Kentucky / Jackson Purchase Medical Center
CMS certification 180116 · Mayfield, KY · 2 entries in CMS's price-transparency list
Jackson Purchase Medical Center: charges and Medicare payments
Jackson Purchase Medical Center reported 396 Medicare inpatient stays across 18 DRGs in 2024. Across them it charged 6.34 times what it was paid — among the higher ratios in Kentucky, number 9 of 51 hospitals with at least 100 stays (state median 4.06×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 79 stays at an average charge of $92,234, 2% above the national average. It also billed 380 outpatient services, charging 13.76 times what Medicare paid.
- 1Medicare inpatient stays 396
- 2Charge ÷ paid, inpatient 6.34×
- 3Rank in KY (highest ratio = 1) 9 of 51
- 4CMS price-transparency actions 2
Inpatient stays
For the 18 DRGs that can be compared with the national average, Jackson Purchase Medical Center charged more than the national average in 13 (72%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 79 | $92,234 | +2% | $14,646 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 35 | $50,017 | -1% | $7,925 |
| 291 Heart Failure and Shock with MCC | 29 | $64,895 | +15% | $9,525 |
| 193 Simple Pneumonia and Pleurisy with MCC | 28 | $62,653 | +5% | $9,644 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 25 | $40,221 | +9% | $5,704 |
| 177 Respiratory Infections and Inflammations with MCC | 23 | $67,025 | -5% | $12,050 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 21 | $48,038 | +20% | $5,717 |
| 690 Kidney and Urinary Tract Infections without MCC | 20 | $39,409 | +4% | $5,930 |
| 683 Renal Failure with CC | 19 | $44,752 | +10% | $6,571 |
| 689 Kidney and Urinary Tract Infections with MCC | 17 | $52,747 | +3% | $8,429 |
| 189 Pulmonary Edema and Respiratory Failure | 15 | $60,794 | +6% | $9,038 |
| 378 Gastrointestinal Hemorrhage with CC | 14 | $57,592 | +19% | $7,156 |
| 194 Simple Pneumonia and Pleurisy with CC | 13 | $38,074 | -1% | $6,108 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 13 | $73,675 | +30% | $8,835 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 12 | $38,228 | +6% | $5,473 |
| 603 Cellulitis without MCC | 11 | $31,809 | -15% | $6,400 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 11 | $78,569 | +7% | $12,396 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 11 | $141,442 | -38% | $32,930 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 2 Upper GI Procedures | 75 | $17,741 | $1,706 |
| Comprehensive Observation Services | 73 | $31,214 | $2,450 |
| Level 5 Musculoskeletal Procedures | 49 | $123,103 | $11,812 |
| Level 3 Musculoskeletal Procedures | 36 | $38,254 | $2,896 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 31 | $12,439 | $1,483 |
| Level 1 Endovascular Procedures | 21 | $35,130 | $2,986 |
| Level 4 Urology and Related Services | 20 | $34,494 | $3,189 |
| Level 1 Nerve Procedures | 20 | $25,394 | $1,766 |
| Level 4 Musculoskeletal Procedures | 19 | $72,078 | $5,996 |
| Level 3 Urology and Related Services | 14 | $35,267 | $1,863 |
| Level 3 Airway Endoscopy | 11 | $21,930 | $1,553 |
| Level 1 Laparoscopy and Related Services | 11 | $40,161 | $5,279 |
Against the Kentucky average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Jackson Purchase Medical Center charged $92,234 on average, 45% more than the Kentucky average of $63,454, and was paid $14,646 against a state average of $14,765. For Chronic Obstructive Pulmonary Disease with MCC (DRG 190), Jackson Purchase Medical Center charged $50,017 on average, 35% more than the Kentucky average of $37,165, and was paid $7,925 against a state average of $8,277. For Heart Failure and Shock with MCC (DRG 291), Jackson Purchase Medical Center charged $64,895 on average, 59% more than the Kentucky average of $40,730, and was paid $9,525 against a state average of $9,552. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Jackson Purchase Medical Center charged $62,653 on average, 43% more than the Kentucky average of $43,745, and was paid $9,644 against a state average of $9,962. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $17,741 was 33% above the state average of $13,357. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $31,214 was 54% above the state average of $20,333. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $123,103 was 41% above the state average of $87,601. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $38,254 was 80% above the state average of $21,278.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Jackson Purchase Medical Center in Mayfield, KY, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-11 (CMS case 3751)
- Met Requirements — 2025-06-18 (CMS case 5240)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.