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Short Term Acute Care HospitalGovernment - Local

Jersey Community Hospital Dist

Jerseyville, IL

400 Maple Summit Road, Jerseyville, IL 62052(618) 498-6402

3 of 5

CMS star rating

46

Beds

642

Inpatient discharges a year

33

In-network payers

About this hospital

Jersey Community Hospital Dist is a 46-bed government - local hospital in Jerseyville, IL. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 260 disclosed rate categories.

  • Medicare-dependent hospital
  • Reclassified as rural
  • ACO participant
  • Helipad
CCN
140059
NPI
1184630519
Website
jch.org
Teaching
No Medicare-funded residents
County
Jersey County
Metro area
St. Louis, MO-IL MSA
Medicare contractor
Jurisdiction 6, National Government Services (06101)
In Medicare since
1966
Last CMS survey
2008

Prices for common services

The 24 services Jersey Community Hospital Dist 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.

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$303 - $4,712

from 4 insurers · median $2,251

Aetna$303
Insurer A*$437
Insurer B*$4,065
Insurer C*$4,712
Medicare $345Nearby hospitals $709218% above nearby hospitals

Common here, based on CMS Medicare volume

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$2,431 - $3,131

from 2 insurers · median $2,781

BCBS Illinois$2,431
Insurer A*$3,131

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 neonatal nursery services to CMS

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$2,439 - $3,229

from 4 insurers · median $2,553

Aetna$2,439
Insurer A*$2,458
Insurer B*$2,648
Insurer C*$3,229
Medicare $540Nearby hospitals $2,4196% above nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$14,702 - $15,925

from 2 insurers · median $15,314

UnitedHealthcare$14,702
Insurer A*$15,925
Medicare $13,040Nearby hospitals $21,40628% below nearby hospitals

18 Medicare discharges for this DRG in CMS hospital data

How the insurers pay at Jersey Community Hospital Dist

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*21
798%
163
Insurer B*19
764%
170
Insurer C*23
236%
174
Insurer D*20
73%
218

How we chose these services: 2 appear in this hospital's own Medicare claims, 19 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 Jersey Community Hospital Dist, 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

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
37-6013958(multi-state) Jersey Community Hospital52Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 47 more1184630519 Jersey Community Hospital1134163827 Jersey Community Hospital District1659750818 Jersey Community Hospitaland 15 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

400 Maple Summit Road, Jerseyville, IL 62052

(618) 498-6402

Get directions

Frequently asked questions

About Jersey Community Hospital Dist's rates and hospital price transparency.

How much does an MRI cost at Jersey Community Hospital Dist?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Jersey Community Hospital Dist range from $239 to $3,576 across 4 insurers. Cigna's rate is $3,576. The median at nearby comparable hospitals is $677. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Jersey Community Hospital Dist?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Jersey Community Hospital Dist range from $303 to $4,712 across 4 insurers. Aetna's rate is $303. The median at nearby comparable hospitals is $709. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Jersey Community Hospital Dist?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Jersey Community Hospital Dist range from $1,229 to $1,390 across 3 insurers. UnitedHealthcare's rate is $1,288. The median at nearby comparable hospitals is $2,231. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Jersey Community Hospital Dist?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Jersey Community Hospital Dist range from $2,431 to $3,131 across 2 insurers. Blue Cross Blue Shield of Illinois's rate is $2,431. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Jersey Community Hospital Dist?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Jersey Community Hospital Dist range from $89 to $353 across 4 insurers. Aetna's rate is $89. The median at nearby comparable hospitals is $237. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Jersey Community Hospital Dist?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Jersey Community Hospital Dist range from $14,702 to $15,925 across 2 insurers. UnitedHealthcare's rate is $14,702. The median at nearby comparable hospitals is $21,406. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Jersey Community Hospital Dist's CMS star rating?

Jersey Community Hospital Dist has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is Jersey Community Hospital Dist a teaching hospital?

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

Does Medicare penalize Jersey Community Hospital Dist for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Jersey Community Hospital Dist's base inpatient payments by an estimated 0.43% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Jersey Community Hospital Dist?

In 2024, the most common were heart failure and shock with mcc (26 discharges), septicemia or severe sepsis without mv >96 hours with mcc (19 discharges), simple pneumonia and pleurisy with cc (13 discharges).

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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