THOMAS JEFFERSON UNIVERSITY HOSPITAL
PHILADELPHIA, PA 19107 · Acute Care Hospitals
206 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 26, 2026 · Methodology
Procedures Analyzed
206
With CMS pricing data
Avg Charge-to-Medicare Ratio
6.0x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Voluntary non-profit - Private
Above 90th Percentile
3%
Compared to PA hospitals
Understanding Your Costs
When you receive a bill from THOMAS JEFFERSON UNIVERSITY HOSPITAL, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, THOMAS JEFFERSON UNIVERSITY HOSPITAL lists chargemaster rates that average 6.0x the corresponding Medicare reimbursement amount across 206 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).
The median hospital in PA has a chargemaster-to-Medicare ratio of 5.3x, with ratios across the state ranging from 1.1x to 13.8x. At 6.0x, this facility’s average ratio is above the state median. 128 hospitals in PA report pricing data to CMS (Source: CMS IPPS Provider Summary).
The procedure with the largest gap between the listed price and Medicare reimbursement at THOMAS JEFFERSON UNIVERSITY HOSPITAL is CONNECTIVE TISSUE DISORDERS WITH MCC (DRG 545). The listed chargemaster rate is $240,490, while Medicare reimburses $19,819 for the same procedure — a ratio of 12.1x (Source: CMS IPPS Provider Summary, FY2024).
What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.
7 of 206 procedures (3%) at this facility have listed rates above the 90th percentile compared to other PA hospitals reporting the same procedure data to CMS (Source: CMS IPPS Provider Summary).
THOMAS JEFFERSON UNIVERSITY HOSPITAL is a voluntary non-profit - private acute care hospitals facility with a CMS quality rating of 3/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.
Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio
Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Procedure Pricing Lookup
Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.
| Procedure | DRG | Listed Charge | Medicare Reimb. | Ratio | State Position | |
|---|---|---|---|---|---|---|
| CONNECTIVE TISSUE DISORDERS WITH MCC | 545 | $240,490 | $19,819 | 12.1x | 1th | Compare your bill |
| POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | 863 | $60,705 | $6,392 | 9.5x | 1th | Compare your bill |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $63,126 | $6,781 | 9.3x | 1th | Compare your bill |
| HYPERTENSION WITH MCC | 304 | $87,428 | $9,678 | 9.0x | 1th | Compare your bill |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $113,749 | $12,890 | 8.8x | 1th | Compare your bill |
| KIDNEY TRANSPLANT | 652 | $244,493 | $28,165 | 8.7x | 0th | Compare your bill |
| MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | 142 | $109,084 | $12,872 | 8.5x | 1th | Compare your bill |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | 082 | $172,292 | $20,452 | 8.4x | 1th | Compare your bill |
| DYSEQUILIBRIUM | 149 | $49,874 | $5,956 | 8.4x | 1th | Compare your bill |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $406,059 | $48,957 | 8.3x | 1th | Compare your bill |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $98,176 | $11,872 | 8.3x | 1th | Compare your bill |
| CHEST PAIN | 313 | $55,512 | $6,780 | 8.2x | 1th | Compare your bill |
| HEADACHES WITHOUT MCC | 103 | $49,153 | $6,180 | 8.0x | 1th | Compare your bill |
| LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | 841 | $110,183 | $13,902 | 7.9x | 1th | Compare your bill |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $35,140 | $4,451 | 7.9x | 1th | Compare your bill |
| MEDICAL BACK PROBLEMS WITH MCC | 551 | $117,697 | $14,928 | 7.9x | 1th | Compare your bill |
| MAJOR HEAD AND NECK PROCEDURES WITH CC | 141 | $152,590 | $19,484 | 7.8x | 1th | Compare your bill |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $122,597 | $15,730 | 7.8x | 1th | Compare your bill |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 432 | $115,205 | $14,893 | 7.7x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $44,010 | $5,696 | 7.7x | 1th | Compare your bill |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $47,167 | $6,182 | 7.6x | 1th | Compare your bill |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $50,670 | $6,653 | 7.6x | 1th | Compare your bill |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | 442 | $59,319 | $7,843 | 7.6x | 1th | Compare your bill |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $74,755 | $9,923 | 7.5x | 1th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $110,109 | $14,637 | 7.5x | 1th | Compare your bill |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | 235 | $366,593 | $48,843 | 7.5x | 1th | Compare your bill |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $58,975 | $7,887 | 7.5x | 1th | Compare your bill |
