Jefferson Einstein Montgomery Hospital: charges and Medicare payments

Jefferson Einstein Montgomery Hospital reported 2,214 Medicare inpatient stays across 75 DRGs in 2024. Across them it charged 3.58 times what it was paid — among the lower ratios in Pennsylvania, number 85 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: 205 stays at an average charge of $43,448, 23% below the national average. It also billed 1,880 outpatient services, charging 6.04 times what Medicare paid.

1Medicare inpatient stays 2,214
2Charge ÷ paid, inpatient 3.58×
3Rank in PA (highest ratio = 1) 85 of 117
4CMS price-transparency actions 0

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

Inpatient stays

For the 75 DRGs that can be compared with the national average, Jefferson Einstein Montgomery Hospital charged more than the national average in 5 (7%). 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	205	$43,448	-23%	$12,441
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	186	$59,890	-34%	$17,712
177 Respiratory Infections and Inflammations with MCC	101	$48,846	-31%	$15,692
189 Pulmonary Edema and Respiratory Failure	74	$41,116	-29%	$12,045
193 Simple Pneumonia and Pleurisy with MCC	72	$45,060	-25%	$12,392
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	52	$39,721	-34%	$13,136
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	48	$48,517	-13%	$10,162
309 Cardiac Arrhythmia and Conduction Disorders with CC	47	$27,880	-23%	$7,524
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	47	$32,263	-20%	$7,993
312 Syncope and Collapse	46	$38,078	-16%	$8,471
690 Kidney and Urinary Tract Infections without MCC	38	$29,471	-22%	$7,956
870 Septicemia or Severe Sepsis with MV >96 Hours	38	$157,678	-51%	$57,188
682 Renal Failure with MCC	34	$50,182	-24%	$13,848
683 Renal Failure with CC	34	$32,737	-20%	$9,259
280 Acute Myocardial Infarction, Discharged Alive with MCC	33	$58,794	-22%	$16,569
378 Gastrointestinal Hemorrhage with CC	33	$40,411	-17%	$9,651
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	33	$29,028	-32%	$8,910
853 Infectious and Parasitic Diseases with O.R. Procedures with...	31	$187,112	-18%	$46,983
190 Chronic Obstructive Pulmonary Disease with MCC	30	$36,889	-27%	$10,676
208 Respiratory System Diagnosis with Ventilator Support <=96...	30	$74,765	-45%	$23,400
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	30	$28,883	-22%	$7,545
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	30	$42,499	-13%	$10,669
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	29	$76,905	-23%	$18,999
267 Endovascular Cardiac Valve Replacement and Supplement...	29	$164,090	-26%	$42,385
603 Cellulitis without MCC	28	$40,130	+8%	$9,150
698 Other Kidney and Urinary Tract Diagnoses with MCC	28	$65,389	-11%	$17,497
178 Respiratory Infections and Inflammations with CC	27	$32,458	-28%	$9,886
884 Organic Disturbances and Intellectual Disability	27	$32,780	-47%	$15,640
194 Simple Pneumonia and Pleurisy with CC	26	$26,481	-31%	$7,847
322 Percutaneous Cardiovascular Procedures with Intraluminal...	24	$62,412	-46%	$18,148
101 Seizures without MCC	23	$30,612	-37%	$8,765
207 Respiratory System Diagnosis with Ventilator Support >96...	23	$183,843	-37%	$60,904
308 Cardiac Arrhythmia and Conduction Disorders with MCC	23	$43,508	-23%	$10,901
377 Gastrointestinal Hemorrhage with MCC	23	$65,142	-24%	$17,390
057 Degenerative Nervous System Disorders without MCC	21	$29,729	-47%	$11,781
552 Medical Back Problems without MCC	21	$36,570	-25%	$9,129
219 Cardiac Valve and Other Major Cardiothoracic Procedures...	20	$240,161	-40%	$61,331
243 Permanent Cardiac Pacemaker Implant with CC	20	$94,232	-15%	$21,491
286 Circulatory Disorders except AMI, with Cardiac...	20	$81,484	-27%	$22,098
314 Other Circulatory System Diagnoses with MCC	20	$82,196	-13%	$20,018
394 Other Digestive System Diagnoses with CC	20	$36,828	-22%	$9,457
092 Other Disorders of Nervous System with CC	19	$36,960	-28%	$10,417
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	19	$68,312	+5%	$13,533
287 Circulatory Disorders except AMI, with Cardiac...	18	$52,634	-18%	$10,703
180 Respiratory Neoplasms with MCC	17	$53,368	-39%	$16,748
191 Chronic Obstructive Pulmonary Disease with CC	17	$31,524	-20%	$8,684
389 Gastrointestinal Obstruction with CC	17	$38,404	-1%	$8,464
689 Kidney and Urinary Tract Infections with MCC	17	$42,176	-18%	$11,514
811 Red Blood Cell Disorders with MCC	17	$45,075	-34%	$12,880
281 Acute Myocardial Infarction, Discharged Alive with CC	16	$45,113	-11%	$9,239
300 Peripheral Vascular Disorders with CC	16	$33,048	-33%	$9,393
481 Hip and Femur Procedures except Major Joint with CC	16	$64,887	-36%	$19,826
536 Fractures of Hip and Pelvis without MCC	16	$27,958	-26%	$7,552
699 Other Kidney and Urinary Tract Diagnoses with CC	16	$24,325	-49%	$9,442
202 Bronchitis and Asthma with CC/MCC	15	$48,071	+4%	$9,466
266 Endovascular Cardiac Valve Replacement and Supplement...	15	$174,485	-39%	$53,958
948 Signs and Symptoms without MCC	15	$28,833	-24%	$7,681
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	15	$158,380	-27%	$40,522
071 Other Cerebrovascular Disorders with CC	14	$35,609	-29%	$9,979
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	14	$67,552	+11%	$13,567

