Jefferson Health · Philadelphia, PA
34
In-network payers
690
Disclosed rate categories
220
Beds
4
Care quality
Jefferson Methodist Hospital is a 220-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 34 in-network payers and 690 disclosed rate categories.
CCN (Medicare provider number)
390174
NPI
1134297393
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
220
Care Quality
4
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 Methodist 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
$9,349 - $12,846
from 4 insurers · median $10,577
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
$14,095 - $19,930
from 4 insurers · median $17,912
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
$50,408 - $100,107
from 4 insurers · median $69,449
120 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery · Inpatient
MS-DRG 470
$27,352 - $40,094
from 4 insurers · median $35,804
180 Medicare discharges for this DRG in CMS hospital data
Gynecology
CPT 58558
$3,316 - $9,350
from 4 insurers · median $5,185
61 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
CT imaging
CPT 74177
$323 - $898
from 4 insurers · median $742
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$2,343 - $6,930
from 4 insurers · median $3,191
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$2,580 - $5,764
from 4 insurers · median $3,229
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 216
$104,630 - $238,360
from 4 insurers · median $154,244
12 Medicare discharges for this DRG in CMS hospital data
Ear, nose and throat
CPT 69436
$1,888 - $9,350
from 4 insurers · median $5,342
42 Medicare claims in Level 3 ENT Procedures (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$9,349 - $12,846
from 4 insurers · median $10,577
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
Cardiology and vascular testing
CPT 93306
$369 - $2,261
from 4 insurers · median $1,214
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$2,343 - $5,764
from 4 insurers · median $2,789
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 49505
$3,938 - $11,000
from 4 insurers · median $7,041
188 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Gynecology
CPT 58571
$6,136 - $17,113
from 4 insurers · median $9,755
115 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Mammography
CPT 77067
$139 - $338
from 4 insurers · median $255
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$6,136 - $20,779
from 4 insurers · median $8,755
163 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Urology
CPT 50590
$6,136 - $17,113
from 4 insurers · median $12,213
310 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Urology
CPT 52000
$1,939 - $5,559
from 4 insurers · median $3,548
754 Medicare claims in Level 2 Urology and Related Services (CMS 2024)
Ear, nose and throat
CPT 30520
$3,316 - $11,000
from 4 insurers · median $5,899
56 Medicare claims in Level 4 ENT Procedures (CMS 2024)
Digestive procedures
CPT 45378
$1,238 - $7,711
from 4 insurers · median $2,789
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$97 - $451
from 4 insurers · median $272
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$221 - $687
from 4 insurers · median $483
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$162 - $916
from 4 insurers · median $615
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 | 292% | 7 | 1 |
| Insurer B* | 24 | 285% | 11 | 6 |
| Insurer C* | 24 | 199% | 11 | 6 |
| Insurer D* | 24 | 104% | 5 | 15 |
How we chose these services: 11 appear in this hospital's own Medicare claims, 10 are common here based on CMS Medicare volume, and 3 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 Methodist Hospital.
2301 S Broad St, Philadelphia, PA 19148
None
The nearest hospitals of similar type and size. Their rates are compared with Jefferson Methodist Hospital for the same insurers and services above.
Pennsylvania Hospital
Rates about the same as Jefferson Methodist Hospital (21 services)
Hospital Of The University Of Pennsylvania
Rates about the same as Jefferson Methodist Hospital (21 services)
Cooper University Hospital
▲ Rates typically 70% higher than Jefferson Methodist Hospital (21 services)
Temple University Hospital – Main Campus
▲ Rates typically 8% higher than Jefferson Methodist Hospital (21 services)
Einstein Medical Center Philadelphia
▼ Rates typically 10% lower than Jefferson Methodist Hospital (21 services)
Crozer Chester Medical Center
▼ Rates typically 32% lower than Jefferson Methodist Hospital (21 services)
Jefferson Frankford Hospital
Roxborough Memorial Hospital
Penn Presbyterian Medical Center
About Jefferson Methodist Hospital's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Jefferson Methodist Hospital range from $323 to $898 across 4 insurers. Blue Cross Blue Shield's rate is $734. The median at nearby comparable hospitals is $787. 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 Methodist Hospital range from $2,580 to $5,764 across 4 insurers. Cigna's rate is $2,998. The median at nearby comparable hospitals is $4,956. 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 Methodist Hospital range from $9,349 to $12,846 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 Methodist Hospital range from $139 to $338 across 4 insurers. Aetna's rate is $252. The median at nearby comparable hospitals is $224. 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 Methodist Hospital range from $27,352 to $40,094 across 4 insurers. Aetna's rate is $39,226. The median at nearby comparable hospitals is $34,073. What a patient pays depends on their plan's deductible, coinsurance and network status.
Jefferson Methodist Hospital has 220 beds. Facility type: Short Term Acute Care Hospital.
Jefferson Methodist Hospital is located at 2301 S Broad St, Philadelphia, PA 19148. Its main phone number is None.
Jefferson Methodist Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 390174.
The National Provider Identifier (NPI) on file for Jefferson Methodist Hospital is 1134297393.
Jefferson Methodist Hospital is affiliated with Jefferson Health.
Jefferson Methodist Hospital lists 34 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.
690 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.
For hospital finance and compliance teams
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