Jefferson Einstein Montgomery Hospital
Jefferson Einstein Montgomery Hospital in East Norriton, PA charges 5.2x the Medicare reimbursement rate across 84 analyzed procedures, reflecting typical pricing patterns for nonprofit private hospitals in the region.
East Norriton, PA 19403 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Pricing grade
D
High
Avg markup vs Medicare
5.25x
Charge / Medicare rate
Max markup
9.57x
Worst procedure
Procedures analyzed
84
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $40,915 | $20,458 | — | 9.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $45,258 | $22,629 | — | 7.9x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $41,419 | $20,709 | — | 7.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $46,617 | $23,309 | — | 7.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $64,339 | $32,170 | — | 7.2x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $44,395 | $22,197 | — | 6.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $35,835 | $17,918 | — | 6.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $21,392 | $10,696 | — | 6.5x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $86,680 | $43,340 | — | 6.5x |
| HYPERTENSION WITHOUT MCC | 305 | $32,490 | $16,245 | — | 6.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $32,093 | $16,047 | — | 6.4x |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | 074 | $46,569 | $23,284 | — | 6.4x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $65,564 | $32,782 | — | 6.3x |
| SYNCOPE AND COLLAPSE | 312 | $37,470 | $18,735 | — | 6.3x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $34,949 | $17,475 | — | 6.2x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $39,512 | $19,756 | — | 6.1x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $37,809 | $18,905 | — | 6.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $43,783 | $21,891 | — | 6.1x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $41,468 | $20,734 | — | 6x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $35,179 | $17,590 | — | 6x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $32,910 | $16,455 | — | 5.9x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $38,165 | $19,082 | — | 5.9x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $28,732 | $14,366 | — | 5.8x |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | 543 | $44,701 | $22,351 | — | 5.8x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $40,819 | $20,410 | — | 5.8x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $32,741 | $16,370 | — | 5.8x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $80,094 | $40,047 | — | 5.8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $56,353 | $28,176 | — | 5.6x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $30,759 | $15,380 | — | 5.6x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $161,300 | $80,650 | — | 5.6x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $91,491 | $45,745 | — | 5.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $27,434 | $13,717 | — | 5.5x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $28,495 | $14,247 | — | 5.5x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $203,001 | $101,500 | — | 5.5x |
| DIABETES WITH CC | 638 | $32,043 | $16,021 | — | 5.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $50,836 | $25,418 | — | 5.4x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $38,423 | $19,211 | — | 5.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $51,552 | $25,776 | — | 5.3x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $61,060 | $30,530 | — | 5.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $45,050 | $22,525 | — | 5.2x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $36,385 | $18,192 | — | 5.2x |
| SEIZURES WITHOUT MCC | 101 | $31,818 | $15,909 | — | 5.2x |
| COAGULATION DISORDERS | 813 | $59,191 | $29,595 | — | 5.2x |
| SEIZURES WITH MCC | 100 | $58,277 | $29,139 | — | 5.1x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $70,751 | $35,375 | — | 5.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $34,784 | $17,392 | — | 5.1x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $43,490 | $21,745 | — | 5.1x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $80,905 | $40,452 | — | 5.1x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $36,888 | $18,444 | — | 5.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $60,235 | $30,118 | — | 5x |
Showing 50 of 84 procedures
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use