| SEIZURES WITHOUT MCC | 101 | $55,925 | $7,545 | 7.4x | 1th | Compare your bill |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $71,224 | $9,640 | 7.4x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $63,744 | $8,700 | 7.3x | 1th | Compare your bill |
| EXTRAOCULAR PROCEDURES EXCEPT ORBIT | 115 | $110,350 | $15,068 | 7.3x | — | Compare your bill |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $51,145 | $7,003 | 7.3x | 1th | Compare your bill |
| ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | 614 | $181,391 | $24,986 | 7.3x | 1th | Compare your bill |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $151,988 | $20,942 | 7.3x | 1th | Compare your bill |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $41,728 | $5,786 | 7.2x | 1th | Compare your bill |
| DISORDERS OF THE BILIARY TRACT WITH MCC | 444 | $116,386 | $16,224 | 7.2x | 1th | Compare your bill |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | 056 | $148,700 | $20,779 | 7.2x | 1th | Compare your bill |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $29,879 | $4,174 | 7.2x | 1th | Compare your bill |
| OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | 144 | $143,114 | $20,014 | 7.2x | 1th | Compare your bill |
| HEART FAILURE AND SHOCK WITH CC | 292 | $57,320 | $8,020 | 7.2x | 1th | Compare your bill |
| PERIPHERAL VASCULAR DISORDERS WITH MCC | 299 | $101,528 | $14,326 | 7.1x | 1th | Compare your bill |
| KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | 650 | $360,034 | $51,340 | 7.0x | 1th | Compare your bill |
| NEUROLOGICAL EYE DISORDERS | 123 | $47,235 | $6,745 | 7.0x | 0th | Compare your bill |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $49,447 | $7,087 | 7.0x | 1th | Compare your bill |
| OTHER O.R. PROCEDURES FOR INJURIES WITH CC | 908 | $125,059 | $17,938 | 7.0x | 1th | Compare your bill |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $147,802 | $21,218 | 7.0x | 1th | Compare your bill |
| COMPLICATIONS OF TREATMENT WITH CC | 920 | $64,392 | $9,270 | 7.0x | 1th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $53,941 | $7,829 | 6.9x | 1th | Compare your bill |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $45,158 | $6,585 | 6.9x | 1th | Compare your bill |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | 441 | $108,679 | $15,858 | 6.8x | 1th | Compare your bill |
Showing 50 of 206 procedures
All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Statewide Context
Charge-to-Medicare ratio range across PA hospitals
128 hospitals in PA report pricing data to CMS. This facility's average ratio of 6.0x places it at the lower-middle range of the state range (Source: CMS IPPS Provider Summary).
What You Can Do
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How it worksData: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).
Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.
Frequently Asked Questions About THOMAS JEFFERSON UNIVERSITY HOSPITAL
How much does THOMAS JEFFERSON UNIVERSITY HOSPITAL charge compared to Medicare?
According to CMS IPPS data, THOMAS JEFFERSON UNIVERSITY HOSPITAL's listed chargemaster rates average 6.0x the Medicare reimbursement amount across 206 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.
What is the most expensive procedure at THOMAS JEFFERSON UNIVERSITY HOSPITAL?
The procedure with the highest chargemaster-to-Medicare ratio at THOMAS JEFFERSON UNIVERSITY HOSPITAL is CONNECTIVE TISSUE DISORDERS WITH MCC (DRG 545), with a listed charge of $240,490 compared to Medicare reimbursement of $19,819 — a ratio of 12.1x. Source: CMS IPPS Provider Summary.
Is THOMAS JEFFERSON UNIVERSITY HOSPITAL expensive compared to other PA hospitals?
THOMAS JEFFERSON UNIVERSITY HOSPITAL's average chargemaster-to-Medicare ratio is 6.0x. Ratios vary significantly across PA hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.
Where does the pricing data for THOMAS JEFFERSON UNIVERSITY HOSPITAL come from?
All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.
How can I check if my bill from THOMAS JEFFERSON UNIVERSITY HOSPITAL is correct?
You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.
Does THOMAS JEFFERSON UNIVERSITY HOSPITAL in PHILADELPHIA, PA accept Medicare?
THOMAS JEFFERSON UNIVERSITY HOSPITAL is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact THOMAS JEFFERSON UNIVERSITY HOSPITAL directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.