Pennsylvania / Thomas Jefferson University Hospital
CMS certification 390174 · Philadelphia, PA · 5 entries in CMS's price-transparency list
Thomas Jefferson University Hospital: charges and Medicare payments
Thomas Jefferson University Hospital reported 6,544 Medicare inpatient stays across 207 DRGs in 2024. Across them it charged 4.13 times what it was paid — mid-range in Pennsylvania, number 63 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: 439 stays at an average charge of $105,757, 17% above the national average. It also billed 8,363 outpatient services, charging 7.47 times what Medicare paid.
- 1Medicare inpatient stays 6,544
- 2Charge ÷ paid, inpatient 4.13×
- 3Rank in PA (highest ratio = 1) 63 of 117
- 4CMS price-transparency actions 5
Inpatient stays
For the 207 DRGs that can be compared with the national average, Thomas Jefferson University Hospital charged more than the national average in 121 (58%). 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 | 439 | $105,757 | +17% | $25,881 |
| 291 Heart Failure and Shock with MCC | 195 | $64,281 | +14% | $16,079 |
| 103 Headaches without MCC | 192 | $45,306 | -7% | $12,769 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 126 | $73,332 | -21% | $20,391 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 103 | $296,373 | +29% | $68,544 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 100 | $235,180 | -16% | $71,090 |
| 472 Cervical Spinal Fusion with CC | 97 | $126,924 | -11% | $33,549 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 96 | $216,351 | -7% | $50,242 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 96 | $74,780 | +34% | $13,309 |
| 467 Revision of Hip or Knee Replacement with CC | 92 | $139,447 | -12% | $40,932 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 85 | $142,348 | +43% | $26,983 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 84 | $152,213 | +36% | $30,747 |
| 460 Spinal Fusion except Cervical without MCC | 80 | $153,409 | -10% | $43,182 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 74 | $66,034 | +35% | $13,668 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 73 | $99,062 | +35% | $22,872 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 69 | $46,636 | +16% | $10,261 |
| 683 Renal Failure with CC | 69 | $44,560 | +9% | $11,053 |
| 378 Gastrointestinal Hemorrhage with CC | 68 | $64,283 | +32% | $12,415 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 68 | $76,188 | +26% | $17,213 |
| 189 Pulmonary Edema and Respiratory Failure | 67 | $65,685 | +14% | $16,083 |
| 377 Gastrointestinal Hemorrhage with MCC | 63 | $129,346 | +51% | $26,039 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 62 | $159,102 | -22% | $55,538 |
| 193 Simple Pneumonia and Pleurisy with MCC | 61 | $71,232 | +19% | $16,367 |
| 481 Hip and Femur Procedures except Major Joint with CC | 61 | $113,682 | +13% | $24,318 |
| 125 Other Disorders of The Eye without MCC | 57 | $46,590 | +6% | $10,375 |
| 177 Respiratory Infections and Inflammations with MCC | 52 | $85,528 | +21% | $20,963 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 52 | $103,226 | -17% | $29,256 |
| 101 Seizures without MCC | 48 | $55,895 | +15% | $13,743 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 46 | $271,106 | -4% | $64,844 |
| 406 Pancreas, Liver and Shunt Procedures with CC | 45 | $161,604 | 0% | $31,083 |
| 026 Craniotomy and Endovascular Intracranial Procedures with CC | 44 | $154,378 | -6% | $36,160 |
| 027 Craniotomy and Endovascular Intracranial Procedures without... | 43 | $130,453 | -7% | $29,021 |
| 100 Seizures with MCC | 43 | $129,464 | +37% | $26,171 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 43 | $207,316 | -6% | $50,752 |
| 552 Medical Back Problems without MCC | 43 | $63,095 | +29% | $13,186 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 42 | $39,871 | +8% | $9,654 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 41 | $69,184 | +13% | $18,258 |
| 682 Renal Failure with MCC | 40 | $77,487 | +18% | $19,462 |
| 314 Other Circulatory System Diagnoses with MCC | 39 | $150,924 | +59% | $28,733 |
| 091 Other Disorders of Nervous System with MCC | 38 | $112,395 | +36% | $25,566 |
| 690 Kidney and Urinary Tract Infections without MCC | 37 | $31,857 | -16% | $9,424 |
| 220 Cardiac Valve and Other Major Cardiothoracic Procedures... | 36 | $232,743 | -16% | $62,968 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 36 | $37,049 | +3% | $9,216 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 35 | $73,520 | +30% | $16,545 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 35 | $347,464 | +61% | $74,524 |
| 092 Other Disorders of Nervous System with CC | 34 | $55,248 | +7% | $13,055 |
| 330 Major Small and Large Bowel Procedures with CC | 34 | $124,686 | +5% | $31,264 |
| 516 Other Musculoskeletal System and Connective Tissue O.R.... | 34 | $84,235 | -17% | $22,336 |
| 689 Kidney and Urinary Tract Infections with MCC | 34 | $60,389 | +18% | $14,432 |
| 847 Chemotherapy without Acute Leukemia As Secondary Diagnosis... | 34 | $48,922 | -28% | $15,747 |
| 003 ECMO or Tracheostomy with MV >96 Hours or Principal... | 33 | $965,502 | -8% | $251,498 |
| 141 Major Head and Neck Procedures with CC | 33 | $159,720 | +24% | $26,882 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 33 | $60,573 | +20% | $15,092 |
| 312 Syncope and Collapse | 33 | $43,053 | -5% | $10,715 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 32 | $95,186 | +26% | $19,458 |
| 603 Cellulitis without MCC | 32 | $37,047 | -1% | $10,730 |
| 857 Postoperative or Post-Traumatic Infections with O.R.... | 32 | $133,828 | +34% | $27,457 |
| 394 Other Digestive System Diagnoses with CC | 31 | $57,949 | +23% | $12,272 |
| 445 Disorders of The Biliary Tract with CC | 31 | $66,668 | +15% | $12,674 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 31 | $108,266 | +6% | $23,012 |
Showing the 60 most frequent of 207 DRGs.
Outpatient services
Against the Pennsylvania average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Thomas Jefferson University Hospital charged $105,757 on average, 20% more than the Pennsylvania average of $88,167, and was paid $25,881 against a state average of $16,881. For Heart Failure and Shock with MCC (DRG 291), Thomas Jefferson University Hospital charged $64,281 on average, 12% more than the Pennsylvania average of $57,362, and was paid $16,079 against a state average of $11,112. For Headaches without MCC (DRG 103), Thomas Jefferson University Hospital charged $45,306 on average, 1% less than the Pennsylvania average of $45,683, and was paid $12,769 against a state average of $9,281. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Thomas Jefferson University Hospital charged $73,332 on average, 5% less than the Pennsylvania average of $77,050, and was paid $20,391 against a state average of $15,450. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $19,956 was 8% below the state average of $21,732. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,779 was 59% below the state average of $4,364. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $9,451 was 43% below the state average of $16,557. For Level 3 Airway Endoscopy (outpatient APC 5153), its average charge of $4,286 was 70% below the state average of $14,117.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Thomas Jefferson University Hospital in Philadelphia, PA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-09-29 (CMS case 469)
- CAP Request — 2023-07-19 (CMS case 469)
- Closure Notice — 2023-08-23 (CMS case 469)
- Warning Notice — 2025-03-24 (CMS case 3270)
- Closure Notice — 2025-04-28 (CMS case 3270)
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.