CPT Code: `72148`	—	$618	$338	unverified
Rabies immune globulin HCPCS Code: `90375`	—	$419	$322	1.3×
CT scan, sinuses CPT Code: `70486`	—	$375	$166	2.3×
CT scan, lower back (lumbar spine) CPT Code: `72131`	—	$375	$168	2.2×
CT scan, neck (cervical spine) CPT Code: `72125`	—	$375	$169	2.2×
CT scan, head (with contrast) CPT Code: `70460`	—	$375	$242	1.5×
CT scan, head (with and without contrast) CPT Code: `70470`	—	$375	$258	1.5×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	—	$375	$303	1.2×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	—	$375	$448	0.8×
CT scan, head (no contrast) CPT Code: `70450`	—	$375	$160	unverified
CT scan, chest (no contrast) CPT Code: `71250`	—	$375	$167	unverified
CT scan, pelvis CPT Code: `72192`	—	$375	$163	unverified
Physical therapy (gait training) CPT Code: `97116`	—	$112	$33	3.4×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	—	$112	$38	2.9×
Occupational therapy (self-care training) CPT Code: `97535`	—	$112	$38	2.9×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$112	$38	2.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	—	$112	$40	2.8×
Prosthetic fitting and training CPT Code: `97761`	—	$112	$45	2.5×
Orthotic fitting and training CPT Code: `97760`	—	$112	$51	2.2×
Hospital observation (per hour) HCPCS Code: `G0378`	—	$116	$86	1.3×
Physical therapy (therapeutic exercise) CPT Code: `97110`	—	$112	$35	unverified
Physical therapy (manual therapy) CPT Code: `97140`	—	$112	$34	unverified
Typhoid vaccine HCPCS Code: `90675`	—	$498	$347	1.4×
Pneumococcal vaccine HCPCS Code: `90732`	—	$150	$140	1.1×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$111	$111	1.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	—	$57	$56	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	—	$3	$3	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$23	$25	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	—	$33	$37	0.9×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$7	$8	0.9×
Blood test, amylase CPT Code: `82150`	—	$6	$7	0.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	—	$12	$14	0.9×
Blood test, lipase CPT Code: `83690`	—	$6	$7	0.9×
Blood test, magnesium CPT Code: `83735`	—	$6	$7	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	—	$16	$19	0.8×
Blood test, clotting time (PTT) CPT Code: `85730`	—	$5	$6	0.8×
Culture, blood CPT Code: `87040`	—	$9	$11	0.8×
Blood test, vitamin B12 CPT Code: `82607`	—	$13	$16	0.8×
Blood test, calcium CPT Code: `82310`	—	$4	$5	0.8×
Blood test, creatinine (kidney) CPT Code: `82565`	—	$4	$5	0.8×
Blood test, average blood sugar (A1c) CPT Code: `83036`	—	$8	$10	0.8×
Blood test, potassium CPT Code: `84132`	—	$4	$5	0.8×
Blood test, sodium CPT Code: `84295`	—	$4	$5	0.8×
Hepatitis C antibody test CPT Code: `86803`	—	$12	$15	0.8×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$16	$20	0.8×
Blood test, thyroid (TSH) CPT Code: `84443`	—	$14	$18	0.8×
Culture, bacterial CPT Code: `87070`	—	$7	$9	0.8×
Blood test, glucose (blood sugar) CPT Code: `82947`	—	$3	$4	0.8×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	—	$3	$4	0.8×
Blood test, vitamin D CPT Code: `82306`	—	$23	$31	0.7×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	—	$10	$14	0.7×
Blood test, basic metabolic panel CPT Code: `80048`	—	$6	$9	0.7×
Blood test, liver function panel CPT Code: `80076`	—	$6	$9	0.7×
Blood test, hemoglobin CPT Code: `85018`	—	$2	$3	0.7×
Blood test, comprehensive metabolic panel CPT Code: `80053`	—	$7	$11	0.6×
Blood test, clotting time (PT/INR) CPT Code: `85610`	—	$3	$5	0.6×
Blood antibody screen CPT Code: `86850`	—	$7	$46	0.2×

Showing top 25 high-impact procedures of 73 total

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

Audit a Bill or Quote at Jackson Purchase Medical Center (Zero PHI Required)

CMS CCN: 180116

CPT 29881

Select Procedure to Audit:

Fair BaseRate™ $3,372

Medicare Rate $3,343

Self-Pay Cash Request Quote

Insurer Median $15,617

1. Amount on Your Bill or Quote ($) Pre-filled with Jackson Purchase Medical 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 Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Jackson Purchase Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$34,109 Above Fair BaseRate

Negotiate Toward $3,372 Fair BaseRate ($3,343 Medicare)

Your bill ($37,481) is $34,109 above the denoised Fair BaseRate ($3,372) and 11.2× the $3,343 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)

EIN: 621757927

Public IRS & CMS ownership records classify Jackson Purchase Medical 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 Overall3/5 Stars (3/5)

Safety Composite64/100

Would Recommend60%

Rated 9 or 10 (HCAHPS)62%

Median ER Wait127 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

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

2025-06-18·administrative_or_closure
Met Requirements
Recorded
2025-04-11·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (348 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 Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Jackson Purchase Medical Center.

Price Index: 1.00× regional baseline

Quality: 55/100 CMS composite

Median Household Income$50,576U.S. Census ACS

Local Uninsured Share8.1%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 65/100 · Caution CMS CCN 180116 EIN 621757927

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 180116) ↗ Verify IRS Form 990 (EIN 621757927) ↗ CMS HCRIS Cost Reports ↗

Published MRF File621757927_jackson-purchase-med-center_standardcharges.csv

Publication / Vintage7/10/2026 · 19.85 MB

Validated Rate Rows244 (CMS v3.0.0)

File Integrity DigestVerified · CCN 180116

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