CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Jackson-Madison County General Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$18,018
about 1.3× the $14,044 Medicare rate · typically $14,598–$21,850
modeled estimate · not a bill or quote
What this hospital charges insurers
$21,845
Above the fair price
about $3,827 over the fair price · 1.6× Medicare
Medicare pays $14,044 Fair price $18,018 This hospital $21,845

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

Highest price of the 9 TN hospitals we have prices for — worth calling around.

Cheapest $7,429 Priciest $21,845

Black dot = this hospital, among the 9 TN hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $18,018 (about 1.3× the $14,044 Medicare rate). Jackson-Madison County General Hospital charges insurers about $21,845 — above the fair price. Located in Jackson, TN.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $18,018. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $32,888 234%
Blue Cross Blue Shieldmajor $15,515 - $50,904 110%
Aetnamajor $21,845 156%
Cignamajor $15,628 111%
Oscar Health $22,261 159%
+ 3 smaller / regional plans $9,855 - $23,348
Government programs also on file: Military & VA.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 620 Skyline Drive, Jackson, TN 38301
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals