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Short Term Acute Care HospitalGovernment - Hospital District Or Authority

Jefferson Hospital

Louisville, GA

1067 Peachtree Street, Louisville, GA 30434(478) 625-7000

Not rated by CMS

CMS star rating

47

Beds

203

Inpatient discharges a year

$13.8M

Net patient revenue a year

34

In-network payers

About this hospital

Jefferson Hospital is a 47-bed government - hospital district or authority hospital in Louisville, GA. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 239 disclosed rate categories.

  • Sole community hospital
  • Disproportionate share hospital
  • 340B participant
CCN
110100
NPI
1710992433
Teaching
No Medicare-funded residents
County
Jefferson County
Medicare contractor
Jurisdiction J, Palmetto GBA (10001)
In Medicare since
1977
Last CMS survey
1995

Prices for common services

The 24 services Jefferson Hospital 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.

Mammography

Screening mammography, bilateral

CPT 77067

$93 - $670

from 4 insurers · median $611

Aetna$93
Insurer A*est.$587
Insurer B*est.$635
Insurer C*est.$670
Medicare $86Nearby hospitals $226170% above nearby hospitals

Common here, based on CMS Medicare volume

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$1,500 - $2,468

from 3 insurers · median $2,051

UnitedHealthcare$1,500
Insurer A*est.$2,051
Insurer B*est.$2,468
Medicare $862Nearby hospitals $1,57730% above nearby hospitals

Common here, based on CMS Medicare volume

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$275 - $605

from 4 insurers · median $524

Aetna$275
Insurer A*est.$476
Insurer B*est.$573
Insurer C*est.$605
Medicare $331Nearby hospitals $1,80971% below nearby hospitals

Common here, based on CMS Medicare volume

Digestive procedures

Colonoscopy with biopsy

CPT 45380

$1,500 - $2,814

from 3 insurers · median $2,338

UnitedHealthcare$1,500
Insurer A*est.$2,338
Insurer B*est.$2,814
Medicare $1,137Nearby hospitals $1,48657% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Jefferson Hospital

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*23
341%
175
Insurer B*24
335%
1310
Insurer C*23
283%
16
Insurer D*19
108%
118

How we chose these services: 0 appear in this hospital's own Medicare claims, 21 are common here based on CMS Medicare volume, and 3 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 Jefferson Hospital, 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)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    Not rated by CMS

    • 99 min in the ER before going home (US median 148)
    • No Medicare readmissions penalty
    See quality ratings
  • Doctors and services

    Accredited by DNV

    • No Medicare-funded residents
    • 16 services
    • 34 affiliated clinicians
    See doctors and services
  • Finances

    $13.8M net patient revenue

    • Operating margin on patient care -50.9%
    • $1.8M unreimbursed and uncompensated care
    • -$2.5M net income
    See finances
  • Ownership and leadership

    Hospital district or authority

    • Wendy Martin, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
58-1309961Hospital Authority Of Jefferson County And The City Of Louisville53Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Alliant Health Plans, Allied Benefit Systems and 48 more1710992433 Hospital Authority Of Jefferson County And The City Of Louisville1417554437 Hospital Authority Of Jefferson County And The City Of Louisville1215943915 Hospital Authority Of Jefferson County And The City Of Louisvilleand 4 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

1067 Peachtree Street, Louisville, GA 30434

(478) 625-7000

Get directions

Frequently asked questions

About Jefferson Hospital's rates and hospital price transparency.

How much does an MRI cost at Jefferson Hospital?

For MRI lumbar spine without contrast (CPT 72148), published negotiated rates at Jefferson Hospital range from $405 to $1,118 across 4 insurers. Blue Cross Blue Shield's rate is $1,058. The median at nearby comparable hospitals is $660. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Jefferson Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Jefferson Hospital range from $275 to $605 across 4 insurers. Aetna's rate is $275. The median at nearby comparable hospitals is $1,809. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Jefferson Hospital?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Jefferson Hospital range from $1,500 to $2,814 across 3 insurers. UnitedHealthcare's rate is $1,500. The median at nearby comparable hospitals is $1,486. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Jefferson Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Jefferson Hospital range from $93 to $670 across 4 insurers. Aetna's rate is $93. The median at nearby comparable hospitals is $226. What a patient pays depends on their plan's deductible, coinsurance and network status.

Is Jefferson Hospital a teaching hospital?

CMS reports no Medicare-funded interns or residents at Jefferson Hospital for fiscal year 2027.

Does Medicare penalize Jefferson Hospital for readmissions?

No. Jefferson Hospital has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.

What is Jefferson Hospital's case mix index?

Jefferson Hospital's Medicare case mix index is 0.95 for fiscal year 2027, higher than 1% of hospitals paid under the inpatient prospective payment system.

How many patients does Jefferson Hospital admit?

Jefferson Hospital reported 203 inpatient discharges and 803 inpatient days from Jan 1, 2025 to Dec 31, 2025.

How many employees does Jefferson Hospital have?

Jefferson Hospital reported 112 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.

How much revenue does Jefferson Hospital make?

Jefferson Hospital reported $13.8M in net patient revenue on $37.8M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of -50.9%, and net income of -$2.5M.

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.

Compliance MRF

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
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Get your chargemaster right for billing and payer contracts

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.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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