Jackson-madison County General Hospital
Jackson-Madison County General Hospital in Jackson, TN charges 4.3x the Medicare reimbursement rate across 150 analyzed procedures, reflecting typical pricing patterns for government-owned hospitals.
Jackson, TN 38301 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Billing patterns — government
Government hospitals in our dataset demonstrate distinct billing patterns compared to other ownership types. With 374 facilities analyzed, these hospitals show an average markup of 4.2x Medicare rates, which typically falls below the industry average for comparable services. Government hospitals often maintain more standardized pricing structures due to regulatory oversight and public accountability requirements. Patients may encounter charges above the benchmark for certain procedures, though the potential difference between government hospital billing and private facilities can vary significantly by service type and geographic region. Common charge patterns include transparent itemization of services and adherence to established fee schedules. Patients should be aware that government hospitals frequently offer financial assistance programs and sliding scale payment options based on income eligibility. These facilities often provide detailed cost estimates upon request and maintain patient financial counselors to discuss billing arrangements before treatment when possible.
Pricing grade
C
Average
Avg markup vs Medicare
4.34x
Charge / Medicare rate
Max markup
10.33x
Worst procedure
Procedures analyzed
150
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 |
|---|---|---|---|---|---|
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $34,428 | $17,214 | — | 10.3x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $19,457 | $9,728 | — | 8.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $20,402 | $10,201 | — | 7.5x |
| HYPERTENSION WITHOUT MCC | 305 | $26,695 | $13,347 | — | 7.1x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $43,190 | $21,595 | — | 7.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $35,929 | $17,965 | — | 7.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $72,909 | $36,455 | — | 6.8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $75,826 | $37,913 | — | 6.8x |
| CELLULITIS WITHOUT MCC | 603 | $28,417 | $14,208 | — | 6.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $28,763 | $14,381 | — | 6.1x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $47,453 | $23,727 | — | 6.1x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $35,129 | $17,565 | — | 6.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $23,983 | $11,991 | — | 6.1x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $37,576 | $18,788 | — | 5.9x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $31,462 | $15,731 | — | 5.9x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $36,129 | $18,064 | — | 5.9x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $55,894 | $27,947 | — | 5.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $23,481 | $11,741 | — | 5.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/ | 321 | $107,672 | $53,836 | — | 5.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $31,892 | $15,946 | — | 5.5x |
| OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | 254 | $62,721 | $31,361 | — | 5.5x |
| SEIZURES WITHOUT MCC | 101 | $29,461 | $14,731 | — | 5.4x |
| SYNCOPE AND COLLAPSE | 312 | $25,379 | $12,689 | — | 5.3x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $30,055 | $15,027 | — | 5.3x |
| DIABETES WITH CC | 638 | $26,135 | $13,068 | — | 5.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $16,685 | $8,342 | — | 5.2x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $27,234 | $13,617 | — | 5.2x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $48,375 | $24,188 | — | 5.2x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $63,678 | $31,839 | — | 5.2x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $32,710 | $16,355 | — | 5.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $22,504 | $11,252 | — | 5x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $28,758 | $14,379 | — | 5x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $33,940 | $16,970 | — | 5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $19,751 | $9,876 | — | 5x |
| RENAL FAILURE WITH CC | 683 | $24,469 | $12,234 | — | 4.9x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $32,247 | $16,123 | — | 4.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $36,246 | $18,123 | — | 4.9x |
| CERVICAL SPINAL FUSION WITH CC | 472 | $98,112 | $49,056 | — | 4.9x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $20,753 | $10,377 | — | 4.9x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $38,607 | $19,304 | — | 4.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $38,130 | $19,065 | — | 4.8x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | 417 | $73,798 | $36,899 | — | 4.8x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $39,957 | $19,979 | — | 4.8x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $153,427 | $76,714 | — | 4.8x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $37,811 | $18,905 | — | 4.8x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $80,985 | $40,493 | — | 4.7x |
| OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | 356 | $137,482 | $68,741 | — | 4.7x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $19,646 | $9,823 | — | 4.7x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $166,769 | $83,384 | — | 4.7x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 432 | $49,896 | $24,948 | — | 4.7x |
Showing 50 of 150 procedures
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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