Jackson Hospital & Clinic Inc
Jackson Hospital & Clinic Inc in Montgomery, Alabama charges 6.2x the Medicare reimbursement rate across 58 analyzed procedures at this nonprofit facility.
Montgomery, AL 36106 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
D
High
Avg markup vs Medicare
6.17x
Charge / Medicare rate
Max markup
14.58x
Worst procedure
Procedures analyzed
58
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $43,085 | $21,542 | — | 14.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $88,596 | $44,298 | — | 8.8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $145,174 | $72,587 | — | 8.5x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $50,473 | $25,236 | — | 8.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $33,788 | $16,894 | — | 7.9x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $45,837 | $22,919 | — | 7.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $22,607 | $11,304 | — | 7.7x |
| SEIZURES WITHOUT MCC | 101 | $31,668 | $15,834 | — | 7.3x |
| DIABETES WITH CC | 638 | $28,369 | $14,185 | — | 7.3x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $41,034 | $20,517 | — | 7.2x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $25,402 | $12,701 | — | 7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $28,946 | $14,473 | — | 7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $47,799 | $23,900 | — | 6.9x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $17,242 | $8,621 | — | 6.9x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $29,456 | $14,728 | — | 6.6x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $32,131 | $16,066 | — | 6.6x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $136,861 | $68,430 | — | 6.6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $25,171 | $12,585 | — | 6.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $22,996 | $11,498 | — | 6.5x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $26,468 | $13,234 | — | 6.4x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $190,921 | $95,460 | — | 6.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $38,362 | $19,181 | — | 6.2x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 432 | $70,692 | $35,346 | — | 6.2x |
| RENAL FAILURE WITH CC | 683 | $29,063 | $14,531 | — | 6.2x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $32,707 | $16,354 | — | 6.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $16,376 | $8,188 | — | 6.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $34,641 | $17,321 | — | 6.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $66,803 | $33,401 | — | 6x |
| SYNCOPE AND COLLAPSE | 312 | $25,762 | $12,881 | — | 5.9x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $58,586 | $29,293 | — | 5.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $42,651 | $21,326 | — | 5.9x |
| RENAL FAILURE WITH MCC | 682 | $51,272 | $25,636 | — | 5.9x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $70,249 | $35,124 | — | 5.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $41,363 | $20,682 | — | 5.7x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $67,226 | $33,613 | — | 5.6x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $26,732 | $13,366 | — | 5.6x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $38,217 | $19,108 | — | 5.6x |
| CELLULITIS WITHOUT MCC | 603 | $26,402 | $13,201 | — | 5.6x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $137,659 | $68,829 | — | 5.4x |
| SEIZURES WITH MCC | 100 | $57,958 | $28,979 | — | 5.4x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $44,365 | $22,183 | — | 5.4x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $27,662 | $13,831 | — | 5.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $45,182 | $22,591 | — | 5.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $23,943 | $11,972 | — | 5.1x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $147,711 | $73,856 | — | 5.1x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $20,608 | $10,304 | — | 5.1x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $60,776 | $30,388 | — | 5.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $180,270 | $90,135 | — | 5.1x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $50,433 | $25,216 | — | 5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $57,760 | $28,880 | — | 5x |
Showing 50 of 58 procedures
How JACKSON HOSPITAL & CLINIC INC compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use