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.

95 prices shown (filtered).

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	—
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	—
DENTAL AND ORAL DISEASES WITH CC Inpatient	158 MS-DRG	—	$12,711	$6,972 – $26,722	—
DENTAL AND ORAL DISEASES WITH MCC Inpatient	157 MS-DRG	—	$23,308	$12,119 – $48,210	—
DENTAL AND ORAL DISEASES WITHOUT CC/MCC Inpatient	159 MS-DRG	—	$10,068	$4,985 – $19,121	—
DYSEQUILIBRIUM Inpatient	149 MS-DRG	—	$10,634	$5,627 – $19,384	—
EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC Inpatient	147 MS-DRG	—	$17,461	$9,254 – $38,609	—
EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC Inpatient	146 MS-DRG	—	$28,568	$15,975 – $63,952	—
EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC Inpatient	148 MS-DRG	—	$11,231	$6,015 – $24,099	—
EPISTAXIS WITH MCC Inpatient	150 MS-DRG	—	$18,248	$10,116 – $41,684	—
EPISTAXIS WITHOUT MCC Inpatient	151 MS-DRG	—	$10,403	$5,662 – $20,554	—
EXTRAOCULAR PROCEDURES EXCEPT ORBIT Inpatient	115 MS-DRG	—	$20,919	$11,342 – $39,317	—
HEADACHES WITH MCC Inpatient	102 MS-DRG	—	$15,483	$8,546 – $32,694	—
HEADACHES WITHOUT MCC Inpatient	103 MS-DRG	—	$11,746	$6,376 – $21,359	—
HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC Inpatient	1 MS-DRG	—	$368,752	$205,658 – $715,730	—
INTERSTITIAL LUNG DISEASE WITH CC Inpatient	197 MS-DRG	—	$13,227	$7,265 – $33,311	—
INTERSTITIAL LUNG DISEASE WITH MCC Inpatient	196 MS-DRG	—	$25,545	$13,918 – $52,304	—
INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC Inpatient	198 MS-DRG	—	$10,169	$5,283 – $24,945	—
INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC Inpatient	21 MS-DRG	—	$70,278	$39,655 – $202,050	—
INTRAOCULAR PROCEDURES WITH CC/MCC Inpatient	116 MS-DRG	—	$24,507	$12,346 – $46,411	—
INTRAOCULAR PROCEDURES WITHOUT CC/MCC Inpatient	117 MS-DRG	—	$15,010	$8,042 – $27,708	—
ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC Inpatient	61 MS-DRG	—	$36,968	$19,895 – $85,625	—
MAJOR CHEST PROCEDURES WITH CC Inpatient	164 MS-DRG	—	$33,907	$18,535 – $81,769	—