Illinois / Jersey Community Hospital
CMS certification 140059 · Jerseyville, IL · 3 entries in CMS's price-transparency list
Jersey Community Hospital: charges and Medicare payments
Jersey Community Hospital reported 105 Medicare inpatient stays across 7 DRGs in 2024. Across them it charged 2.38 times what it was paid — among the lower ratios in Illinois, number 98 of 106 hospitals with at least 100 stays (state median 4.06×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 26 stays at an average charge of $20,977, 63% below the national average. It also billed 639 outpatient services, charging 5.51 times what Medicare paid.
- 1Medicare inpatient stays 105
- 2Charge ÷ paid, inpatient 2.38×
- 3Rank in IL (highest ratio = 1) 98 of 106
- 4CMS price-transparency actions 3
Inpatient stays
For the 7 DRGs that can be compared with the national average, Jersey Community Hospital charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 291 Heart Failure and Shock with MCC | 26 | $20,977 | -63% | $10,807 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 19 | $30,117 | -67% | $16,572 |
| 194 Simple Pneumonia and Pleurisy with CC | 13 | $21,352 | -44% | $6,998 |
| 378 Gastrointestinal Hemorrhage with CC | 13 | $31,410 | -35% | $8,454 |
| 177 Respiratory Infections and Inflammations with MCC | 12 | $36,179 | -49% | $14,228 |
| 389 Gastrointestinal Obstruction with CC | 11 | $20,317 | -48% | $6,825 |
| 603 Cellulitis without MCC | 11 | $19,298 | -48% | $7,363 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 245 | $7,284 | $2,154 |
| Comprehensive Observation Services | 132 | $13,749 | $2,530 |
| Level 2 Upper GI Procedures | 92 | $4,805 | $1,745 |
| Level 1 Nerve Procedures | 51 | $11,653 | $1,729 |
| Level 4 Musculoskeletal Procedures | 31 | $30,343 | $6,442 |
| Level 2 Urology and Related Services | 22 | $5,700 | $617 |
| Level 3 Urology and Related Services | 18 | $7,676 | $1,883 |
| Level 5 Musculoskeletal Procedures | 17 | $64,086 | $12,146 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 16 | $8,805 | $1,498 |
| Level 3 Musculoskeletal Procedures | 15 | $8,556 | $2,593 |
Against the Illinois average
For Heart Failure and Shock with MCC (DRG 291), Jersey Community Hospital charged $20,977 on average, 55% less than the Illinois average of $46,293, and was paid $10,807 against a state average of $11,813. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Jersey Community Hospital charged $30,117 on average, 59% less than the Illinois average of $73,987, and was paid $16,572 against a state average of $17,651. For Simple Pneumonia and Pleurisy with CC (DRG 194), Jersey Community Hospital charged $21,352 on average, 36% less than the Illinois average of $33,129, and was paid $6,998 against a state average of $7,753. For Gastrointestinal Hemorrhage with CC (DRG 378), Jersey Community Hospital charged $31,410 on average, 25% less than the Illinois average of $42,137, and was paid $8,454 against a state average of $9,363. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $7,284 was 51% below the state average of $14,917. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $13,749 was 36% below the state average of $21,498. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $4,805 was 65% below the state average of $13,666. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $11,653 was 10% below the state average of $12,903.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Jersey Community Hospital in Jerseyville, IL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2026-01-28 (CMS case 6874)
- CAP Request — 2026-05-06 (CMS case 6874)
- Closure Notice — 2026-05-15 (CMS case 6874)
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.