61/100
#917 nationally
Jefferson Einstein Montgomery Hospital
559 West Germantown Pike, East Norriton, PA 19403 · (484) 662-1000
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Jefferson Einstein Montgomery Hospital billed $3.89 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 3.9x
- volume-weighted across all its priced work
- Procedures priced
- 106
- inpatient and outpatient combined
- Rank in PA
- #36
- lower markup ranks higher
- CMS quality stars
- 4/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 59% of U.S. hospitals.
Better than 67% of U.S. hospitals.
Better than 58% of U.S. hospitals.
Better than 70% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
574 | $16,254 | $2,561 | -16% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
205 | $43,448 | $12,441 | about average |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
198 | $21,499 | $3,047 | -15% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
186 | $59,890 | $17,712 | -8% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
121 | $59,365 | $12,064 | -5% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
101 | $48,846 | $15,692 | -11% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
84 | $7,095 | $1,521 | -30% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
76 | $22,060 | $2,990 | +15% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
74 | $41,116 | $12,045 | -15% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
72 | $45,060 | $12,392 | -3% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
$67,552 | $13,567 | +32% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
$40,130 | $9,150 | +32% |
|
Gastrointestinal Obstruction with Major Complications
MS-DRG 388 · Inpatient stay |
$74,259 | $14,673 | +29% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
$68,312 | $13,533 | +25% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
$38,404 | $8,464 | +23% |
|
Bronchitis and Asthma with Complications/mcc
MS-DRG 202 · Inpatient stay |
$48,071 | $9,466 | +22% |
|
Level 3 ENT Procedures
APC 5163 · Hospital outpatient visit |
$7,696 | $1,431 | +20% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$22,060 | $2,990 | +15% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$4,982 | $1,508 | -56% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
$45,393 | $15,019 | -52% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
$13,002 | $3,576 | -45% |
|
Sepsis
MS-DRG 870 · Inpatient stay |
$157,678 | $57,188 | -41% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
$88,069 | $30,770 | -41% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
$48,497 | $17,644 | -40% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$14,123 | $3,246 | -39% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
$62,412 | $18,148 | -39% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.