Showing the 60 most frequent of 75 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	574	$16,254	$2,561
Level 1 Endovascular Procedures	198	$21,499	$3,047
Level 5 Musculoskeletal Procedures	121	$59,365	$12,064
Level 2 Excision/ Biopsy/ Incision and Drainage	84	$7,095	$1,521
Level 3 Vascular Procedures	76	$22,060	$2,990
Level 3 Urology and Related Services	59	$8,198	$1,911
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	54	$14,123	$3,246
Level 3 Electrophysiologic Procedures	53	$86,867	$22,223
Level 1 Nerve Procedures	51	$9,347	$1,811
Level 3 Endovascular Procedures	49	$42,786	$10,149
Level 1 Breast/Lymphatic Surgery and Related Procedures	46	$13,002	$3,576
Level 4 Airway Endoscopy	43	$21,719	$3,513
Level 1 Laparoscopy and Related Services	41	$38,614	$5,413
Level 4 Urology and Related Services	37	$18,548	$3,270
Level 6 Urology and Related Services	36	$33,904	$8,640
Level 3 Pacemaker and Similar Procedures	34	$52,795	$10,009
Level 4 Gynecologic Procedures	34	$13,210	$2,933
Level 2 Vascular Procedures	33	$8,314	$1,480
Level 2 Upper GI Procedures	29	$10,348	$1,785
Level 4 Musculoskeletal Procedures	28	$29,601	$6,711
Level 5 Urology and Related Services	27	$22,891	$4,854
Level 2 Musculoskeletal Procedures	24	$4,982	$1,508
Level 2 Endovascular Procedures	24	$28,944	$5,362
Level 3 Excision/ Biopsy/ Incision and Drainage	20	$13,074	$2,666
Level 4 Endovascular Procedures	20	$45,393	$15,019

Against the Pennsylvania average

For Heart Failure and Shock with MCC (DRG 291), Jefferson Einstein Montgomery Hospital charged $43,448 on average, 24% less than the Pennsylvania average of $57,362, and was paid $12,441 against a state average of $11,112. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Jefferson Einstein Montgomery Hospital charged $59,890 on average, 32% less than the Pennsylvania average of $88,167, and was paid $17,712 against a state average of $16,881. For Respiratory Infections and Inflammations with MCC (DRG 177), Jefferson Einstein Montgomery Hospital charged $48,846 on average, 32% less than the Pennsylvania average of $72,025, and was paid $15,692 against a state average of $14,034. For Pulmonary Edema and Respiratory Failure (DRG 189), Jefferson Einstein Montgomery Hospital charged $41,116 on average, 37% less than the Pennsylvania average of $65,329, and was paid $12,045 against a state average of $11,268. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $16,254 was 25% below the state average of $21,732. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $21,499 was 25% below the state average of $28,496. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $59,365 was 7% below the state average of $63,627. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,095 was 48% below the state average of $13,651.

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.