How many shoppable procedure prices are published for Jefferson Health- Northeast?

Jefferson Health- Northeast in Philadelphia, PA currently has 124 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Jefferson Health- Northeast's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Jefferson Health- Northeast's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

What is Jefferson Health- Northeast's CMS Care Compare overall star rating?

CMS Care Compare assigns Jefferson Health- Northeast an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 457 Beds · urban

Jefferson Health- Northeast

10800 Knights Road, Philadelphia, PA 19114 · 124 Priced Procedures · 61% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Near Fair BaseRate Benchmark

1.00×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.

38/100 · Quarantined

38/100Self-Pay Cash Beats Insurance 0% of the Time

File Completeness95

Price Logic0

Peer Alignment0

Clean Billing0

Real Cash Discount100

Regional Quality Benchmark

3-Star CMS clinical quality rating paired with 1.00× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Jefferson Health- Northeast prices shoppable and inpatient services (1.1× to 1.1× Medicare, divergence 1.00×) in alignment with regional hospital peers (1.00× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#76 of 134 in PA · 55th State Percentile#1,296 of 3,385 in U.S. · 38th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.79× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 0% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 61% patient recommendation (62/100 safety score)
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
Commercial insurance median sits at 0.97× Fair BaseRate (1.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.17×) jump +21% above the median procedure ratio (Q50 0.97×)
Unnegotiated chargemaster list prices average 9.1× Medicare (14¢ 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 & ER1.00× Divergence

1.1× Medicare

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

Quantile Tail Spread+21% Upper Tail

Q25 0.79× · Q50 0.97× · Q75 1.17×

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

0.7× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.0× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.6× MedicareGood

