45/100
#1,424 nationally
Jefferson Hospital
565 Coal Valley Road, Jefferson Hills, PA 15025 · (412) 469-5000
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Jefferson Hospital billed $5.66 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
- 5.7x
- volume-weighted across all its priced work
- Procedures priced
- 75
- inpatient and outpatient combined
- Rank in PA
- #60
- 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 27% of U.S. hospitals.
Better than 50% of U.S. hospitals.
Better than 51% of U.S. hospitals.
Better than 77% 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 |
578 | $16,520 | $2,413 | -15% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
141 | $48,715 | $11,669 | -22% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
128 | $67,923 | $13,510 | +4% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
127 | $43,515 | $8,557 | about average |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
104 | $10,637 | $1,356 | +6% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
84 | $15,843 | $2,891 | -37% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
74 | $15,043 | $3,047 | -27% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
70 | $28,046 | $5,104 | -20% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
69 | $17,984 | $2,814 | -6% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
68 | $52,144 | $9,230 | +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 |
$207,071 | $29,297 | +39% |
|
Permanent Cardiac Pacemaker Implant with Complications
MS-DRG 243 · Inpatient stay |
$123,523 | $17,975 | +32% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$22,818 | $2,494 | +29% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$52,973 | $7,293 | +27% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
$115,982 | $15,631 | +21% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
$158,698 | $20,744 | +20% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
$36,345 | $5,471 | +19% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$56,886 | $8,838 | +17% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
$29,573 | $8,706 | -38% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$15,843 | $2,891 | -37% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$112,954 | $31,144 | -37% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
$25,893 | $6,673 | -31% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
$61,081 | $14,346 | -31% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$42,561 | $8,394 | -29% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
$11,990 | $2,507 | -28% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$15,043 | $3,047 | -27% |
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.