Jamestown Regional Medical Center
2422 20Th St Sw, Jamestown, ND 58401 · 95 Priced Procedures · 79% Patient Recommendation
Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.
4-Star CMS clinical quality rating paired with 1.00× fair market pricing.
Aligned Regional Benchmark Peer
Jamestown Regional Medical Center prices shoppable and inpatient services (5.8× to 6.1× Medicare, divergence 1.05×) in alignment with regional hospital peers (1.00× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
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 50% of shoppable procedures (93/100 Cash Honesty)
- 4-Star CMS clinical rating with 79% patient recommendation (73/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (70.3% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.7× markup over Medicare rates
- Captive ER (1.1×) & laboratory (11.5×) services average 1.05× higher multiples than routine shoppable care (5.8×)
- Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
- Consolidated metro market (HHI 9,312) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
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 Jamestown Regional Medical Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 95 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Vaginal delivery (full package) CPT Code: 59400 | $5,500 | 2.1× |
| C-section delivery (full package) CPT Code: 59510 | $4,258 | 1.4× |
| Total hip replacement CPT Code: 27130 | $4,021 | 0.3× |
| Total knee replacement CPT Code: 27447 | $4,019 | 0.3× |
| MRI, brain (no contrast) CPT Code: 70551 | $2,506 | 7.3× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $2,431 | 9.4× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $2,357 | 7.8× |
| Bunion correction surgery CPT Code: 28296 | $2,102 | 0.6× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,909 | 11.4× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $1,921 | 3.8× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,835 | 10.9× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $1,737 | 3.9× |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,702 | 10.2× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $1,722 | 0.5× |
| CT scan, sinuses CPT Code: 70486 | $1,610 | 9.7× |
| CT scan, head (with contrast) CPT Code: 70460 | $1,529 | 6.3× |
| Inguinal hernia repair CPT Code: 49505 | $1,515 | 0.4× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $1,530 | 0.3× |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,487 | 4.4× |
| CT scan, pelvis CPT Code: 72192 | $1,454 | 8.9× |
| MRI, knee or other leg joint CPT Code: 73721 | $1,342 | 3.6× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,201 | 2.1× |
| Trauma team activation HCPCS Code: G0390 | $1,188 | 0.8× |
| Breast lump removal CPT Code: 19120 | $1,200 | 0.3× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,036 | 0.8× |
Audit a Bill or Quote at Jamestown Regional Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $4,831
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (70.3% of gross = $4,831).
Self-Pay Cash Rate ($5,500) Beats Your Bill
Jamestown Regional Medical Center's published 45 CFR § 180 self-pay cash rate is $5,500 (vs. $5,500 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $2,680 Fair BaseRate ($2,214 Medicare)
Your bill ($6,875) is $4,195 above the denoised Fair BaseRate ($2,680) and 3.1× the $2,214 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (70.3% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare (256 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
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 Jamestown Regional Medical Center.
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.