Pennsylvania / Jefferson Abington Hospital

CMS certification 390231 · Abington, PA · 4 entries in CMS's price-transparency list

Jefferson Abington Hospital: charges and Medicare payments

Jefferson Abington Hospital reported 7,942 Medicare inpatient stays across 176 DRGs in 2024. Across them it charged 4.02 times what it was paid — mid-range in Pennsylvania, number 69 of 117 hospitals with at least 100 stays (state median 4.27×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 803 stays at an average charge of $66,179, 27% below the national average. It also billed 3,991 outpatient services, charging 5.74 times what Medicare paid.

1Medicare inpatient stays 7,942
2Charge ÷ paid, inpatient 4.02×
3Rank in PA (highest ratio = 1) 69 of 117
4CMS price-transparency actions 4

Average charge per stay at Jefferson Abington Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 176 DRGs that can be compared with the national average, Jefferson Abington Hospital charged more than the national average in 4 (2%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	803	$66,179	-27%	$16,796
291 Heart Failure and Shock with MCC	420	$50,871	-10%	$11,447
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	201	$27,625	-31%	$7,101
690 Kidney and Urinary Tract Infections without MCC	157	$29,015	-23%	$7,110
177 Respiratory Infections and Inflammations with MCC	154	$47,598	-33%	$14,058
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	134	$41,793	-15%	$9,020
552 Medical Back Problems without MCC	133	$34,641	-29%	$8,331
193 Simple Pneumonia and Pleurisy with MCC	132	$45,424	-24%	$11,782
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	117	$43,745	-21%	$9,081
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	108	$68,101	-32%	$16,253
312 Syncope and Collapse	106	$31,051	-32%	$7,438
853 Infectious and Parasitic Diseases with O.R. Procedures with...	104	$151,054	-34%	$43,109
309 Cardiac Arrhythmia and Conduction Disorders with CC	103	$26,676	-26%	$6,714
481 Hip and Femur Procedures except Major Joint with CC	103	$76,090	-24%	$16,776
698 Other Kidney and Urinary Tract Diagnoses with MCC	103	$52,040	-29%	$13,732
683 Renal Failure with CC	99	$30,441	-25%	$7,757
603 Cellulitis without MCC	98	$25,389	-32%	$7,581
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	97	$25,544	-31%	$6,840
190 Chronic Obstructive Pulmonary Disease with MCC	93	$41,247	-18%	$9,757
689 Kidney and Urinary Tract Infections with MCC	93	$45,590	-11%	$10,092
378 Gastrointestinal Hemorrhage with CC	91	$34,492	-29%	$8,637
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	86	$56,324	-7%	$11,287
286 Circulatory Disorders except AMI, with Cardiac...	85	$98,965	-12%	$19,066
682 Renal Failure with MCC	85	$54,556	-17%	$12,624
813 Coagulation Disorders	82	$51,475	-36%	$13,475
308 Cardiac Arrhythmia and Conduction Disorders with MCC	79	$43,314	-24%	$10,946
194 Simple Pneumonia and Pleurisy with CC	73	$26,258	-32%	$7,034
377 Gastrointestinal Hemorrhage with MCC	70	$72,664	-15%	$15,352
178 Respiratory Infections and Inflammations with CC	69	$34,423	-24%	$8,431
267 Endovascular Cardiac Valve Replacement and Supplement...	64	$153,430	-31%	$39,203
389 Gastrointestinal Obstruction with CC	64	$32,606	-16%	$7,121
092 Other Disorders of Nervous System with CC	62	$38,256	-26%	$9,238
305 Hypertension without MCC	60	$26,288	-34%	$6,570
069 Transient Ischemia without Thrombolytic	58	$30,165	-40%	$6,899
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	57	$35,400	-17%	$7,712
057 Degenerative Nervous System Disorders without MCC	56	$39,513	-30%	$11,584
394 Other Digestive System Diagnoses with CC	56	$30,183	-36%	$8,139
101 Seizures without MCC	55	$34,489	-29%	$7,879
189 Pulmonary Edema and Respiratory Failure	54	$40,975	-29%	$10,112
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	52	$43,202	-29%	$10,919
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	51	$74,752	-27%	$18,216
884 Organic Disturbances and Intellectual Disability	50	$55,820	-11%	$15,872
314 Other Circulatory System Diagnoses with MCC	48	$74,691	-21%	$18,306
322 Percutaneous Cardiovascular Procedures with Intraluminal...	48	$93,070	-19%	$18,489
149 Dysequilibrium	47	$28,655	-35%	$6,446
948 Signs and Symptoms without MCC	46	$27,080	-29%	$6,854
330 Major Small and Large Bowel Procedures with CC	45	$70,301	-41%	$18,940
638 Diabetes with CC	45	$31,049	-25%	$7,878
329 Major Small and Large Bowel Procedures with MCC	44	$175,637	-18%	$45,227
274 Percutaneous and Other Intracardiac Procedures without MCC	43	$93,949	-40%	$26,233
480 Hip and Femur Procedures except Major Joint with MCC	42	$111,897	-19%	$24,584
280 Acute Myocardial Infarction, Discharged Alive with MCC	41	$51,404	-32%	$12,874
811 Red Blood Cell Disorders with MCC	41	$57,899	-15%	$12,876
812 Red Blood Cell Disorders without MCC	41	$30,928	-30%	$7,929
287 Circulatory Disorders except AMI, with Cardiac...	40	$43,169	-32%	$9,577
082 Traumatic Stupor and Coma >1 Hour with MCC	39	$85,647	-26%	$20,438
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	39	$22,033	-23%	$5,274
066 Intracranial Hemorrhage or Cerebral Infarction without...	38	$29,006	-31%	$6,165
085 Traumatic Stupor and Coma <1 Hour with MCC	38	$76,800	-29%	$18,584
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	38	$54,267	-17%	$12,604

