Thomas Jefferson University Hospital
Thomas Jefferson University Hospital in Philadelphia charges 6.0x the Medicare reimbursement rate across 206 analyzed procedures, representing a typical markup for nonprofit hospital systems in major metropolitan areas.
Philadelphia, PA 19107 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
D
High
Avg markup vs Medicare
6.04x
Charge / Medicare rate
Max markup
12.13x
Worst procedure
Procedures analyzed
206
With pricing data
Outlier procedures
3.4%
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 |
|---|---|---|---|---|---|
| CONNECTIVE TISSUE DISORDERS WITH MCC | 545 | $240,490 | $120,245 | — | 12.1x |
| POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | 863 | $60,705 | $30,352 | — | 9.5x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $63,126 | $31,563 | — | 9.3x |
| HYPERTENSION WITH MCC | 304 | $87,428 | $43,714 | — | 9x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $113,749 | $56,875 | — | 8.8x |
| KIDNEY TRANSPLANT | 652 | $244,493 | $122,247 | — | 8.7x |
| MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | 142 | $109,084 | $54,542 | — | 8.5x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | 082 | $172,292 | $86,146 | — | 8.4x |
| DYSEQUILIBRIUM | 149 | $49,874 | $24,937 | — | 8.4x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $406,059 | $203,029 | — | 8.3x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $98,176 | $49,088 | — | 8.3x |
| CHEST PAIN | 313 | $55,512 | $27,756 | — | 8.2x |
| HEADACHES WITHOUT MCC | 103 | $49,153 | $24,577 | — | 8x |
| LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | 841 | $110,183 | $55,091 | — | 7.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $35,140 | $17,570 | — | 7.9x |
| MEDICAL BACK PROBLEMS WITH MCC | 551 | $117,697 | $58,848 | — | 7.9x |
| MAJOR HEAD AND NECK PROCEDURES WITH CC | 141 | $152,590 | $76,295 | — | 7.8x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $122,597 | $61,299 | — | 7.8x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 432 | $115,205 | $57,603 | — | 7.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $44,010 | $22,005 | — | 7.7x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $47,167 | $23,584 | — | 7.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $50,670 | $25,335 | — | 7.6x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | 442 | $59,319 | $29,659 | — | 7.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $74,755 | $37,378 | — | 7.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $110,109 | $55,054 | — | 7.5x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | 235 | $366,593 | $183,296 | — | 7.5x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $58,975 | $29,488 | — | 7.5x |
| SEIZURES WITHOUT MCC | 101 | $55,925 | $27,962 | — | 7.4x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $71,224 | $35,612 | — | 7.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $63,744 | $31,872 | — | 7.3x |
| EXTRAOCULAR PROCEDURES EXCEPT ORBIT | 115 | $110,350 | $55,175 | — | 7.3x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $51,145 | $25,572 | — | 7.3x |
| ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | 614 | $181,391 | $90,696 | — | 7.3x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $151,988 | $75,994 | — | 7.3x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $41,728 | $20,864 | — | 7.2x |
| DISORDERS OF THE BILIARY TRACT WITH MCC | 444 | $116,386 | $58,193 | — | 7.2x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $29,879 | $14,940 | — | 7.2x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | 056 | $148,700 | $74,350 | — | 7.2x |
| HEART FAILURE AND SHOCK WITH CC | 292 | $57,320 | $28,660 | — | 7.2x |
| OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | 144 | $143,114 | $71,557 | — | 7.2x |
| PERIPHERAL VASCULAR DISORDERS WITH MCC | 299 | $101,528 | $50,764 | — | 7.1x |
| KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | 650 | $360,034 | $180,017 | — | 7x |
| NEUROLOGICAL EYE DISORDERS | 123 | $47,235 | $23,618 | — | 7x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $49,447 | $24,723 | — | 7x |
| OTHER O.R. PROCEDURES FOR INJURIES WITH CC | 908 | $125,059 | $62,529 | — | 7x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $147,802 | $73,901 | — | 7x |
| COMPLICATIONS OF TREATMENT WITH CC | 920 | $64,392 | $32,196 | — | 7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $53,941 | $26,970 | — | 6.9x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $45,158 | $22,579 | — | 6.9x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | 441 | $108,679 | $54,340 | — | 6.9x |
Showing 50 of 206 procedures
How THOMAS JEFFERSON UNIVERSITY HOSPITAL 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