Hospital Price Transparency Disclaimer:
Jefferson Regional Medical Center is committed to helping its patients, in partnership with their care team, make informed decisions about their medical care. This includes helping patients understand the potential costs of their medical care, along with available financial assistance.
The information provided on this website is intended to help you better understand potential out-of-pocket costs for healthcare services as required by the Pricing Transparency Regulation effective January 1, 2021. The information provided here is the starting price for each service and product offered at the hospital and is intended to provide the first step only in determining a patient’s actual out-of-pocket costs.
The information is not a quote, nor is it a guarantee of payment or benefits for healthcare services. If you have insurance, your insurance policy (including deductibles, co-pay, co-insurance, out-of-pocket maximums, covered services and medical necessity) will further determine the amount owed. The estimate does not include any physician or professional service costs, including, but not limited to, office visits, surgeon, anesthesiologist, emergency room physician, radiologist, pathologist, consulting physicians, nurse practitioner, physician assistant, physical therapist, etc. who are not employed by Jefferson Regional Medical Center.
Please note that this information alone is insufficient to fully calculate out-of-pocket costs in advance of receiving a healthcare service. Because each patient’s medical care plan is unique, in addition to the information provided by the hospital, we encourage you to contact our Financial Counselor at 870-541-7990 and your insurer to obtain the most accurate estimate of patient out-of-pocket costs.
Actual costs to the patient are determined by several factors, including, but not limited to:
- A treating or referring physician’s determination of the patient’s actual medical needs at the time of care, which may be substantially different than the anticipated medical needs prior to the service
- The appropriate level of care, including the actual services completed, the severity of the illness, and the actions taken while the patient is in the hospital
- The patient’s level of insurance coverage, whether the patient is in-network or out-of-network for their insurance plan, the type of insurance plan, and outstanding benefits with the plan benefit package, including co-pays and deductibles
The following types of prices are posted for each item or service:
- Gross charge
- The charge for each individual item or service included on the chargemaster that does not include any discount.
- Payer-specific negotiated charges
- The charge that the hospital has negotiated with a third-party payer, such as an insurance company. This rate only includes the negotiated base rate and not the amount ultimately paid by the insurer or patient for an item or service. Additionally, the listed rate does not include non-negotiated payment rates, such as those for fee-for-service Medicare or Medicaid, and does not include rates for payers that do not have a contract with the hospital.
- Discounted cash price
- The rate that Jefferson Regional Medical Center charges individuals who pay cash, for an individual item or service or service package.
- De-identified minimum and maximum negotiated charge
- The highest and lowest charges a hospital has negotiated with all third-party payers for an item or service.
The determination of payer-specific negotiated charges for certain services or packages of services requires interpretation of contractual terms with third-party payers and insurance companies after making certain assumptions about services rendered. Due to the multi-faceted nature of these determinations, the charges or payer specific negotiated rate provided may differ from the actual charge or payer specific negotiated rate associated with these services or packages of services.
I have read and am aware of the above information, the contextual limitations of JRMC’s chargemaster and list of shoppable services, and recognize that the listed prices cannot be used as a single source for determining actual cost to any payer, including insurers, employers, or patient out-of-pocket responsibility, and if such single service determination is attempted, the information will be out-of-context and therefore, incomplete and inaccurate.
If I am a non-patient, third-party, I acknowledge that I have read and am aware of the above information, the contextual limitations of the chargemaster and list of shoppable services, and recognize that the listed prices cannot be used as a single source for determining actual cost to any payer, including insurers, employers, or patient out-of-pocket responsibility, and if such single service determination is attempted, the information will be out-of-context and therefore, incomplete and inaccurate. I further acknowledge that if I or my organization republish, post online, or otherwise re-communicate this information to another party and hold-out these fee schedules to the sole determining factor in establishing payer cost or patient out-of-pocket responsibility, without providing the contextual limitations described above, I risk misleading the consumers of such information due to the limitations detailed in this disclaimer. If my or my organization’s intent is to aid a payer or patient in determining actual payer cost or patient out-of-pocket responsibility, I acknowledge that this intent is most accurately and effectively achieved by recommending that such individuals contact their insurer or JRMC directly at 870-541-7990. I agree further that I am not accessing this information for any anti-competitive purpose.
BY CLICKING THE LINK BELOW, I ACKNOWLEDGE THAT I HAVE READ THE DISCLAIMER AND UNDERSTAND THE INFORMATION ON THE FOLLOWING PAGES IS AN ESTIMATE ONLY. I UNDERSTAND THAT MY ACTUAL OUT-OF-POCKET COSTS MAY BE, AND LIKELY WILL BE, DIFFERENT THAN THE ESTIMATED AMOUNT SHOWN.