Showing the 60 most frequent of 176 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	1,140	$14,355	$2,539
Level 5 Musculoskeletal Procedures	323	$35,474	$12,264
Level 2 Excision/ Biopsy/ Incision and Drainage	314	$8,250	$1,509
Level 1 Endovascular Procedures	252	$14,974	$3,018
Level 2 Upper GI Procedures	162	$11,591	$1,767
Level 1 Laparoscopy and Related Services	125	$24,025	$5,344
Level 2 Laparoscopy and Related Services	113	$40,346	$9,607
Level 3 Excision/ Biopsy/ Incision and Drainage	108	$15,638	$2,646
Level 3 Urology and Related Services	106	$8,522	$1,896
Level 5 Urology and Related Services	101	$19,828	$4,854
Level 4 Gynecologic Procedures	95	$11,513	$2,917
Level 6 Musculoskeletal Procedures	87	$62,664	$17,444
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	86	$15,486	$3,226
Level 4 Musculoskeletal Procedures	85	$29,245	$6,711
Level 3 Vascular Procedures	82	$15,304	$2,990
Level 4 Urology and Related Services	81	$14,604	$3,238
Level 3 Electrophysiologic Procedures	70	$123,190	$22,223
Level 3 Pacemaker and Similar Procedures	66	$58,443	$10,009
Level 3 Endovascular Procedures	64	$62,565	$10,311
Level 2 Vascular Procedures	54	$6,803	$1,503
Level 4 Endovascular Procedures	50	$98,691	$16,120
Level 6 Gynecologic Procedures	49	$33,109	$7,089
Level 4 Vascular Procedures	48	$27,865	$4,996
Level 2 ICD and Similar Procedures	47	$187,660	$30,770
Level 4 Airway Endoscopy	43	$29,885	$3,513

Against the Pennsylvania average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Jefferson Abington Hospital charged $66,179 on average, 25% less than the Pennsylvania average of $88,167, and was paid $16,796 against a state average of $16,881. For Heart Failure and Shock with MCC (DRG 291), Jefferson Abington Hospital charged $50,871 on average, 11% less than the Pennsylvania average of $57,362, and was paid $11,447 against a state average of $11,112. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), Jefferson Abington Hospital charged $27,625 on average, 31% less than the Pennsylvania average of $40,091, and was paid $7,101 against a state average of $7,126. For Kidney and Urinary Tract Infections without MCC (DRG 690), Jefferson Abington Hospital charged $29,015 on average, 21% less than the Pennsylvania average of $36,664, and was paid $7,110 against a state average of $7,034. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,355 was 34% below the state average of $21,732. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $35,474 was 44% below the state average of $63,627. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,250 was 40% below the state average of $13,651. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $14,974 was 47% below the state average of $28,496.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Jefferson Abington Hospital in Abington, PA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

Warning Notice — 2024-02-13 (CMS case 354)
Closure Notice — 2024-04-02 (CMS case 354)
Warning Notice — 2025-03-20 (CMS case 3294)
Closure Notice — 2025-04-28 (CMS case 3294)

A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.

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.