63/100
#845 nationally
Jefferson Health- Northeast
10800 Knights Road, Philadelphia, PA 19114 · (215) 612-4000
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Jefferson Health- Northeast billed $3.98 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
- 4.0x
- volume-weighted across all its priced work
- Procedures priced
- 158
- inpatient and outpatient combined
- Rank in PA
- #32
- lower markup ranks higher
- CMS quality stars
- 2/5
- 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 56% of U.S. hospitals.
Better than 65% of U.S. hospitals.
Better than 63% of U.S. hospitals.
Better than 81% 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 |
1,258 | $13,871 | $2,630 | -29% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
764 | $64,908 | $17,221 | about average |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
323 | $39,398 | $11,001 | -9% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
218 | $14,938 | $3,123 | -41% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
166 | $9,490 | $1,565 | -6% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
161 | $47,325 | $12,683 | -24% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
126 | $22,007 | $5,016 | -20% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
125 | $8,387 | $1,962 | -35% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
114 | $28,520 | $5,511 | -19% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
110 | $16,832 | $3,064 | -12% |
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 |
|---|---|---|---|
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
$208,187 | $31,865 | +40% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$4,258 | $662 | +36% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
$40,939 | $5,334 | +13% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$57,289 | $10,365 | +11% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$13,060 | $1,845 | +11% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
$144,863 | $23,013 | +9% |
|
Permanent Cardiac Pacemaker Implant with Complications
MS-DRG 243 · Inpatient stay |
$101,775 | $19,756 | +9% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
$38,732 | $12,185 | +7% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Coronary Bypass without Cardiac Catheterization without Major Complications
MS-DRG 236 · Inpatient stay |
$79,311 | $34,525 | -57% |
|
Degenerative Nervous System Disorders with Major Complications
MS-DRG 056 · Inpatient stay |
$40,728 | $11,819 | -53% |
|
Other Disorders of Nervous System without Complications/mcc
MS-DRG 093 · Inpatient stay |
$23,522 | $6,957 | -51% |
|
Coagulation Disorders
MS-DRG 813 · Inpatient stay |
$34,891 | $13,348 | -48% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
$27,178 | $13,097 | -46% |
|
Bone Diseases and Arthropathies without Major Complications
MS-DRG 554 · Inpatient stay |
$18,065 | $7,927 | -44% |
|
Kidney and Ureter Procedures for Non-neoplasm with Complications
MS-DRG 660 · Inpatient stay |
$32,100 | $11,471 | -42% |
|
Infection Needing Surgery (with complications)
MS-DRG 854 · Inpatient stay |
$48,126 | $17,480 | -42% |
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.