Jefferson Health · Abington, PA
39
In-network payers
326
Disclosed rate categories
655
Beds
3
Care quality
Jefferson Abington Hospital is a 655-bed proprietary hospital in Abington, PA, affiliated with Jefferson Health. Below you'll find publicly disclosed negotiated rates and facility details, including 39 in-network payers and 326 disclosed rate categories.
CCN (Medicare provider number)
390231
NPI
1811992084
Type
Short Term Acute Care Hospital
Ownership
Proprietary
Beds
655
Care Quality
3
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Jefferson Abington Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 807
$7,477 - $11,678
from 4 insurers · median $9,415
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$12,680 - $20,377
from 4 insurers · median $17,906
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Gynecology
CPT 58558
$3,316 - $8,037
from 4 insurers · median $6,011
95 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 460
$50,408 - $58,394
from 2 insurers · median $54,401
34 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery · Inpatient
MS-DRG 216
$104,630 - $155,840
from 4 insurers · median $141,701
12 Medicare discharges for this DRG in CMS hospital data
Gynecology
CPT 58571
$6,136 - $19,583
from 4 insurers · median $10,742
113 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 74177
$308 - $823
from 4 insurers · median $737
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$7,477 - $11,678
from 4 insurers · median $9,415
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Digestive procedures
CPT 43239
$2,580 - $5,264
from 4 insurers · median $3,435
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$2,580 - $10,718
from 4 insurers · median $4,188
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$6,136 - $12,608
from 4 insurers · median $8,696
125 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45385
$2,375 - $4,287
from 4 insurers · median $2,800
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$27,352 - $31,753
from 4 insurers · median $29,314
24 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery
CPT 49505
$3,938 - $15,716
from 4 insurers · median $7,286
86 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Digestive procedures
CPT 49650
$6,136 - $15,492
from 4 insurers · median $6,981
125 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Mammography
CPT 77067
$127 - $284
from 4 insurers · median $192
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$92 - $265
from 4 insurers · median $237
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 20610
$1,223 - $5,337
from 4 insurers · median $3,590
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$306 - $1,867
from 4 insurers · median $437
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$211 - $2,091
from 4 insurers · median $424
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$155 - $740
from 4 insurers · median $518
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 69436
$1,919 - $6,293
from 4 insurers · median $4,428
Typical for a hospital with this service line
Urology
CPT 50590
$6,136 - $12,708
from 4 insurers · median $10,543
81 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Nuclear imaging
CPT 78815
$729 - $6,496
from 4 insurers · median $1,782
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 287% | 12 | 7 |
| Insurer B* | 23 | 219% | 7 | 11 |
| Insurer C* | 23 | 210% | 6 | 3 |
| Insurer D* | 24 | 100% | 5 | 15 |
How we chose these services: 9 appear in this hospital's own Medicare claims, 11 are common here based on CMS Medicare volume, and 4 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Jefferson Abington Hospital.
1200 Old York Road, Abington, PA 19001
(215) 481-2000
The nearest hospitals of similar type and size. Their rates are compared with Jefferson Abington Hospital for the same insurers and services above.
Einstein Medical Center Philadelphia
Rates about the same as Jefferson Abington Hospital (21 services)
Temple University Hospital – Main Campus
▲ Rates typically 10% higher than Jefferson Abington Hospital (21 services)
St. Mary Medical Center
Rates about the same as Jefferson Abington Hospital (20 services)
Pennsylvania Hospital
▼ Rates typically 7% lower than Jefferson Abington Hospital (21 services)
Lankenau Medical Center
▲ Rates typically 13% higher than Jefferson Abington Hospital (21 services)
Penn Presbyterian Medical Center
▼ Rates typically 18% lower than Jefferson Abington Hospital (21 services)
Jefferson Frankford Hospital
Jefferson Methodist Hospital
Jefferson Lansdale Hospital
The Chambersburg Hospital
About Jefferson Abington Hospital's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Jefferson Abington Hospital range from $308 to $823 across 4 insurers. Aetna's rate is $740. The median at nearby comparable hospitals is $839. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Jefferson Abington Hospital range from $2,580 to $10,718 across 4 insurers. Cigna's rate is $2,613. The median at nearby comparable hospitals is $4,424. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Jefferson Abington Hospital range from $7,477 to $11,678 across 4 insurers. UnitedHealthcare's rate is $9,349. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Jefferson Abington Hospital range from $127 to $284 across 4 insurers. Blue Cross Blue Shield's rate is $136. The median at nearby comparable hospitals is $225. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Jefferson Abington Hospital range from $27,352 to $31,753 across 4 insurers. Blue Cross Blue Shield's rate is $28,716. The median at nearby comparable hospitals is $34,271. What a patient pays depends on their plan's deductible, coinsurance and network status.
Jefferson Abington Hospital has 655 beds. Facility type: Short Term Acute Care Hospital.
Jefferson Abington Hospital is located at 1200 Old York Road, Abington, PA 19001. Its main phone number is (215) 481-2000.
Jefferson Abington Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 390231.
The National Provider Identifier (NPI) on file for Jefferson Abington Hospital is 1811992084.
Jefferson Abington Hospital is affiliated with Jefferson Health.
Jefferson Abington Hospital lists 39 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
326 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers