Tennova Healthcare-Jefferson Memorial Hospital
110 Hospital Drive, Jefferson City, TN 37760 · 106 Priced Procedures · 64% Patient Recommendation
Typical commercial prices here are 10% below the fair benchmark (0.90×) after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 0.90× fair market pricing.
Uniform Value Leader · Low-Cost Across Departments
Tennova Healthcare-Jefferson Memorial Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (1.0× Medicare, p50 0.87× Fair BaseRate) and emergency/ancillary services (1.1× Medicare, p75 1.00× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 10% below peer Fair BaseRate (0.90×)
- Self-pay cash beats commercial insurance on 26% of shoppable procedures (99/100 Cash Honesty)
- 2-Star CMS clinical rating with 64% patient recommendation (67/100 safety score)
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.3× markup over Medicare rates
- Captive ER (0.5×) & laboratory (4.4×) services average 1.10× higher multiples than routine shoppable care (1.0×)
- Upper-quartile procedures (Q75 1.00×) jump +15% above the median procedure ratio (Q50 0.87×)
- Consolidated metro market (HHI 6,447) 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 Tennova Healthcare-Jefferson Memorial Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 106 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $14,101 | 0.7× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $14,012 | 0.7× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $12,927 | 0.7× |
| Total hip replacement CPT Code: 27130 | $11,793 | 0.9× |
| Total knee replacement CPT Code: 27447 | $11,793 | 0.9× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $6,432 | 0.8× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $5,686 | 0.9× |
| Breast lump removal CPT Code: 19120 | $3,600 | 0.9× |
| Inguinal hernia repair CPT Code: 49505 | $3,367 | 0.9× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $3,077 | 0.9× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,125 | 0.9× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $895 | 0.9× |
| Upper endoscopy with biopsy CPT Code: 43239 | $873 | 0.9× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $805 | 0.8× |
| Trauma team activation HCPCS Code: G0390 | $802 | unverified |
| Injection procedure for pain management HCPCS Code: G0260 | $666 | 0.8× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $507 | 0.9× |
| Blood transfusion CPT Code: 36430 | $410 | 0.8× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $396 | 0.8× |
| MRI, knee or other leg joint CPT Code: 73721 | $413 | unverified |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $327 | 0.7× |
| Rabies immune globulin HCPCS Code: 90375 | $287 | 0.9× |
| MRI, lower back (no contrast) CPT Code: 72148 | $271 | 0.8× |
| MRI, brain (no contrast) CPT Code: 70551 | $271 | 0.8× |
| Breathing treatment (nebulizer) CPT Code: 94640 | $201 | 1.0× |
Audit a Bill or Quote at Tennova Healthcare-Jefferson Memorial Hospital (Zero PHI Required)
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.
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Tennova Healthcare-Jefferson Memorial 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 $19,087 Fair BaseRate ($14,117 Medicare)
Your bill ($33,842) is $14,755 above the denoised Fair BaseRate ($19,087) and 2.4× the $14,117 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Tennova Healthcare-Jefferson Memorial Hospital 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.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Tennova Healthcare-Jefferson Memorial Hospital. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-03-05·administrative_or_closure
Closure Notice
Recorded - 2025-01-08·cap_corrective_action
CAP Request
Recorded - 2024-09-30·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare (314 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 Tennova Healthcare-Jefferson Memorial Hospital.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
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.