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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Jefferson Frankford Hospital

Jefferson Health · Philadelphia, PA

380 N Oxford Valley Rd, Philadelphia, PA 19124None

2 of 5

CMS star rating

457

Beds

23,745

Inpatient discharges a year

$648.7M

Net patient revenue a year

28

In-network payers

About this hospital

Jefferson Frankford Hospital is a 457-bed voluntary non-profit - private hospital in Philadelphia, PA, affiliated with Jefferson Health. Below you'll find publicly disclosed negotiated rates and facility details, including 28 in-network payers and 508 disclosed rate categories.

  • Disproportionate share hospital
  • 340B participant
  • Helipad
CCN
390115
NPI
1114095791
Health system
Jefferson Health
Teaching
Teaching hospital
County
Philadelphia County
Metro area
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD MSA
Medicare contractor
Jurisdiction L, Novitas Solutions (12001)
In Medicare since
1966
Last CMS survey
2015

Prices for common services

The 24 services Jefferson Frankford 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, or start a free trial.

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$3,316 - $6,293

from 4 insurers · median $4,396

Blue Cross$5,206
Insurer A*$3,316
Insurer B*$3,586
Insurer C*$6,293
Medicare $3,350Nearby hospitals $5,40319% below nearby hospitals

28 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$323 - $898

from 4 insurers · median $807

Cigna$898
Insurer A*$323
Insurer B*$792
Insurer C*$822
Medicare $361Nearby hospitals $780In line with nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$25,623 - $41,033

from 4 insurers · median $31,786

Aetna$41,033
Insurer A*$25,623
Insurer B*$26,818
Insurer C*$36,753
Medicare $12,575Nearby hospitals $32,670In line with nearby hospitals

28 Medicare discharges for this DRG in CMS hospital data

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$2,505 - $7,281

from 4 insurers · median $3,217

UnitedHealthcare$2,580
Insurer A*$2,505
Insurer B*$3,854
Insurer C*$7,281
Medicare $939Nearby hospitals $3,5189% below nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Jefferson Frankford Hospital

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.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*24
244%
167
Insurer B*24
214%
154
Insurer C*24
158%
420
Insurer D*24
99%
221

How we chose these services: 7 appear in this hospital's own Medicare claims, 13 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 Frankford Hospital, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAvera Health PlansBanner HealthCenteneGeisinger Health Plan

More about this hospital

  • Quality

    2 of 5 stars

    • 316 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-1.53%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Teaching hospital
    • 967 affiliated clinicians
    See doctors and services
  • Finances

    $648.7M net patient revenue

    • Operating margin on patient care -13.9%
    • $29M unreimbursed and uncompensated care
    • -$44M net income
    See finances
  • Ownership and leadership

    Private (not for profit)

    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Jefferson Frankford Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
23-0596940Jefferson Health - Northeast64Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 59 more1801963343 Jefferson Health - Northeast1205904885 Jefferson Health - Northeast1114095791 Jefferson Health - Northeastand 9 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

380 N Oxford Valley Rd, Philadelphia, PA 19124

None

Get directions

Frequently asked questions

About Jefferson Frankford Hospital's rates and hospital price transparency.

How much does an MRI cost at Jefferson Frankford Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Jefferson Frankford Hospital range from $323 to $1,996 across 4 insurers. Aetna's rate is $903. The median at nearby comparable hospitals is $898. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Jefferson Frankford Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Jefferson Frankford Hospital range from $323 to $898 across 4 insurers. Cigna's rate is $898. The median at nearby comparable hospitals is $780. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Jefferson Frankford Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Jefferson Frankford Hospital range from $2,462 to $3,116 across 4 insurers. UnitedHealthcare's rate is $2,580. The median at nearby comparable hospitals is $3,618. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Jefferson Frankford Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Jefferson Frankford Hospital range from $146 to $284 across 4 insurers. Blue Cross Blue Shield's rate is $146. The median at nearby comparable hospitals is $187. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Jefferson Frankford Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Jefferson Frankford Hospital range from $25,623 to $41,033 across 4 insurers. Aetna's rate is $41,033. The median at nearby comparable hospitals is $32,670. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Jefferson Frankford Hospital's CMS star rating?

Jefferson Frankford Hospital has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.

Is Jefferson Frankford Hospital a teaching hospital?

Yes. CMS counts 0.25 Medicare-funded residents per bed at Jefferson Frankford Hospital for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Jefferson Frankford Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Jefferson Frankford Hospital's base inpatient payments by an estimated 1.53% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Jefferson Frankford Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (764 discharges), heart failure and shock with mcc (323 discharges), septicemia or severe sepsis without mv >96 hours without mcc (108 discharges).

What is Jefferson Frankford Hospital's case mix index?

Jefferson Frankford Hospital's Medicare case mix index is 1.85 for fiscal year 2027, higher than 67% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

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.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "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
      }
    ]
  }]
}
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  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Chargemaster analysis

Get your chargemaster right for billing and payer contracts

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

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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