Jefferson Health- Northeast
JEFFERSON HEALTH- NORTHEAST in Philadelphia charges 4.5x the Medicare reimbursement rate across 117 analyzed procedures, reflecting typical pricing patterns for nonprofit-private hospitals in the region.
Philadelphia, PA 19114 · Acute Care Hospitals · CMS Rating: 1/5
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
C
Average
Avg markup vs Medicare
4.48x
Charge / Medicare rate
Max markup
6.96x
Worst procedure
Procedures analyzed
117
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 |
|---|---|---|---|---|---|
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $91,136 | $45,568 | — | 7x |
| GASTROINTESTINAL OBSTRUCTION WITH MCC | 388 | $71,170 | $35,585 | — | 6.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $125,429 | $62,715 | — | 6.3x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $35,668 | $17,834 | — | 6.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $36,679 | $18,340 | — | 6x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $36,966 | $18,483 | — | 6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $45,104 | $22,552 | — | 5.9x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $33,738 | $16,869 | — | 5.9x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | 082 | $105,994 | $52,997 | — | 5.8x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $44,994 | $22,497 | — | 5.8x |
| MAJOR CHEST TRAUMA WITH CC | 184 | $44,201 | $22,100 | — | 5.8x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $60,258 | $30,129 | — | 5.7x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $96,777 | $48,388 | — | 5.7x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $33,965 | $16,983 | — | 5.6x |
| HYPERTENSION WITH MCC | 304 | $39,949 | $19,974 | — | 5.5x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $53,990 | $26,995 | — | 5.5x |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $77,268 | $38,634 | — | 5.5x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $29,048 | $14,524 | — | 5.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $26,494 | $13,247 | — | 5.4x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $100,292 | $50,146 | — | 5.4x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $37,208 | $18,604 | — | 5.3x |
| INTERSTITIAL LUNG DISEASE WITH MCC | 196 | $75,017 | $37,509 | — | 5.3x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $33,660 | $16,830 | — | 5.3x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $27,298 | $13,649 | — | 5.3x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | 242 | $136,780 | $68,390 | — | 5.2x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $81,158 | $40,579 | — | 5.1x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | 433 | $42,012 | $21,006 | — | 5.1x |
| RENAL FAILURE WITH MCC | 682 | $54,633 | $27,316 | — | 5.1x |
| ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WIT | 062 | $63,079 | $31,540 | — | 5.1x |
| PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | 040 | $137,295 | $68,647 | — | 5.1x |
| RENAL FAILURE WITH CC | 683 | $30,819 | $15,410 | — | 5.1x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $74,109 | $37,055 | — | 5x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | 565 | $37,333 | $18,666 | — | 5x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $42,476 | $21,238 | — | 5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $57,789 | $28,895 | — | 5x |
| CHEST PAIN | 313 | $26,583 | $13,292 | — | 5x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | 086 | $48,761 | $24,381 | — | 4.9x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $87,815 | $43,908 | — | 4.9x |
| SEIZURES WITHOUT MCC | 101 | $30,311 | $15,155 | — | 4.9x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $29,838 | $14,919 | — | 4.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $35,643 | $17,821 | — | 4.9x |
| SYNCOPE AND COLLAPSE | 312 | $29,473 | $14,736 | — | 4.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $74,534 | $37,267 | — | 4.8x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $26,470 | $13,235 | — | 4.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $26,059 | $13,029 | — | 4.7x |
| HYPERTENSION WITHOUT MCC | 305 | $25,636 | $12,818 | — | 4.7x |
| BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | 554 | $26,583 | $13,292 | — | 4.7x |
| CELLULITIS WITH MCC | 602 | $42,832 | $21,416 | — | 4.7x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $29,910 | $14,955 | — | 4.6x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $26,943 | $13,471 | — | 4.6x |
Showing 50 of 117 procedures
How JEFFERSON HEALTH- NORTHEAST compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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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