Allegheny Health Network · Jefferson Hills, PA
34
In-network payers
221
Disclosed rate categories
341
Beds
2
Care quality
Jefferson Hospital is a 341-bed voluntary non-profit - private hospital in Jefferson Hills, PA, affiliated with Allegheny Health Network. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 221 disclosed rate categories.
CCN (Medicare provider number)
390265
NPI
1578560504
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
341
Care Quality
2
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 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
$8,720 - $10,705
from 4 insurers · median $8,881
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
$12,401 - $15,837
from 4 insurers · median $13,761
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
Medicine & Surgery · Inpatient
MS-DRG 460
$39,598 - $57,842
from 4 insurers · median $48,870
23 Medicare discharges for this DRG in CMS hospital data
Gynecology
CPT 58558
$1,787 - $10,528
from 3 insurers · median $4,930
18 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 216
$126,534 - $176,169
from 4 insurers · median $137,812
Hospital reports cardiac thoracic surgery services to CMS
Childbirth · Inpatient
MS-DRG 807
$8,720 - $10,705
from 4 insurers · median $8,881
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
Medicine & Surgery
CPT 47562
$3,294 - $19,661
from 3 insurers · median $9,107
70 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 470
$20,045 - $34,736
from 4 insurers · median $25,465
18 Medicare discharges for this DRG in CMS hospital data
Digestive procedures
CPT 49650
$3,294 - $19,661
from 3 insurers · median $10,840
70 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Gynecology
CPT 58571
$5,744 - $34,571
from 3 insurers · median $16,291
19 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 74177
$271 - $1,135
from 4 insurers · median $474
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$7,412 - $19,661
from 3 insurers · median $9,047
70 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45385
$399 - $3,892
from 4 insurers · median $1,255
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$623 - $2,950
from 3 insurers · median $1,187
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$251 - $1,777
from 4 insurers · median $517
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$71 - $231
from 4 insurers · median $147
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$31,730 - $43,963
from 4 insurers · median $34,442
Hospital reports neurosurgical services to CMS
CT imaging
CPT 70450
$137 - $340
from 4 insurers · median $181
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$1,332 - $4,651
from 4 insurers · median $2,197
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$3,294 - $19,661
from 3 insurers · median $9,107
Typical for a hospital with this service line
CT imaging
CPT 71260
$222 - $659
from 4 insurers · median $438
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$608 - $4,211
from 4 insurers · median $1,376
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$228 - $776
from 4 insurers · median $338
Common here, based on CMS Medicare volume
Gynecology
CPT 58662
$6,346 - $19,661
from 3 insurers · median $9,107
Typical for a hospital with this service line
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 | 318% | 0 | 0 |
| Insurer B* | 24 | 147% | 9 | 11 |
| Insurer C* | 16 | 94% | 2 | 9 |
| Insurer D* | 24 | 67% | 1 | 14 |
How we chose these services: 7 appear in this hospital's own Medicare claims, 10 are common here based on CMS Medicare volume, and 7 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 Hospital.
565 Coal Valley Road, Jefferson Hills, PA 15025
(412) 469-5000
The nearest hospitals of similar type and size. Their rates are compared with Jefferson Hospital for the same insurers and services above.
Upmc Mckeesport
▲ Rates typically 158% higher than Jefferson Hospital (16 services)
Monongahela Valley Hospital
▲ Rates typically 22% higher than Jefferson Hospital (20 services)
Upmc Magee-Womens Hospital
▲ Rates typically 245% higher than Jefferson Hospital (19 services)
Upmc Mercy
▲ Rates typically 84% higher than Jefferson Hospital (19 services)
St. Clair Hospital
Rates about the same as Jefferson Hospital (21 services)
Upmc St Margaret
▲ Rates typically 114% higher than Jefferson Hospital (21 services)
Canonsburg Hospital
Allegheny General Hospital
West Penn Hospital
Ahn Wexford Hospital
About Jefferson Hospital's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Jefferson Hospital range from $271 to $1,135 across 4 insurers. Cigna's rate is $414. The median at nearby comparable hospitals is $2,862. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Jefferson Hospital range from $399 to $3,892 across 4 insurers. UnitedHealthcare's rate is $3,892. The median at nearby comparable hospitals is $2,174. 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 Hospital range from $8,720 to $10,705 across 4 insurers. Aetna's rate is $8,736. 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 Hospital range from $71 to $231 across 4 insurers. UnitedHealthcare's rate is $100. The median at nearby comparable hospitals is $174. 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 Hospital range from $20,045 to $34,736 across 4 insurers. Aetna's rate is $25,981. The median at nearby comparable hospitals is $27,897. What a patient pays depends on their plan's deductible, coinsurance and network status.
Jefferson Hospital has 341 beds. Facility type: Short Term Acute Care Hospital.
Jefferson Hospital is located at 565 Coal Valley Road, Jefferson Hills, PA 15025. Its main phone number is (412) 469-5000.
Jefferson Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 390265.
The National Provider Identifier (NPI) on file for Jefferson Hospital is 1578560504.
Jefferson Hospital is affiliated with Allegheny Health Network.
Jefferson Hospital lists 34 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
221 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