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Jersey Community Hospital Dist

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Hospital Overview
Facility Details

CCN

140059

NPI

1184630519

Type

Short Term Acute Care Hospital

Ownership

Government - Local

Beds

65

Contact Information

Address

400 Maple Summit Road

Jerseyville, IL 62052

Phone

(618) 498-6402

Insurance Accepted
Medicare
Medicaid
Aetna
BCBS
Cigna
United (incl Optum)

💡

Important Notice

Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.

Price Transparency Contract Information
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💡 The data below comes from CMS-mandated price transparency data. Learn more.

💡 Tip: Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

PayerCategoryCode Type & GroupContract TypeRate Compared to State Average

Aetna

Outpatient

HCPCS

Outpatient PPS

Range: C1713 - C9899

Percentage of Bill Charged

Aetna

Outpatient

HCPCS

Chemotherapy Drugs

Range: J9000 - J9999

Negotiated

Very Low

Aetna

Facility

RC

Room and Board Private (one bed)

Range: 0110 - 0119

Per Diem

Very Low

Aetna

Outpatient

CPT

Category III Codes

Range: 0042T - 0810T

Percentage of Bill Charged

Aetna

Outpatient

CPT

Surgery

Range: 10004 - 69990

Negotiated

Very Low

Aetna

Facility

RC

Anesthesia

Range: 0370 - 0379

Percentage of Bill Charged

Aetna

Facility

RC

Laboratory Pathology

Range: 0310 - 0319

Percentage of Bill Charged

Aetna

Facility

RC

IV Therapy

Range: 0260 - 0269

Percentage of Bill Charged

Aetna

Facility

RC

Physical Therapy

Range: 0420 - 0429

Percentage of Bill Charged

Aetna

Outpatient

HCPCS

Procedures / Professional Services

Range: G0008 - G9987

Negotiated

Average

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