Jefferson County Hospital
Intersection Hyws 81 & 70, Waurika, OK 73573 · 118 Priced Procedures
Typical commercial prices here are +161% above the fair benchmark (2.61×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Wide Procedure Spread · Upper-Quartile Skew Pricer
Jefferson County Hospital prices routine shoppable procedures at 3.3× Medicare (median 2.66× Fair BaseRate) while upper-quartile commercial rates jump +19% to 3.16× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.54× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 83% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (85/100 safety score) with 72% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (64.2% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (2.61× 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 2.66× Fair BaseRate (3.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 3.16×) jump +19% above the median procedure ratio (Q50 2.66×)
- Unnegotiated chargemaster list prices average 10.6× Medicare (24¢ 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 Jefferson County Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 118 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Total hip replacement CPT Code: 27130 | $35,662 | unverified |
| Total knee replacement CPT Code: 27447 | $35,662 | unverified |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $31,546 | unverified |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $31,020 | unverified |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $14,887 | unverified |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $12,692 | 1.5× |
| Bunion correction surgery CPT Code: 28296 | $12,292 | unverified |
| Inguinal hernia repair CPT Code: 49505 | $10,711 | unverified |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $10,646 | unverified |
| Cataract surgery with lens implant CPT Code: 66984 | $7,341 | unverified |
| Breast lump removal CPT Code: 19120 | $5,893 | 1.5× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $3,313 | unverified |
| Colonoscopy (diagnostic) CPT Code: 45378 | $2,758 | unverified |
| Colonoscopy with biopsy CPT Code: 45380 | $2,758 | unverified |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $2,486 | 0.1× |
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $2,486 | 0.1× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $1,636 | 3.2× |
| MRI, brain (no contrast) CPT Code: 70551 | $1,636 | unverified |
| Injection procedure for pain management HCPCS Code: G0260 | $1,475 | 1.7× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,193 | 3.9× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $1,193 | 2.7× |
| CT scan, pelvis CPT Code: 72192 | $1,193 | unverified |
| MRI, knee or other leg joint CPT Code: 73721 | $1,042 | 2.8× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,036 | 1.8× |
| CT scan, sinuses CPT Code: 70486 | $971 | unverified |
Audit a Bill or Quote at Jefferson County Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $54,905
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (64.2% of gross = $54,905).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Jefferson County Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)
Your bill ($85,589) is $72,176 above the denoised Fair BaseRate ($13,413) and 6.5× the $13,117 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (64.2% 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. 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 Jefferson County Hospital.
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.