Pennsylvania / Albert Einstein Medical Center
CMS certification 390142 · Philadelphia, PA
Albert Einstein Medical Center: charges and Medicare payments
Albert Einstein Medical Center reported 1,393 Medicare inpatient stays across 56 DRGs in 2024. Across them it charged 3.45 times what it was paid — among the lower ratios in Pennsylvania, number 90 of 117 hospitals with at least 100 stays (state median 4.27×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 135 stays at an average charge of $51,774, 8% below the national average. It also billed 1,345 outpatient services, charging 5.9 times what Medicare paid.
- 1Medicare inpatient stays 1,393
- 2Charge ÷ paid, inpatient 3.45×
- 3Rank in PA (highest ratio = 1) 90 of 117
- 4CMS price-transparency actions 0
Inpatient stays
For the 56 DRGs that can be compared with the national average, Albert Einstein Medical Center charged more than the national average in 14 (25%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 291 Heart Failure and Shock with MCC | 135 | $51,774 | -8% | $16,965 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 118 | $85,782 | -5% | $24,969 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 50 | $86,541 | +14% | $20,363 |
| 682 Renal Failure with MCC | 50 | $68,718 | +4% | $22,011 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 44 | $79,170 | +8% | $21,471 |
| 177 Respiratory Infections and Inflammations with MCC | 42 | $54,466 | -23% | $20,496 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 42 | $58,166 | -4% | $19,113 |
| 683 Renal Failure with CC | 42 | $41,085 | +1% | $12,236 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 38 | $53,809 | -3% | $13,457 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 33 | $95,732 | -4% | $25,631 |
| 377 Gastrointestinal Hemorrhage with MCC | 30 | $69,636 | -18% | $22,444 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 28 | $206,583 | -7% | $52,925 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 28 | $105,066 | -6% | $27,989 |
| 101 Seizures without MCC | 26 | $42,434 | -13% | $12,852 |
| 189 Pulmonary Edema and Respiratory Failure | 26 | $56,941 | -1% | $16,490 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 24 | $105,262 | -22% | $32,216 |
| 314 Other Circulatory System Diagnoses with MCC | 24 | $71,093 | -25% | $26,319 |
| 057 Degenerative Nervous System Disorders without MCC | 23 | $42,980 | -24% | $17,378 |
| 193 Simple Pneumonia and Pleurisy with MCC | 22 | $55,425 | -7% | $16,656 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 22 | $282,265 | -1% | $71,222 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 22 | $37,316 | -21% | $12,977 |
| 637 Diabetes with MCC | 21 | $50,197 | -25% | $18,190 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 21 | $167,252 | -27% | $48,877 |
| 312 Syncope and Collapse | 20 | $44,047 | -3% | $12,496 |
| 378 Gastrointestinal Hemorrhage with CC | 20 | $48,132 | -1% | $13,432 |
| 885 Psychoses | 20 | $68,732 | +56% | $24,047 |
| 689 Kidney and Urinary Tract Infections with MCC | 19 | $47,749 | -7% | $15,910 |
| 252 Other Vascular Procedures with MCC | 18 | $162,380 | -5% | $45,165 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 18 | $324,786 | +50% | $83,478 |
| 552 Medical Back Problems without MCC | 17 | $40,673 | -17% | $13,155 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 17 | $273,878 | -15% | $78,435 |
| 100 Seizures with MCC | 16 | $128,738 | +36% | $29,100 |
| 432 Cirrhosis and Alcoholic Hepatitis with MCC | 16 | $97,256 | +2% | $26,313 |
| 481 Hip and Femur Procedures except Major Joint with CC | 16 | $103,620 | +3% | $26,293 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 16 | $38,069 | +3% | $10,176 |
| 884 Organic Disturbances and Intellectual Disability | 15 | $65,465 | +5% | $25,387 |
| 304 Hypertension with MCC | 14 | $50,267 | -12% | $15,149 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 14 | $48,813 | -14% | $14,315 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 14 | $140,523 | -14% | $34,720 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 14 | $26,927 | -33% | $10,482 |
| 638 Diabetes with CC | 14 | $39,781 | -5% | $13,419 |
| 650 Kidney Transplant with Hemodialysis with MCC | 14 | $290,722 | -31% | $51,617 |
| 690 Kidney and Urinary Tract Infections without MCC | 14 | $33,701 | -11% | $11,339 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 14 | $33,151 | -56% | $19,754 |
| 056 Degenerative Nervous System Disorders with MCC | 13 | $69,220 | -28% | $29,293 |
| 091 Other Disorders of Nervous System with MCC | 13 | $126,964 | +53% | $30,577 |
| 565 Other Musculoskeletal System and Connective Tissue Diagnoses... | 13 | $42,252 | -12% | $12,510 |
| 069 Transient Ischemia without Thrombolytic | 12 | $43,171 | -14% | $10,342 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 12 | $30,842 | -39% | $13,985 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 12 | $24,751 | -38% | $12,015 |
| 441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic... | 12 | $98,326 | +14% | $25,267 |
| 202 Bronchitis and Asthma with CC/MCC | 11 | $26,136 | -43% | $12,128 |
| 207 Respiratory System Diagnosis with Ventilator Support >96... | 11 | $233,652 | -20% | $75,464 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $44,586 | -27% | $15,395 |
| 603 Cellulitis without MCC | 11 | $39,153 | +5% | $13,016 |
| 811 Red Blood Cell Disorders with MCC | 11 | $56,956 | -16% | $18,275 |
Outpatient services
Against the Pennsylvania average
For Heart Failure and Shock with MCC (DRG 291), Albert Einstein Medical Center charged $51,774 on average, 10% less than the Pennsylvania average of $57,362, and was paid $16,965 against a state average of $11,112. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Albert Einstein Medical Center charged $85,782 on average, 3% less than the Pennsylvania average of $88,167, and was paid $24,969 against a state average of $16,881. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Albert Einstein Medical Center charged $86,541 on average, 20% more than the Pennsylvania average of $72,284, and was paid $20,363 against a state average of $13,850. For Renal Failure with MCC (DRG 682), Albert Einstein Medical Center charged $68,718 on average, 0% less than the Pennsylvania average of $68,711, and was paid $22,011 against a state average of $12,876. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,660 was 19% below the state average of $21,732. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $6,065 was 56% below the state average of $13,651. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $16,609 was 42% below the state average of $28,496. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $9,509 was 34% below the state average of $14,403.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.