How many shoppable procedure prices are published for Jefferson Healthcare?

Jefferson Healthcare in Port Townsend, WA currently has 114 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Jefferson Healthcare's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Jefferson Healthcare's median negotiated commercial rate is 0.4× the regionally adjusted fair BaseRate benchmark.

What is Jefferson Healthcare's CMS Care Compare overall star rating?

CMS Care Compare assigns Jefferson Healthcare an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Government - Hospital District or Authority 25 Beds · rural Updated: 2026-08-06

Jefferson Healthcare

834 Sheridan Street, Port Townsend, WA 98368 · 114 Priced Procedures · 83% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Good Deal · Below Fair Market

0.44×vs. Fair Market Price

Typical commercial prices here are 56% below the fair benchmark (0.44×) after accounting for local nurse/doctor wages and patient complexity.

85/100 · Verified

85/100Self-Pay Cash Beats Insurance 33% of the Time

File Completeness100

Price Logic78

Peer Alignment61

Clean Billing88

Real Cash Discount100

Regional Value Leader

4-Star CMS clinical quality rating paired with 0.44× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Jefferson Healthcare maintains low, disciplined commercial pricing across both routine shoppable procedures (0.5× Medicare, p50 0.35× Fair BaseRate) and emergency/ancillary services (0.4× Medicare, p75 0.65× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#3 of 58 in WA · 3rd State Percentile#34 of 3,385 in U.S. · 1st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 56% below peer Fair BaseRate (0.44×)
Self-pay cash beats commercial insurance on 33% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (72/100 safety score) with 83% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.44× 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 0.35× Fair BaseRate (0.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 0.65×) jump +86% above the median procedure ratio (Q50 0.35×)
Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

0.5× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.80× Divergence

0.4× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+86% Upper Tail

Q25 0.28× · Q50 0.35× · Q75 0.65×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

0.5× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.6× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.6× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.5× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

33% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 72/100Fair

Procedure Prices at Jefferson Healthcare

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 114 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$97,759	$97,759	$19,432	5.0×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$22,106	$22,106	$19,087	1.2×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$11,570	$11,570	$8,223	1.4×
Hepatitis B immune globulin HCPCS Code: `90371`	$2,956	$2,956	$151	unverified
Total knee replacement CPT Code: `27447`	$2,864	$2,864	$13,523	0.2×
C-section delivery (full package) CPT Code: `59510`	$7,190	$2,786	$2,975	0.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,584	$2,584	$1,021	2.5×
Vaginal delivery (full package) CPT Code: `59400`	$6,480	$2,528	$2,680	0.9×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$2,412	$2,412	$6,109	0.4×
Total hip replacement CPT Code: `27130`	$2,370	$2,370	$13,413	0.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,515	$1,515	$272	5.6×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,171	$1,171	$583	2.0×
Blood transfusion CPT Code: `36430`	$993	$993	$498	2.0×
Bunion correction surgery CPT Code: `28296`	$1,766	$694	$3,446	0.2×
Rabies immune globulin HCPCS Code: `90375`	$620	$620	$322	1.9×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,230	$598	$3,372	0.2×
Inguinal hernia repair CPT Code: `49505`	$2,087	$580	$3,629	0.2×
Breast lump removal CPT Code: `19120`	$5,334	$469	$3,875	0.1×
X-ray, lower back CPT Code: `72110`	$314	$314	$112	2.8×
Speech therapy (language evaluation) CPT Code: `92507`	$279	$279	$86	3.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$242	$242	$201	1.2×
Speech therapy (group session) CPT Code: `92508`	$199	$199	$27	7.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$201	$201	$64	3.1×
X-ray, neck (cervical spine) CPT Code: `72040`	$199	$199	$93	2.1×
X-ray, foot CPT Code: `73630`	$188	$188	$92	2.0×
X-ray, hand CPT Code: `73130`	$190	$190	$93	2.0×
X-ray, hip CPT Code: `73502`	$190	$190	$93	2.0×
X-ray, ankle CPT Code: `73610`	$189	$189	$93	2.0×
X-ray, pelvis CPT Code: `72170`	$209	$209	$110	1.9×
Colonoscopy (diagnostic) CPT Code: `45378`	$935	$206	$981	0.2×
Colonoscopy with biopsy CPT Code: `45380`	$1,078	$205	$1,256	0.2×
X-ray, chest (two views) CPT Code: `71046`	$177	$177	$93	1.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$142	$142	$40	3.5×
Orthotic fitting and training CPT Code: `97760`	$143	$143	$51	2.8×
X-ray, chest (single view) CPT Code: `71045`	$154	$154	$92	1.7×
Office visit, established patient (30-39 min) CPT Code: `99214`	$307	$128	$123	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	$218	$153	$181	0.8×
Psychiatric evaluation (first visit) CPT Code: `90791`	$308	$155	$185	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,960	$146	$511	0.3×
Upper endoscopy with biopsy CPT Code: `43239`	$811	$149	$987	0.2×
Physical therapy (manual therapy) CPT Code: `97140`	$120	$120	$34	3.5×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$129	$129	$38	3.4×
Physical therapy (gait training) CPT Code: `97116`	$111	$111	$33	3.4×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$117	$117	$35	3.3×
Occupational therapy (self-care training) CPT Code: `97535`	$126	$126	$38	3.3×
Physical therapy (functional capacity test) CPT Code: `97750`	$102	$102	$38	2.7×
Prosthetic fitting and training CPT Code: `97761`	$100	$100	$45	2.2×
Hospital observation (per hour) HCPCS Code: `G0378`	$111	$111	$86	1.3×
New patient office visit (30-44 min) CPT Code: `99203`	$267	$89	$110	0.8×
Psychotherapy session (45 minutes) CPT Code: `90834`	$174	$107	$166	0.6×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,719	$108	$303	0.4×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,168	$81	$258	0.3×
MRI, lower back (no contrast) CPT Code: `72148`	$1,271	$95	$338	0.3×
MRI, brain (no contrast) CPT Code: `70551`	$1,289	$94	$343	0.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,101	$117	$448	0.3×
MRI, knee or other leg joint CPT Code: `73721`	$1,168	$88	$369	0.2×
Typhoid vaccine HCPCS Code: `90675`	$462	$527	$347	1.5×
Blood test, ferritin (iron stores) CPT Code: `82728`	$152	$152	$14	10.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$174	$174	$203	0.9×
Blood test, lipase CPT Code: `83690`	$106	$106	$7	15.1×
Hepatitis B vaccine HCPCS Code: `90744`	$129	$129	$37	3.5×
Culture, bacterial CPT Code: `87070`	$103	$103	$9	11.4×
Blood test, amylase CPT Code: `82150`	$70	$70	$7	10.0×
Blood test, basic metabolic panel CPT Code: `80048`	$82	$82	$9	9.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$95	$95	$11	8.6×
Blood test, liver function panel CPT Code: `80076`	$77	$77	$9	8.6×
Culture, blood CPT Code: `87040`	$94	$94	$11	8.5×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$97	$97	$14	6.9×
Blood test, vitamin B12 CPT Code: `82607`	$97	$97	$16	6.1×
Blood test, PSA (prostate screen) CPT Code: `84153`	$111	$111	$19	5.8×
Blood test, vitamin D CPT Code: `82306`	$88	$88	$31	2.8×
Blood antibody screen CPT Code: `86850`	$106	$106	$46	2.3×
Pneumococcal vaccine HCPCS Code: `90732`	$122	$122	$140	0.9×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$44	$44	$3	14.7×
Blood test, clotting time (PTT) CPT Code: `85730`	$65	$65	$6	10.8×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$78	$78	$10	7.8×
Blood test, thyroid (TSH) CPT Code: `84443`	$89	$89	$18	4.9×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$80	$80	$20	4.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$82	$82	$27	3.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$238	$72	$87	0.8×
Blood test, hemoglobin CPT Code: `85018`	$38	$38	$3	12.7×
Blood test, potassium CPT Code: `84132`	$48	$48	$5	9.6×
Blood test, glucose (blood sugar) CPT Code: `82947`	$38	$38	$4	9.5×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$38	$38	$4	9.5×
Blood test, creatinine (kidney) CPT Code: `82565`	$46	$46	$5	9.2×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$44	$44	$5	8.8×
Blood test, calcium CPT Code: `82310`	$40	$40	$5	8.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$58	$58	$8	7.3×
Blood test, magnesium CPT Code: `83735`	$50	$50	$7	7.1×
Hepatitis C antibody test CPT Code: `86803`	$73	$73	$15	4.9×
Blood test, sodium CPT Code: `84295`	$35	$35	$5	7.0×
Extended office visit (prolonged) HCPCS Code: `G2212`	$67	$33	$33	1.0×
Diagnostic procedure preparation HCPCS Code: `G0279`	$65	$31	$35	0.9×
Flu vaccine injection HCPCS Code: `G0008`	$38	$38	$48	0.8×
Pneumonia vaccine injection HCPCS Code: `G0009`	$38	$38	$49	0.8×
Colorectal cancer screening HCPCS Code: `G0010`	$38	$38	$49	0.8×
X-ray, shoulder CPT Code: `73030`	$54	$54	$92	0.6×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$319	$65	$148	0.4×
CT scan, pelvis CPT Code: `72192`	$879	$69	$163	0.4×
CT scan, chest (no contrast) CPT Code: `71250`	$491	$69	$167	0.4×
Screening mammogram (both breasts) CPT Code: `77067`	$394	$49	$123	0.4×
Ultrasound, abdomen (complete) CPT Code: `76700`	$452	$52	$134	0.4×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$890	$65	$168	0.4×
CT scan, neck (cervical spine) CPT Code: `72125`	$968	$65	$169	0.4×
Ultrasound, pelvis CPT Code: `76856`	$383	$45	$130	0.3×
CT scan, head (no contrast) CPT Code: `70450`	$860	$55	$160	0.3×
CT scan, sinuses CPT Code: `70486`	$1,245	$55	$166	0.3×
CT scan, head (with contrast) CPT Code: `70460`	$1,010	$72	$242	0.3×
Flu vaccine (high dose) HCPCS Code: `90656`	$18	$18	$25	0.7×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$37	$37	$56	0.7×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$22	$22	$39	0.6×
Ultrasound, abdomen (limited) CPT Code: `76705`	$72	$38	$126	0.3×
Ultrasound, thyroid and neck CPT Code: `76536`	$347	$37	$132	0.3×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$28	$28	$111	0.3×

