Jackson General Hospital
122 Pinnell St, Ripley, WV 25271 · 115 Priced Procedures · 86% Patient Recommendation
Typical commercial prices here are +50% above the fair benchmark (1.50×) even after accounting for local nurse/doctor wages and patient complexity.
5-Star CMS clinical quality rating paired with 1.50× fair market pricing.
Cash-Arbitrage Bifurcated Pricer
Jackson General Hospital maintains elevated commercial insurance contracts (1.50× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 85% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.37× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 85% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (82/100 safety score) with 86% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (30.7% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (1.50× 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 1.51× Fair BaseRate (1.7× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Even at low-cost facilities (1.50× 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.
- Unnegotiated chargemaster list prices average 6.5× Medicare (19¢ 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 Jackson General Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 115 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Total knee replacement CPT Code: 27447 | $9,006 | 0.7× |
| Total hip replacement CPT Code: 27130 | $7,311 | 0.5× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $4,605 | 0.8× |
| Bunion correction surgery CPT Code: 28296 | $3,948 | 1.1× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $3,682 | 1.1× |
| C-section delivery (full package) CPT Code: 59510 | $2,896 | 1.0× |
| Vaginal delivery (full package) CPT Code: 59400 | $2,590 | 1.0× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $1,987 | 3.9× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,989 | 1.6× |
| Inguinal hernia repair CPT Code: 49505 | $1,990 | 0.5× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $1,878 | 4.2× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,762 | 5.8× |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,350 | 4.0× |
| MRI, brain (no contrast) CPT Code: 70551 | $1,319 | 3.8× |
| MRI, knee or other leg joint CPT Code: 73721 | $1,302 | 3.5× |
| Injection procedure for pain management HCPCS Code: G0260 | $1,068 | 1.2× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $941 | 3.6× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $868 | 5.2× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $868 | 5.1× |
| Cataract surgery with lens implant CPT Code: 66984 | $874 | 0.3× |
| CT scan, pelvis CPT Code: 72192 | $796 | 4.9× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $819 | 0.8× |
| CT scan, chest (no contrast) CPT Code: 71250 | $791 | 4.7× |
| CT scan, head (no contrast) CPT Code: 70450 | $764 | 4.8× |
| CT scan, head (with contrast) CPT Code: 70460 | $766 | 3.2× |
Audit a Bill or Quote at Jackson General Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $5,526
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (30.7% of gross = $5,526).
Self-Pay Cash Rate ($9,006) Beats Your Bill
Jackson General Hospital's published 45 CFR § 180 self-pay cash rate is $9,006 (vs. $9,006 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $13,523 Fair BaseRate ($13,117 Medicare)
Your bill ($18,013) is $4,490 above the denoised Fair BaseRate ($13,523) and 1.4× the $13,117 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (30.7% 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
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)Source: CMS Hospital Care Compare (210 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 Jackson General 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.