How many shoppable procedure prices are published for Jefferson Abington Hospital?

Jefferson Abington Hospital in Abington, PA currently has 141 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Jefferson Abington Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Jefferson Abington Hospital's median negotiated commercial rate is 0.8× the regionally adjusted fair BaseRate benchmark.

What is Jefferson Abington Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Jefferson Abington Hospital an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 611 Beds · urban Updated: 2026-09-15

Jefferson Abington Hospital

1200 Old York Road, Abington, PA 19001 · 141 Priced Procedures · 61% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Good Deal · Below Fair Market

0.75×vs. Fair Market Price

Typical commercial prices here are 25% below the fair benchmark (0.75×) after accounting for local nurse/doctor wages and patient complexity.

87/100 · Verified

87/100Self-Pay Cash Beats Insurance 55% of the Time

File Completeness85

Price Logic93

Peer Alignment69

Clean Billing90

Real Cash Discount100

Regional Benchmark Tier

2-Star CMS clinical quality rating paired with 0.75× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Jefferson Abington Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (0.7× Medicare, p50 0.82× Fair BaseRate) and emergency/ancillary services (1.2× Medicare, p75 1.01× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#4 of 134 in PA · 2nd State Percentile#188 of 3,385 in U.S. · 5th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 25% below peer Fair BaseRate (0.75×)
Self-pay cash beats commercial insurance on 55% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (54/100 safety score) with 61% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (31.2% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.75× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Captive ER (0.9×) & laboratory (0.7×) services average 1.71× higher multiples than routine shoppable care (0.7×)
Upper-quartile procedures (Q75 1.01×) jump +23% above the median procedure ratio (Q50 0.82×)
Unnegotiated chargemaster list prices average 2.5× Medicare (34¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

0.7× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.71× Divergence

1.2× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+23% Upper Tail

Q25 0.52× · Q50 0.82× · Q75 1.01×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

0.7× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.6× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.7× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.0× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

55% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at Jefferson Abington Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 141 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	$29,143	$26,991	$30,775	0.9×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$17,671	$17,671	$19,087	0.9×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$17,550	$17,047	$19,432	0.9×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$16,072	$16,072	$17,936	0.9×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$7,313	$6,890	$8,223	0.8×
C-section delivery (full package) CPT Code: `59510`	$3,001	$2,512	$2,975	0.8×
Vaginal delivery (full package) CPT Code: `59400`	$2,680	$2,433	$2,680	0.9×
Injection procedure for pain management HCPCS Code: `G0260`	$797	$2,294	$855	unverified
Total hip replacement CPT Code: `27130`	$2,097	$1,210	$13,413	0.1×
Total knee replacement CPT Code: `27447`	$865	$865	$13,523	0.1×
Residential mental health treatment HCPCS Code: `H2036`	—	$874	$406	unverified
Cataract surgery with lens implant CPT Code: `66984`	$688	$729	$2,540	0.3×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$620	$717	$3,372	0.2×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$763	$711	$6,109	unverified
Trauma team activation HCPCS Code: `G0390`	$1,504	$662	$1,453	0.5×
Behavioral health residential care HCPCS Code: `H0011`	—	$550	$364	1.5×
Bunion correction surgery CPT Code: `28296`	$1,055	$573	$3,446	0.2×
Sleep study (overnight, in lab) CPT Code: `95810`	$664	$482	$1,021	0.5×
Inguinal hernia repair CPT Code: `49505`	$613	$482	$3,629	0.1×
Colonoscopy with biopsy CPT Code: `45380`	$574	$390	$1,256	0.3×
Breast lump removal CPT Code: `19120`	$1,034	$370	$3,875	0.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$259	$314	$448	0.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$254	$320	$511	0.6×
Rabies immune globulin HCPCS Code: `90375`	$280	$281	$322	0.9×
Upper endoscopy with biopsy CPT Code: `43239`	$501	$300	$987	0.3×
Colonoscopy (diagnostic) CPT Code: `45378`	$452	$270	$981	0.3×
Hospital observation (per hour) HCPCS Code: `G0378`	—	$219	$86	2.5×
Behavioral health counseling (per session) HCPCS Code: `H0008`	—	$241	$257	0.9×
Behavioral health day treatment HCPCS Code: `H0010`	—	$260	$343	0.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$124	$215	$303	0.7×
MRI, lower back (no contrast) CPT Code: `72148`	$148	$221	$338	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$153	$221	$343	0.6×
MRI, knee or other leg joint CPT Code: `73721`	$170	$223	$369	0.6×
CT scan, head (with contrast) CPT Code: `70460`	$115	$158	$242	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$137	$161	$258	0.6×
Residential substance abuse treatment HCPCS Code: `H2035`	—	$129	$88	1.5×
Behavioral health assessment HCPCS Code: `H0001`	—	$150	$157	1.0×
Hepatitis B immune globulin HCPCS Code: `90371`	$138	$140	$151	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	$204	$139	$185	0.8×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$182	$148	$272	0.5×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$155	$142	$583	0.2×
Review of medical records for care CPT Code: `90889`	—	$98	$114	0.9×
X-ray, pelvis CPT Code: `72170`	$24	$92	$110	0.8×
X-ray, lower back CPT Code: `72110`	$49	$92	$112	0.8×
Care planning with family CPT Code: `90887`	—	$82	$107	0.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$70	$94	$126	0.7×
Ultrasound, pelvis CPT Code: `76856`	$87	$94	$130	0.7×
Ultrasound, abdomen (complete) CPT Code: `76700`	$92	$96	$134	0.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$98	$94	$132	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	$109	$87	$123	0.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$132	$103	$148	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$80	$97	$160	0.6×
CT scan, pelvis CPT Code: `72192`	$99	$97	$163	0.6×
CT scan, sinuses CPT Code: `70486`	$106	$97	$166	0.6×
CT scan, chest (no contrast) CPT Code: `71250`	$100	$97	$167	0.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$100	$97	$168	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$101	$97	$169	0.6×
Family therapy session CPT Code: `90847`	$129	$86	$173	0.5×
Psychotherapy session (60 minutes) CPT Code: `90837`	$197	$88	$181	0.5×
Neurobehavioral status check CPT Code: `96116`	$111	$83	$231	0.4×
Typhoid vaccine HCPCS Code: `90675`	$320	$339	$347	1.0×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$165	$203	0.8×
Drug screening test HCPCS Code: `G0480`	$132	$117	$116	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$133	$133	$140	0.9×
X-ray, chest (single view) CPT Code: `71045`	$20	$77	$92	0.8×
X-ray, shoulder CPT Code: `73030`	$32	$77	$92	0.8×
X-ray, foot CPT Code: `73630`	$31	$77	$92	0.8×
X-ray, chest (two views) CPT Code: `71046`	$28	$77	$93	0.8×
X-ray, neck (cervical spine) CPT Code: `72040`	$35	$77	$93	0.8×
X-ray, hand CPT Code: `73130`	$68	$77	$93	0.8×
X-ray, hip CPT Code: `73502`	$46	$77	$93	0.8×
X-ray, ankle CPT Code: `73610`	$34	$77	$93	0.8×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$114	$90	$111	0.8×
Psychotherapy session (45 minutes) CPT Code: `90834`	$134	$71	$166	0.4×
Hepatitis C antibody test CPT Code: `86803`	$16	$21	$15	1.4×
Blood test, thyroid (TSH) CPT Code: `84443`	$19	$25	$18	1.4×
Behavioral health outpatient services HCPCS Code: `H2015`	—	$22	$16	1.4×
Extended office visit (prolonged) HCPCS Code: `G2212`	$41	$33	$33	1.0×
Hepatitis B vaccine HCPCS Code: `90744`	$33	$33	$37	0.9×
Prosthetic fitting and training CPT Code: `97761`	$48	$40	$45	0.9×
Orthotic fitting and training CPT Code: `97760`	$55	$44	$51	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$40	$41	$56	0.7×
Behavioral health day program HCPCS Code: `H2012`	—	$62	$100	0.6×
New patient office visit (30-44 min) CPT Code: `99203`	$140	$65	$110	0.6×
Office visit, established patient (30-39 min) CPT Code: `99214`	$161	$65	$123	0.5×
Mental health services (assessment) HCPCS Code: `H0031`	—	$61	$140	0.4×
Blood transfusion CPT Code: `36430`	$57	$43	$498	0.1×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$4	$4	$3	1.3×
Blood test, hemoglobin CPT Code: `85018`	$3	$4	$3	1.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$7	$8	$6	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$5	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$5	$5	$4	1.3×
Blood test, basic metabolic panel CPT Code: `80048`	$10	$11	$9	1.2×
Blood test, calcium CPT Code: `82310`	$6	$6	$5	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$6	$6	$5	1.2×
Blood test, potassium CPT Code: `84132`	$5	$6	$5	1.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$12	$13	$11	1.2×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$15	$16	$14	1.1×
Blood test, ferritin (iron stores) CPT Code: `82728`	$16	$16	$14	1.1×
Blood test, liver function panel CPT Code: `80076`	$9	$10	$9	1.1×
Blood test, vitamin D CPT Code: `82306`	$34	$34	$31	1.1×
Blood test, sodium CPT Code: `84295`	$6	$6	$5	1.2×
Blood test, magnesium CPT Code: `83735`	$8	$8	$7	1.1×
Blood test, PSA (prostate screen) CPT Code: `84153`	$21	$21	$19	1.1×
Culture, blood CPT Code: `87040`	$12	$12	$11	1.1×
Blood test, vitamin B12 CPT Code: `82607`	$17	$17	$16	1.1×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$22	$21	$20	1.1×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$30	$28	$27	1.0×
Diagnostic procedure preparation HCPCS Code: `G0279`	$33	$36	$35	1.0×
Blood test, amylase CPT Code: `82150`	$7	$7	$7	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$9	$8	$8	1.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$15	$13	$14	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$38	$32	$38	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$33	$25	$34	0.7×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$39	$25	$38	0.7×
Physical therapy (functional capacity test) CPT Code: `97750`	$40	$25	$38	0.7×
Physical therapy (gait training) CPT Code: `97116`	$34	$17	$33	0.5×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$42	$20	$40	0.5×
Colorectal cancer screening HCPCS Code: `G0010`	$26	$24	$49	0.5×
Office visit, established patient (20-29 min) CPT Code: `99213`	$113	$42	$87	0.5×
Behavioral health living support HCPCS Code: `H2019`	—	$15	$34	0.4×
Speech therapy (language evaluation) CPT Code: `92507`	$90	$37	$86	0.4×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$5	$5	$5	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$23	$23	$25	0.9×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$18	$23	$25	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$70	$28	$39	0.7×
Speech therapy (group session) CPT Code: `92508`	$29	$16	$27	0.6×
Mental health services (therapy) HCPCS Code: `H0032`	—	$26	$65	0.4×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$34	$13	$35	0.4×
Flu vaccine injection HCPCS Code: `G0008`	$26	$15	$48	0.3×
Community mental health services HCPCS Code: `H0038`	—	$5	$16	0.3×
Pneumonia vaccine injection HCPCS Code: `G0009`	$26	$15	$49	0.3×
Group therapy session CPT Code: `90853`	$36	$25	$100	0.3×
Blood antibody screen CPT Code: `86850`	$11	$11	$46	0.2×
Psychological testing evaluation CPT Code: `96136`	$52	$30	$128	0.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$8	$13	$64	0.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$10	$29	$201	0.1×
Psychological testing by technician CPT Code: `96138`	$45	$40	$395	0.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$11	$10	$10	unverified
Blood test, lipase CPT Code: `83690`	$8	$8	$7	unverified
Culture, bacterial CPT Code: `87070`	$10	$10	$9	unverified