Showing top 25 high-impact procedures of 114 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Jefferson Healthcare (Zero PHI Required)

CMS CCN: 501323

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash $97,759

Insurer Median $97,759

1. Amount on Your Bill or Quote ($) Pre-filled with Jefferson Healthcare’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

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.

Step 2 · Cash vs. Insurance Arbitrage Save $24,440 Paying Cash

Self-Pay Cash Rate ($97,759) Beats Your Bill

Jefferson Healthcare's published 45 CFR § 180 self-pay cash rate is $97,759 (vs. $97,759 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$102,767 Above Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your bill ($122,199) is $102,767 above the denoised Fair BaseRate ($19,432) and 8.7× the $14,044 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Jefferson Healthcare 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.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall4/5 Stars (4/5)

Safety Composite72/100

Would Recommend83%

Rated 9 or 10 (HCAHPS)81%

Median ER Wait143 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.6%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

Source: CMS Hospital Care Compare (264 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Jefferson Healthcare.

Price Index: 1.00× regional baseline

Quality: 70/100 CMS composite

Median Household Income$71,143U.S. Census ACS

Local Uninsured Share4.1%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 85/100 · Verified CMS CCN 501323

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 501323) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-08-06 · 44.63 MB

Validated Rate Rows2,779 (CMS v3.0.0)

File Integrity Digest1663f093f33c9285d948…

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.

Submit MRF Update Correction Policy

Jefferson Healthcare

Uniform Value Leader · Low-Cost Across Departments

Where They're Good (Patient & Payer Edge)

Where You Can Get Burned (Markup Traps)

REA Pricing Decompiler · 5-Layer Cost-to-Charge Reverse Engineering

Insurer Bargaining Power & Cash-Vulnerability Matrix

Procedure Prices at Jefferson Healthcare

Audit a Bill or Quote at Jefferson Healthcare (Zero PHI Required)

Above Standard 400% FPL Financial-Assistance Ceiling

Self-Pay Cash Rate ($97,759) Beats Your Bill

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Clinical Quality, Patient Experience & Infection Benchmarks

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings