Jefferson Einstein Montgomery Hospital — price list

← Hospital overviewVerified from Jefferson Einstein Montgomery Hospital’s published price file

Includes cash prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.

How to read these columns

List: The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
Cash: The discounted self-pay price for paying directly, without insurance.
Negotiated: Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.

These are the hospital’s published reference prices, not a personalized estimate of your bill.

164 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
ACUTE MAJOR EYE INFECTIONS WITH CC/MCC Inpatient	121 MS-DRG	—	$16,040	$8,659 – $32,020	—
ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC Inpatient	122 MS-DRG	—	$11,083	$5,122 – $20,069	—
ALLOGENEIC BONE MARROW TRANSPLANT Inpatient	14 MS-DRG	—	$158,574	$89,783 – $384,800	—
AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC Inpatient	16 MS-DRG	—	$78,628	$44,205 – $384,800	—
AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC Inpatient	17 MS-DRG	—	$72,097	$40,687 – $384,800	—
BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC Inpatient	95 MS-DRG	—	$34,632	$17,661 – $71,428	—
BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC Inpatient	94 MS-DRG	—	$46,978	$26,427 – $109,629	—
BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC Inpatient	96 MS-DRG	—	$34,632	$17,661 – $65,873	—
BRONCHITIS AND ASTHMA WITH CC/MCC Inpatient	202 MS-DRG	—	$13,517	$7,226 – $27,202	—
BRONCHITIS AND ASTHMA WITHOUT CC/MCC Inpatient	203 MS-DRG	—	$9,562	$5,180 – $20,033	—
CAROTID ARTERY STENT PROCEDURES WITH CC Inpatient	35 MS-DRG	—	$32,154	$16,768 – $68,275	—
CAROTID ARTERY STENT PROCEDURES WITH MCC Inpatient	34 MS-DRG	—	$51,591	$28,541 – $107,031	—
CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC Inpatient	36 MS-DRG	—	$26,276	$13,546 – $53,990	—
CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES Inpatient	18 MS-DRG	—	$567,806	$275,283 – $1,173,910	—
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC Inpatient	191 MS-DRG	—	$11,834	$6,441 – $29,287	—
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC Inpatient	190 MS-DRG	—	$15,310	$8,366 – $36,700	—
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC Inpatient	192 MS-DRG	—	$9,195	$4,895 – $22,318	—
CONCUSSION WITH CC Inpatient	89 MS-DRG	—	$15,190	$7,995 – $29,484	—
CONCUSSION WITH MCC Inpatient	88 MS-DRG	—	$18,515	$10,267 – $47,110	—
CONCUSSION WITHOUT CC/MCC Inpatient	90 MS-DRG	—	$11,574	$6,327 – $22,381	—
CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC Inpatient	73 MS-DRG	—	$21,831	$11,449 – $40,974	—
CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC Inpatient	74 MS-DRG	—	$14,300	$7,778 – $27,541	—
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC Inpatient	26 MS-DRG	—	$41,592	$22,486 – $93,543	—
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC Inpatient	25 MS-DRG	—	$60,468	$32,799 – $139,245	—
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC Inpatient	27 MS-DRG	—	$33,893	$18,176 – $70,544	—
CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR Inpatient	23 MS-DRG	—	$76,010	$41,792 – $161,705	—
CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC Inpatient	24 MS-DRG	—	$52,132	$27,907 – $116,359	—
DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC Inpatient	56 MS-DRG	—	$31,269	$17,508 – $59,332	—
DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC Inpatient	57 MS-DRG	—	$17,777	$9,848 – $33,090	—
DENTAL AND ORAL DISEASES WITH CC Inpatient	158 MS-DRG	—	$12,711	$6,972 – $26,722	—