Showing top 25 high-impact procedures of 141 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 31.3%

Audit a Bill or Quote at Jefferson Abington Hospital (Zero PHI Required)

CMS CCN: 390231

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $29,143

Insurer Median $26,991

1. Amount on Your Bill or Quote ($) Pre-filled with Jefferson Abington Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $20,243 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $20,243

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (31.3% of gross = $20,243).

Step 2 · Cash vs. Insurance Arbitrage Save $35,635 Paying Cash

Self-Pay Cash Rate ($29,143) Beats Your Bill

Jefferson Abington Hospital's published 45 CFR § 180 self-pay cash rate is $29,143 (vs. $26,991 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$34,003 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($64,778) is $34,003 above the denoised Fair BaseRate ($30,775) and 2.8× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (31.3% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall2/5 Stars (2/5)

Safety Composite54/100

Would Recommend61%

Rated 9 or 10 (HCAHPS)58%

Median ER Wait262 min

Left ER Before Seen4%

30-Day Mortality vs U.S.same

Unplanned Readmissionworse

Hip/Knee Complication Rate2.8%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Jefferson Abington Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-04-28·administrative_or_closure
Closure Notice
Recorded
2025-03-20·warning_notice
Warning Notice
Recorded
2024-04-02·administrative_or_closure
Closure Notice
Recorded
2024-02-13·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (1,097 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Jefferson Abington Hospital.

Price Index: 0.52× regional baseline

Quality: 37/100 CMS composite

Median Household Income$111,521U.S. Census ACS

Local Uninsured Share4.0%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 87/100 · Verified CMS CCN 390231

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 390231) ↗ CMS HCRIS Cost Reports ↗

Published MRF File231352152 _jefferson-abington-hospital_standardcharges.csv

Publication / Vintage2026-09-15 · 612.11 MB

Validated Rate Rows13,986 (CMS v3.0.0)

File Integrity Digest0e32e07cac2e2b52e6b3…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy