How many shoppable procedure prices are published for Jefferson Einstein Philadelphia Hospital?

Jefferson Einstein Philadelphia Hospital in Philadelphia, PA currently has 94 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Jefferson Einstein Philadelphia Hospital's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

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

CMS Care Compare assigns Jefferson Einstein Philadelphia 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 - Other 341 Beds · urban Updated: 12/23/2025

Jefferson Einstein Philadelphia Hospital

5501 Old York Road, Philadelphia, PA 19141 · 94 Priced Procedures · 56% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Near Fair BaseRate Benchmark

1.03×vs. Fair Market Price

Typical commercial prices here are +3% above the fair benchmark (1.03×) even after accounting for local nurse/doctor wages and patient complexity.

83/100 · Corroborated

83/100Self-Pay Cash Beats Insurance 86% of the Time

File Completeness100

Price Logic99

Peer Alignment73

Clean Billing81

Real Cash Discount50

Regional Benchmark Tier

3-Star CMS clinical quality rating paired with 1.03× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Jefferson Einstein Philadelphia Hospital prices shoppable and inpatient services (1.1× to 1.3× Medicare, divergence 1.18×) in alignment with regional hospital peers (1.03× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#85 of 134 in PA · 62nd State Percentile#1,439 of 3,385 in U.S. · 42nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.95× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 86% of shoppable procedures (50/100 Cash Honesty)
CMS clinical safety score (60/100 safety score) with 56% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (18.9% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.4× markup over Medicare rates
Captive ER (1.6×) & laboratory (1.5×) services average 1.18× higher multiples than routine shoppable care (1.1×)
Specialty infusion drugs (J-codes) average 1.3× Medicare — verify per-unit billing on itemized statements
Unnegotiated chargemaster list prices average 3.8× Medicare (26¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.1× Medicare

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

Back-Door Captive & ER1.18× Divergence

1.3× Medicare

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

Quantile Tail Spread+8% Upper Tail

Q25 0.95× · Q50 1.03× · Q75 1.11×

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

1.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.4× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.2× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.5× MedicareGood

