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Short Term Acute Care HospitalGovernment - Hospital District Or Authority

Jackson Purchase Medical Center

LifePoint Health · Mayfield, KY

1099 Medical Center Circle, Mayfield, KY 42066(270) 251-4585

1 of 5

CMS star rating

107

Beds

2,664

Inpatient discharges a year

$113.3M

Net patient revenue a year

31

In-network payers

About this hospital

Jackson Purchase Medical Center is a 107-bed government - hospital district or authority hospital in Mayfield, KY, affiliated with LifePoint Health. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 279 disclosed rate categories.

  • Rural referral center
  • Disproportionate share hospital
CCN
180116
NPI
1891892741
Health system
LifePoint Health
Teaching
No Medicare-funded residents
County
Graves County
Metro area
Mayfield, KY MicroSA
Medicare contractor
Jurisdiction 15, CGS Administrators (15101)
In Medicare since
1969
Last CMS survey
2001

Prices for common services

The 24 services Jackson Purchase Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$6,981 - $28,257

from 4 insurers · median $18,591

UnitedHealthcare$6,981
Insurer A*$10,692
Insurer B*est.$26,491
Insurer C*est.$28,257

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports obstetrics / child birth services to CMS

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$5,025 - $8,015

from 4 insurers · median $7,171

UnitedHealthcare$5,025
Insurer A*$6,828
Insurer B*est.$7,514
Insurer C*est.$8,015

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports obstetrics / child birth services to CMS

Medicine & Surgery

Arthroscopic knee meniscectomy

CPT 29881

$7,262 - $24,478

from 4 insurers · median $15,982

Blue Cross$17,441
Insurer A*$7,262
Insurer B*est.$14,524
Insurer C*est.$24,478
Medicare $3,169Nearby hospitals $3,981301% above nearby hospitals

36 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$2,421 - $9,795

from 4 insurers · median $6,308

Aetna$2,421
Insurer A*est.$5,812
Insurer B*$6,805
Insurer C*est.$9,795
Medicare $878Nearby hospitals $2,141195% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Jackson Purchase Medical Center

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*22
732%
190
Insurer B*24
522%
182
Insurer C*24
420%
162
Insurer D*23
254%
111

How we chose these services: 7 appear in this hospital's own Medicare claims, 10 are common here based on CMS Medicare volume, and 7 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Jackson Purchase Medical Center, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneEMI Health

More about this hospital

  • Quality

    1 of 5 stars

    • 132 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.29%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 21 services
    • 175 affiliated clinicians
    See doctors and services
  • Finances

    $113.3M net patient revenue

    • Operating margin on patient care 5.1%
    • $1.8M unreimbursed and uncompensated care
    • $7.9M net income
    See finances
  • Ownership and leadership

    Owned by Dsb Acquisition LLC

    • Hospital district or authority
    • William Haugh, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Jackson Purchase Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
62-1757927Pinelake Regional Hospital LLC55Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 50 more1891892741 Pinelake Regional Hospital LLC1437337904 Pinelake Regional Hospital LLC1548471063 Pinelake Regional Hospital LLCand 2 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

1099 Medical Center Circle, Mayfield, KY 42066

(270) 251-4585

Get directions

Frequently asked questions

About Jackson Purchase Medical Center's rates and hospital price transparency.

How much does a CT scan cost at Jackson Purchase Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Jackson Purchase Medical Center range from $362 to $6,017 across 3 insurers. UnitedHealthcare's rate is $362. The median at nearby comparable hospitals is $401. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Jackson Purchase Medical Center?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Jackson Purchase Medical Center range from $2,202 to $10,017 across 4 insurers. Aetna's rate is $2,202. The median at nearby comparable hospitals is $2,099. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Jackson Purchase Medical Center?

For Cesarean delivery, hospital stay (MS-DRG 788), published negotiated rates at Jackson Purchase Medical Center range from $6,981 to $28,257 across 4 insurers. UnitedHealthcare's rate is $6,981. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Jackson Purchase Medical Center's CMS star rating?

Jackson Purchase Medical Center has a CMS overall hospital star rating of 1 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is the lowest rating, shared by 6% of US hospitals.

Is Jackson Purchase Medical Center a teaching hospital?

CMS reports no Medicare-funded interns or residents at Jackson Purchase Medical Center for fiscal year 2027.

Does Medicare penalize Jackson Purchase Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Jackson Purchase Medical Center's base inpatient payments by an estimated 0.29% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Jackson Purchase Medical Center?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (79 discharges), chronic obstructive pulmonary disease with mcc (35 discharges), heart failure and shock with mcc (29 discharges).

What is Jackson Purchase Medical Center's case mix index?

Jackson Purchase Medical Center's Medicare case mix index is 1.53 for fiscal year 2027, higher than 31% of hospitals paid under the inpatient prospective payment system.

How many patients does Jackson Purchase Medical Center admit?

Jackson Purchase Medical Center reported 2,664 inpatient discharges and 11,589 inpatient days from Mar 1, 2025 to Feb 28, 2026.

How many employees does Jackson Purchase Medical Center have?

Jackson Purchase Medical Center reported 425 full-time-equivalent employees on payroll from Mar 1, 2025 to Feb 28, 2026.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

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Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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