CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Jefferson Einstein Montgomery Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$18,572
about 1.3× the $14,044 Medicare rate · typically $15,304–$25,509
modeled estimate · not a bill or quote
What this hospital charges insurers
$16,755
About the fair price
about $1,817 under the fair price · 1.2× Medicare
Medicare pays $14,044 Fair price $18,572 This hospital $16,755 Cash price $26,093

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $13,221 Priciest $16,755

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $18,572 (about 1.3× the $14,044 Medicare rate). Jefferson Einstein Montgomery Hospital charges insurers about $16,755, or about $26,093 in cash — about the fair price. Located in East Norriton, PA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $14,861 - $27,768 106%
Blue Cross Blue Shieldmajor $15,298 109%
Aetnamajor $15,444 - $49,264 110%
Cignamajor $15,152 - $42,914 108%
Humanamajor $14,570 104%
Geisinger $16,755 - $67,278 119%
UPMC Health Plan $15,298 109%
WellCare $16,027 114%
+ 2 smaller / regional plans $15,444 - $25,887

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Facility Profile & Credentials

  • Address: 559 West Germantown Pike, East Norriton, PA 19403
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals