56/100
#1,071 nationally
Jefferson Einstein Philadelphia Hospital
5501 Old York Road, Philadelphia, PA 19141 · (215) 456-6090
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Jefferson Einstein Philadelphia Hospital billed $3.65 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
- 3.7x
- volume-weighted across all its priced work
- Procedures priced
- 85
- inpatient and outpatient combined
- Rank in PA
- #48
- lower markup ranks higher
- CMS quality stars
- 3/5
- 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 62% of U.S. hospitals.
Better than 69% of U.S. hospitals.
Better than 45% of U.S. hospitals.
Better than 41% 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 |
309 | $17,660 | $2,639 | -9% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
135 | $51,774 | $16,965 | +19% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
118 | $85,782 | $24,969 | +31% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
104 | $6,065 | $1,556 | -40% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
82 | $16,609 | $3,171 | -34% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
73 | $9,509 | $2,174 | -19% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
69 | $12,342 | $1,849 | +5% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
66 | $7,534 | $1,979 | -42% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
57 | $19,157 | $3,053 | about average |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
50 | $86,541 | $20,363 | +41% |
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 |
|---|---|---|---|
|
Psychoses
MS-DRG 885 · Inpatient stay |
$68,732 | $24,047 | +91% |
|
Other Disorders of Nervous System with Major Complications
MS-DRG 091 · Inpatient stay |
$126,964 | $30,577 | +79% |
|
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major
MS-DRG 981 · Inpatient stay |
$324,786 | $83,478 | +77% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
$128,739 | $29,100 | +60% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$86,541 | $20,363 | +41% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$79,170 | $21,471 | +39% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$85,782 | $24,969 | +31% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
$65,465 | $25,387 | +31% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Poisoning and Toxic Effects of Drugs with Major Complications
MS-DRG 917 · Inpatient stay |
$33,151 | $19,754 | -51% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
$72,825 | $31,865 | -51% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
$12,223 | $3,703 | -49% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$7,534 | $1,979 | -42% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$13,635 | $3,308 | -41% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$6,065 | $1,556 | -40% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$13,047 | $3,315 | -37% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$32,926 | $10,365 | -36% |
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.