Pennsylvania / Jefferson Health-Northeast
CMS certification 390115 · Philadelphia, PA · 1 entry in CMS's price-transparency list
Jefferson Health-Northeast: charges and Medicare payments
Jefferson Health-Northeast reported 4,485 Medicare inpatient stays across 120 DRGs in 2024. Across them it charged 3.7 times what it was paid — mid-range in Pennsylvania, number 78 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: 764 stays at an average charge of $64,908, 28% below the national average. It also billed 3,519 outpatient services, charging 6.2 times what Medicare paid.
- 1Medicare inpatient stays 4,485
- 2Charge ÷ paid, inpatient 3.7×
- 3Rank in PA (highest ratio = 1) 78 of 117
- 4CMS price-transparency actions 1
Inpatient stays
For the 120 DRGs that can be compared with the national average, Jefferson Health-Northeast charged more than the national average in 0 (0%). 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 | 764 | $64,908 | -28% | $17,221 |
| 291 Heart Failure and Shock with MCC | 323 | $39,398 | -30% | $11,001 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 108 | $34,020 | -31% | $9,404 |
| 193 Simple Pneumonia and Pleurisy with MCC | 101 | $44,115 | -26% | $11,562 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 94 | $145,970 | -36% | $41,345 |
| 189 Pulmonary Edema and Respiratory Failure | 88 | $38,304 | -33% | $11,085 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 84 | $32,155 | -20% | $7,372 |
| 177 Respiratory Infections and Inflammations with MCC | 72 | $48,376 | -31% | $13,880 |
| 683 Renal Failure with CC | 68 | $25,932 | -36% | $8,048 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 68 | $46,272 | -37% | $14,295 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 66 | $76,424 | -32% | $19,539 |
| 462 Bilateral or Multiple Major Joint Procedures of Lower... | 62 | $65,635 | -53% | $24,746 |
| 552 Medical Back Problems without MCC | 61 | $30,796 | -37% | $8,980 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 61 | $39,597 | -34% | $11,711 |
| 092 Other Disorders of Nervous System with CC | 57 | $29,113 | -44% | $9,031 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 57 | $37,950 | -25% | $10,118 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 56 | $29,055 | -22% | $6,933 |
| 690 Kidney and Urinary Tract Infections without MCC | 56 | $24,575 | -35% | $7,241 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 55 | $35,947 | -35% | $9,016 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 53 | $59,697 | -40% | $16,416 |
| 377 Gastrointestinal Hemorrhage with MCC | 53 | $69,477 | -19% | $16,586 |
| 378 Gastrointestinal Hemorrhage with CC | 51 | $37,583 | -23% | $9,206 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 50 | $51,698 | -32% | $14,310 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 49 | $29,060 | -32% | $7,947 |
| 481 Hip and Femur Procedures except Major Joint with CC | 46 | $74,757 | -26% | $17,668 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 45 | $24,622 | -32% | $6,872 |
| 689 Kidney and Urinary Tract Infections with MCC | 45 | $39,218 | -24% | $10,242 |
| 057 Degenerative Nervous System Disorders without MCC | 44 | $29,795 | -47% | $11,668 |
| 312 Syncope and Collapse | 44 | $31,629 | -31% | $7,899 |
| 682 Renal Failure with MCC | 44 | $44,232 | -33% | $12,864 |
| 314 Other Circulatory System Diagnoses with MCC | 41 | $71,138 | -25% | $18,252 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 39 | $219,644 | -32% | $53,585 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 38 | $91,400 | -20% | $16,280 |
| 603 Cellulitis without MCC | 37 | $27,334 | -27% | $7,850 |
| 637 Diabetes with MCC | 36 | $37,860 | -43% | $12,931 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 31 | $33,713 | -29% | $8,911 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 28 | $32,594 | -42% | $10,726 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 27 | $102,561 | -35% | $27,585 |
| 389 Gastrointestinal Obstruction with CC | 27 | $31,880 | -18% | $7,408 |
| 194 Simple Pneumonia and Pleurisy with CC | 26 | $25,070 | -35% | $8,080 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 26 | $32,269 | -36% | $8,083 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 26 | $131,473 | -20% | $25,791 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 26 | $39,540 | -35% | $11,464 |
| 432 Cirrhosis and Alcoholic Hepatitis with MCC | 26 | $69,324 | -28% | $16,191 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 26 | $75,901 | -26% | $17,917 |
| 812 Red Blood Cell Disorders without MCC | 26 | $37,583 | -15% | $8,246 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 25 | $105,957 | -24% | $25,281 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 24 | $44,972 | -31% | $11,928 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 24 | $24,288 | -34% | $7,438 |
| 184 Major Chest Trauma with CC | 23 | $37,704 | -32% | $9,730 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 23 | $95,031 | -30% | $22,482 |
| 638 Diabetes with CC | 23 | $26,007 | -38% | $7,383 |
| 813 Coagulation Disorders | 23 | $34,891 | -56% | $13,348 |
| 101 Seizures without MCC | 22 | $32,549 | -33% | $8,048 |
| 394 Other Digestive System Diagnoses with CC | 22 | $37,930 | -19% | $8,465 |
| 884 Organic Disturbances and Intellectual Disability | 22 | $27,178 | -56% | $13,096 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 21 | $101,775 | -8% | $19,756 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 21 | $43,795 | -31% | $10,170 |
| 441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic... | 21 | $50,063 | -42% | $15,729 |
| 811 Red Blood Cell Disorders with MCC | 21 | $47,280 | -31% | $12,508 |
Showing the 60 most frequent of 120 DRGs.
Outpatient services
Against the Pennsylvania average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Jefferson Health-Northeast charged $64,908 on average, 26% less than the Pennsylvania average of $88,167, and was paid $17,221 against a state average of $16,881. For Heart Failure and Shock with MCC (DRG 291), Jefferson Health-Northeast charged $39,398 on average, 31% less than the Pennsylvania average of $57,362, and was paid $11,001 against a state average of $11,112. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Jefferson Health-Northeast charged $34,020 on average, 32% less than the Pennsylvania average of $49,758, and was paid $9,404 against a state average of $9,077. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Jefferson Health-Northeast charged $44,115 on average, 26% less than the Pennsylvania average of $59,404, and was paid $11,562 against a state average of $11,319. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $13,871 was 36% below the state average of $21,732. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $14,938 was 48% below the state average of $28,496. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,490 was 30% below the state average of $13,651. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $47,325 was 26% below the state average of $63,627.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Jefferson Health-Northeast in Philadelphia, PA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-04 (CMS case 3596)
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.