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

1.2× MedicareGood

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

0% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 62/100Elevated

Procedure Prices at Jefferson Health- Northeast

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 124 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`	$30,656	$28,242	$30,775	0.9×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$18,646	$18,646	$19,087	1.0×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$18,519	$18,186	$19,432	0.9×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$16,972	$16,972	$17,936	0.9×
Total hip replacement CPT Code: `27130`	—	$15,745	$13,413	1.2×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$7,394	$6,109	1.2×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$7,801	$7,350	$8,223	0.9×
Bunion correction surgery CPT Code: `28296`	—	$4,580	$3,446	1.3×
Vaginal delivery (full package) CPT Code: `59400`	—	$3,301	$2,680	1.2×
C-section delivery (full package) CPT Code: `59510`	—	$3,301	$2,975	1.1×
Injection procedure for pain management HCPCS Code: `G0260`	$834	$2,519	$855	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$1,099	$1,669	$981	unverified
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$1,594	$3,372	0.5×
Colonoscopy with biopsy CPT Code: `45380`	$1,414	$1,564	$1,256	unverified
Upper endoscopy with biopsy CPT Code: `43239`	$1,072	$1,530	$987	1.6×
Breast lump removal CPT Code: `19120`	—	$1,424	$3,875	0.4×
Inguinal hernia repair CPT Code: `49505`	—	$1,378	$3,629	0.4×
Trauma team activation HCPCS Code: `G0390`	$1,575	$1,146	$1,453	0.8×
Cataract surgery with lens implant CPT Code: `66984`	—	$1,059	$2,540	0.4×
Blood transfusion CPT Code: `36430`	$521	$1,029	$498	2.1×
Neurobehavioral status check CPT Code: `96116`	$255	$803	$231	3.5×
Hospital observation (per hour) HCPCS Code: `G0378`	—	$606	$86	7.0×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,015	$593	$1,021	0.6×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$412	$335	$448	0.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$412	$335	$511	0.7×
Rabies immune globulin HCPCS Code: `90375`	$817	$292	$322	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$282	$228	$272	0.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$282	$229	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$282	$229	$338	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$282	$229	$343	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$282	$232	$369	0.6×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$646	$244	$583	0.4×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$132	$169	$148	1.1×
CT scan, head (with contrast) CPT Code: `70460`	$207	$169	$242	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$207	$169	$258	0.7×
Psychological testing by technician CPT Code: `96138`	—	$169	$395	0.4×
Screening mammogram (both breasts) CPT Code: `77067`	$109	$136	$123	1.1×
Hepatitis B immune globulin HCPCS Code: `90371`	$190	$142	$151	0.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	—	$166	—
Psychotherapy session (60 minutes) CPT Code: `90837`	—	—	$181	—
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$131	$33	unverified
X-ray, pelvis CPT Code: `72170`	$124	$99	$110	0.9×
X-ray, chest (single view) CPT Code: `71045`	$103	$82	$92	0.9×
X-ray, shoulder CPT Code: `73030`	$103	$82	$92	0.9×
X-ray, foot CPT Code: `73630`	$103	$82	$92	0.9×
X-ray, lower back CPT Code: `72110`	$124	$99	$112	0.9×
X-ray, chest (two views) CPT Code: `71046`	$103	$82	$93	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$103	$82	$93	0.9×
X-ray, hand CPT Code: `73130`	$103	$82	$93	0.9×
X-ray, hip CPT Code: `73502`	$103	$82	$93	0.9×
X-ray, ankle CPT Code: `73610`	$103	$82	$93	0.9×
New patient office visit (30-44 min) CPT Code: `99203`	—	$93	$110	0.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$124	$101	$126	0.8×
Ultrasound, pelvis CPT Code: `76856`	$124	$101	$130	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$124	$101	$132	0.8×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$93	$123	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$124	$101	$134	0.8×
CT scan, head (no contrast) CPT Code: `70450`	$124	$101	$160	0.6×
CT scan, pelvis CPT Code: `72192`	$124	$101	$163	0.6×
CT scan, sinuses CPT Code: `70486`	$124	$101	$166	0.6×
CT scan, chest (no contrast) CPT Code: `71250`	$124	$101	$167	0.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$124	$101	$168	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$124	$101	$169	0.6×
Typhoid vaccine HCPCS Code: `90675`	$455	$345	$347	1.0×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$219	$199	$203	1.0×
Drug screening test HCPCS Code: `G0480`	$132	$117	$116	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$281	$136	$140	1.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$114	$102	$111	0.9×
Orthotic fitting and training CPT Code: `97760`	$55	$75	$51	1.5×
Electrical stimulation therapy HCPCS Code: `G0283`	$15	$29	$14	2.1×
Speech therapy (group session) CPT Code: `92508`	$29	$46	$27	1.7×
Prosthetic fitting and training CPT Code: `97761`	$48	$64	$45	1.4×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$68	$87	0.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	$15	$42	$35	1.2×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$63	$185	unverified
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$34	$25	1.4×
Occupational therapy (self-care training) CPT Code: `97535`	$38	$50	$38	1.3×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$34	$45	$35	1.3×
Blood test, thyroid (TSH) CPT Code: `84443`	$19	$23	$18	1.3×
Blood test, vitamin D CPT Code: `82306`	$34	$33	$31	1.1×
Physical therapy (manual therapy) CPT Code: `97140`	$33	$36	$34	1.1×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$42	$42	$40	1.1×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$4	$4	$3	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$5	$5	$4	1.3×
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, 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, magnesium CPT Code: `83735`	$8	$8	$7	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$10	$10	$9	1.1×
Blood test, liver function panel CPT Code: `80076`	$9	$10	$9	1.1×
Blood test, vitamin B12 CPT Code: `82607`	$17	$17	$16	1.1×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$28	$27	1.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$39	$37	$38	1.0×
Blood test, amylase CPT Code: `82150`	$7	$7	$7	1.0×
Physical therapy (gait training) CPT Code: `97116`	$34	$32	$33	1.0×
Hepatitis B vaccine HCPCS Code: `90744`	$33	$35	$37	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$90	$39	$86	0.5×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$5	$5	$4	1.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$7	$7	$6	1.2×
Hepatitis C antibody test CPT Code: `86803`	$16	$17	$15	1.1×
Blood test, complete blood count (CBC) CPT Code: `85025`	$9	$9	$8	1.1×
Blood test, PSA (prostate screen) CPT Code: `84153`	$21	$21	$19	1.1×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$22	$21	$20	1.1×
Physical therapy (functional capacity test) CPT Code: `97750`	$40	$37	$38	1.0×
Colorectal cancer screening HCPCS Code: `G0010`	$55	$39	$49	0.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$116	$42	$56	0.8×
Flu vaccine injection HCPCS Code: `G0008`	$55	$18	$48	0.4×
Psychological testing evaluation CPT Code: `96136`	$157	$34	$128	0.3×
Breathing treatment (nebulizer) CPT Code: `94640`	$259	$44	$201	0.2×
Culture, blood CPT Code: `87040`	$12	$12	$11	1.1×
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×
Culture, bacterial CPT Code: `87070`	$10	$9	$9	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$47	$24	$25	1.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$30	$39	0.8×
Pneumonia vaccine injection HCPCS Code: `G0009`	$55	$18	$49	0.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$70	$18	$64	0.3×
Blood antibody screen CPT Code: `86850`	$11	$11	$46	0.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$11	$11	$10	unverified
Blood test, lipase CPT Code: `83690`	$8	$8	$7	unverified

Showing top 25 high-impact procedures of 124 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 Health- Northeast (Zero PHI Required)

CMS CCN: 390115

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $30,656

Insurer Median $28,242

1. Amount on Your Bill or Quote ($) Pre-filled with Jefferson Health- Northeast’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: $12,804 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $12,804

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 = $12,804).

Step 2 · Cash vs. Insurance Arbitrage Save $37,125 Paying Cash

Self-Pay Cash Rate ($30,656) Beats Your Bill

Jefferson Health- Northeast's published 45 CFR § 180 self-pay cash rate is $30,656 (vs. $28,242 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$37,006 Above Fair BaseRate

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

Your bill ($67,781) is $37,006 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: 230596940

Filing Period: 193602

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 Composite62/100

Would Recommend61%

Rated 9 or 10 (HCAHPS)62%

Median ER Wait290 min

Left ER Before Seen5%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3%

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 Health- Northeast. Prior administrative notices do not necessarily reflect current compliance status.

2025-04-04·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (2,271 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

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 38/100 · Quarantined CMS CCN 390115 EIN 230596940

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 390115) ↗ Verify IRS Form 990 (EIN 230596940) ↗ CMS HCRIS Cost Reports ↗

Published MRF File230596940_jefferson-frankford-hospital_standardcharges.csv

Publication / Vintage2026-10 · 249.09 MB

Validated Rate Rows0 (CMS v2024)

File Integrity Digest2d34878113cada9509f7…

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