Jefferson Hospital
Jefferson Hospital in Jefferson Hills, PA charges 6.5x the Medicare reimbursement rate across 46 analyzed procedures, reflecting the pricing structure at this nonprofit-private facility.
Jefferson Hills, PA 15025 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Pricing grade
D
High
Avg markup vs Medicare
6.51x
Charge / Medicare rate
Max markup
11.56x
Worst procedure
Procedures analyzed
46
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 | $98,447 | $49,223 | — | 11.6x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $44,817 | $22,409 | — | 8.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $28,544 | $14,272 | — | 8.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $139,970 | $69,985 | — | 8.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $43,240 | $21,620 | — | 8.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $33,122 | $16,561 | — | 8.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $33,598 | $16,799 | — | 8.1x |
| DIABETES WITH CC | 638 | $30,426 | $15,213 | — | 8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $65,178 | $32,589 | — | 7.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $36,127 | $18,063 | — | 7.8x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $38,127 | $19,063 | — | 7.6x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $56,914 | $28,457 | — | 7.4x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $82,456 | $41,228 | — | 7.3x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $40,073 | $20,037 | — | 7.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $48,321 | $24,161 | — | 7.2x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $39,120 | $19,560 | — | 6.9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $55,539 | $27,770 | — | 6.9x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $44,264 | $22,132 | — | 6.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $34,275 | $17,137 | — | 6.8x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $45,232 | $22,616 | — | 6.6x |
| CELLULITIS WITHOUT MCC | 603 | $27,725 | $13,863 | — | 6.6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $24,646 | $12,323 | — | 6.6x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $27,358 | $13,679 | — | 6.5x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $77,074 | $38,537 | — | 6.4x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $28,233 | $14,116 | — | 6.3x |
| SYNCOPE AND COLLAPSE | 312 | $28,043 | $14,021 | — | 6.2x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $137,564 | $68,782 | — | 6.2x |
| DIABETES WITH MCC | 637 | $46,977 | $23,488 | — | 6.1x |
| RENAL FAILURE WITH MCC | 682 | $49,658 | $24,829 | — | 6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $64,632 | $32,316 | — | 6x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $58,893 | $29,447 | — | 5.6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $32,545 | $16,272 | — | 5.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $63,230 | $31,615 | — | 5.6x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $25,837 | $12,918 | — | 5.5x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $54,508 | $27,254 | — | 5.4x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $63,813 | $31,907 | — | 5.3x |
| RENAL FAILURE WITH CC | 683 | $25,200 | $12,600 | — | 5.2x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $47,388 | $23,694 | — | 5.2x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $101,102 | $50,551 | — | 5.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $34,315 | $17,157 | — | 4.9x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $64,118 | $32,059 | — | 4.8x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $145,610 | $72,805 | — | 4.8x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $112,181 | $56,090 | — | 4.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $37,977 | $18,989 | — | 4.3x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $113,531 | $56,766 | — | 4.1x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | 266 | $148,870 | $74,435 | — | 3.9x |
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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