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

1.3× MedicareGood

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

86% Cash Edge · 50/100Elevated

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 60/100Elevated

Procedure Prices at Jefferson Einstein Philadelphia Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 94 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`	$43,183	$28,814	$30,775	0.9×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$26,272	$19,102	$19,087	1.0×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$26,093	$18,974	$19,432	1.0×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$23,915	$16,045	$17,936	0.9×
Total hip replacement CPT Code: `27130`	$15,086	$13,774	$13,413	1.0×
Total knee replacement CPT Code: `27447`	$15,086	$13,774	$13,523	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$11,001	$8,124	$8,223	1.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$6,841	$6,305	$6,109	1.0×
Breast lump removal CPT Code: `19120`	$3,356	$4,138	$3,875	1.1×
Inguinal hernia repair CPT Code: `49505`	$6,980	$3,958	$3,629	1.1×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$3,804	$3,639	$3,372	1.1×
Bunion correction surgery CPT Code: `28296`	$3,804	$3,639	$3,446	1.1×
Cataract surgery with lens implant CPT Code: `66984`	$2,674	$2,674	$2,540	1.1×
Colonoscopy with biopsy CPT Code: `45380`	$1,382	$1,382	$1,256	1.1×
Upper endoscopy with biopsy CPT Code: `43239`	$1,069	$1,099	$987	1.1×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,193	$1,100	$1,021	1.1×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,044	$1,069	$981	1.1×
Injection procedure for pain management HCPCS Code: `G0260`	$812	$989	$855	1.2×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$643	$593	$583	1.0×
Blood transfusion CPT Code: `36430`	$513	$472	$498	0.9×
Psychological testing by technician CPT Code: `96138`	$468	$427	$395	1.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$419	$419	$448	0.9×
MRI, brain (with and without contrast) CPT Code: `70553`	$419	$419	$511	0.8×
MRI, brain (no contrast) CPT Code: `70551`	$283	$345	$343	1.0×
MRI, knee or other leg joint CPT Code: `73721`	$283	$345	$369	0.9×
Neurobehavioral status check CPT Code: `96116`	$365	$337	$231	unverified
Rabies immune globulin HCPCS Code: `90375`	$322	$308	$322	1.0×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$283	$272	$272	1.0×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$283	$271	$303	0.9×
MRI, lower back (no contrast) CPT Code: `72148`	$283	$283	$338	0.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$238	$220	$201	1.1×
CT scan, head (with contrast) CPT Code: `70460`	$209	$200	$242	0.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$209	$209	$258	0.8×
Psychotherapy session (45 minutes) CPT Code: `90834`	$188	$173	$166	1.0×
Hepatitis B immune globulin HCPCS Code: `90371`	$168	$156	$151	1.0×
Family therapy session CPT Code: `90847`	$188	$173	$173	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	$188	$173	$181	1.0×
Psychological testing evaluation CPT Code: `96136`	$151	$138	$128	1.1×
X-ray, lower back CPT Code: `72110`	$125	$115	$112	1.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$125	$119	$126	0.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$125	$125	$134	0.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$125	$121	$132	0.9×
Ultrasound, pelvis CPT Code: `76856`	$125	$119	$130	0.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$134	$134	$148	0.9×
Screening mammogram (both breasts) CPT Code: `77067`	$111	$111	$123	0.9×
CT scan, head (no contrast) CPT Code: `70450`	$125	$125	$160	0.8×
CT scan, pelvis CPT Code: `72192`	$125	$125	$163	0.8×
CT scan, sinuses CPT Code: `70486`	$125	$125	$166	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	$125	$125	$167	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$125	$125	$168	0.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$125	$125	$169	0.7×
X-ray, chest (single view) CPT Code: `71045`	$103	$94	$92	1.0×
X-ray, shoulder CPT Code: `73030`	$103	$94	$92	1.0×
X-ray, foot CPT Code: `73630`	$103	$94	$92	1.0×
X-ray, chest (two views) CPT Code: `71046`	$103	$94	$93	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$103	$94	$93	1.0×
X-ray, hand CPT Code: `73130`	$103	$94	$93	1.0×
X-ray, hip CPT Code: `73502`	$103	$94	$93	1.0×
Group therapy session CPT Code: `90853`	$108	$100	$100	1.0×
New patient office visit (30-44 min) CPT Code: `99203`	—	$101	$110	0.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$102	$123	0.8×
X-ray, pelvis CPT Code: `72170`	$125	$114	$110	unverified
X-ray, ankle CPT Code: `73610`	$103	$94	$93	unverified
Typhoid vaccine HCPCS Code: `90675`	$377	$359	$347	1.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$70	$64	$64	1.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$75	$87	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$21	$26	$19	1.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$12	$15	$11	1.4×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$16	$19	$14	1.4×
Blood test, vitamin D CPT Code: `82306`	$34	$41	$31	1.3×
Blood antibody screen CPT Code: `86850`	$63	$57	$46	unverified
Blood test, basic metabolic panel CPT Code: `80048`	$10	$12	$9	1.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$4	$4	$3	1.3×
Blood test, thyroid (TSH) CPT Code: `84443`	$19	$24	$18	1.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$7	$8	$6	1.3×
Hepatitis C antibody test CPT Code: `86803`	$16	$20	$15	1.3×
Blood test, magnesium CPT Code: `83735`	$8	$9	$7	1.3×
Culture, blood CPT Code: `87040`	$12	$14	$11	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, liver function panel CPT Code: `80076`	$9	$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, ferritin (iron stores) CPT Code: `82728`	$16	$16	$14	1.1×
Blood test, lipase CPT Code: `83690`	$8	$8	$7	1.1×
Blood test, vitamin B12 CPT Code: `82607`	$17	$18	$16	1.1×
Blood test, complete blood count (CBC) CPT Code: `85025`	$9	$9	$8	1.1×
Culture, bacterial CPT Code: `87070`	$10	$10	$9	1.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$11	$11	$10	1.1×
Blood test, amylase CPT Code: `82150`	$7	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$5	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$6	$5	$5	1.0×
Blood test, hemoglobin CPT Code: `85018`	$3	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$5	$5	$5	1.0×

Showing top 25 high-impact procedures of 94 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 18.9%

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

CMS CCN: 390142

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $43,183

Insurer Median $28,814

1. Amount on Your Bill or Quote ($) Pre-filled with Jefferson Einstein Philadelphia 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: $13,063 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $13,063

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (18.9% of gross = $13,063).

Step 2 · Cash vs. Insurance Arbitrage Save $25,971 Paying Cash

Self-Pay Cash Rate ($43,183) Beats Your Bill

Jefferson Einstein Philadelphia Hospital's published 45 CFR § 180 self-pay cash rate is $43,183 (vs. $28,814 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$38,379 Above Fair BaseRate

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

Your bill ($69,154) is $38,379 above the denoised Fair BaseRate ($30,775) and 2.9× 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)

EIN: 231396794

Filing Period: 198408

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: cbsa_nonprofit_median

Illustrative National Nonprofit Peer Median (18.9% of gross — request this hospital's exact FAP Look-Back AGB percentage)

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. Hospital-specific AGB look-back percentages are published in each facility’s written Financial Assistance Policy (FAP). This figure reflects the national nonprofit peer median benchmark.

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 Overall3/5 Stars (3/5)

Safety Composite60/100

Would Recommend56%

Rated 9 or 10 (HCAHPS)61%

Median ER Wait269 min

Left ER Before Seen11%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.9%

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

Source: CMS Hospital Care Compare (502 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 Einstein Philadelphia Hospital.

Price Index: 1.01× regional baseline

Quality: 49/100 CMS composite

Median Household Income$60,698U.S. Census ACS

Local Uninsured Share7.2%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 83/100 · Corroborated CMS CCN 390142 EIN 231396794

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 390142) ↗ Verify IRS Form 990 (EIN 231396794) ↗ CMS HCRIS Cost Reports ↗

Published MRF File231396794_jefferson-einstein-philadelphia-hospital_standardcharges.csv

Publication / Vintage12/23/2025 · 16.03 MB

Validated Rate Rows1,687 (CMS v3.0.0)

File Integrity Digest5b7454567d9531ab11ad…

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.

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