Holzer Medical Center Jackson
500 Burlington Road, Jackson, OH 45640 · 71 Priced Procedures · 75% Patient Recommendation
Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 1.00× fair market pricing.
Specialty Drug & Surgical Margin Engine
Holzer Medical Center Jackson concentrates commercial margin in outpatient surgical suites (9.6× Medicare) and specialty drug infusions (2.0× Medicare) relative to routine diagnostics (8.2×). Comparing freestanding ambulatory surgery centers or specialty pharmacy options before treatment yields substantial savings.
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 100% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (70/100 safety score) with 75% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (77.0% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 9.6× markup over Medicare rates
- Commercial insurance median sits at 1.00× Fair BaseRate (7.7× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
- Unnegotiated chargemaster list prices average 10.4× Medicare (28¢ true HCRIS cost per $1 gross)
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 Holzer Medical Center Jackson
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 71 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $2,174 | 4.9× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,748 | 5.8× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,639 | 6.4× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,463 | 8.7× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,463 | 8.7× |
| CT scan, head (with contrast) CPT Code: 70460 | $1,400 | 5.8× |
| CT scan, head (no contrast) CPT Code: 70450 | $1,208 | 7.5× |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,112 | 6.7× |
| MRI, brain (no contrast) CPT Code: 70551 | $1,075 | 3.1× |
| CT scan, sinuses CPT Code: 70486 | $987 | 5.9× |
| CT scan, pelvis CPT Code: 72192 | $827 | 5.1× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $788 | 2.9× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $681 | 1.2× |
| Blood transfusion CPT Code: 36430 | $627 | 1.3× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $568 | 4.2× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $498 | 4.0× |
| Ultrasound, pelvis CPT Code: 76856 | $460 | 3.5× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $406 | 3.1× |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $350 | 2.4× |
| X-ray, lower back CPT Code: 72110 | $311 | 2.8× |
| Hospital observation (per hour) HCPCS Code: G0378 | $284 | 3.3× |
| X-ray, foot CPT Code: 73630 | $232 | 2.5× |
| Breathing treatment (nebulizer) CPT Code: 94640 | $251 | 1.2× |
| X-ray, neck (cervical spine) CPT Code: 72040 | $211 | 2.3× |
| X-ray, chest (two views) CPT Code: 71046 | $199 | 2.1× |
Audit a Bill or Quote at Holzer Medical Center Jackson (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $3,348
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (77.0% of gross = $3,348).
Self-Pay Cash Rate ($2,174) Beats Your Bill
Holzer Medical Center Jackson's published 45 CFR § 180 self-pay cash rate is $2,174 (vs. $2,174 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $448 Fair BaseRate ($356 Medicare)
Your bill ($4,348) is $3,900 above the denoised Fair BaseRate ($448) and 12.2× the $356 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (77.0% 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
CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Holzer Medical Center Jackson. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-09-30·administrative_or_closure
Met Requirements
Recorded
Source: CMS Hospital Care Compare (82 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 Holzer Medical Center Jackson.
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.