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.

38 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	—
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	—
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC Inpatient	192 MS-DRG	—	$9,195	$4,895 – $22,318	—
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	—
HEADACHES WITH MCC Inpatient	102 MS-DRG	—	$15,483	$8,546 – $32,694	—
HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC Inpatient	2 MS-DRG	—	$149,564	$80,561 – $369,200	—
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS Inpatient	65 MS-DRG	—	$14,031	$7,592 – $33,778	—
INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC Inpatient	21 MS-DRG	—	$70,278	$39,655 – $202,050	—
INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC Inpatient	20 MS-DRG	—	$104,091	$58,851 – $294,329	—
INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC Inpatient	22 MS-DRG	—	$42,487	$23,877 – $147,680	—
ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC Inpatient	62 MS-DRG	—	$23,838	$13,165 – $58,181	—
MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC Inpatient	142 MS-DRG	—	$21,727	$11,644 – $50,313	—
NEUROLOGICAL EYE DISORDERS Inpatient	123 MS-DRG	—	$11,251	$6,033 – $21,826	—
OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC Inpatient	72 MS-DRG	—	$10,694	$5,646 – $21,688	—
OTHER DISORDERS OF NERVOUS SYSTEM WITH CC Inpatient	92 MS-DRG	—	$14,197	$7,816 – $27,954	—
OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT Inpatient	124 MS-DRG	—	$18,138	$9,685 – $37,584	—
OTHER DISORDERS OF THE EYE WITHOUT MCC Inpatient	125 MS-DRG	—	$10,846	$5,914 – $21,353	—
OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC Inpatient	205 MS-DRG	—	$24,808	$13,840 – $46,764	—
OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC Inpatient	206 MS-DRG	—	$13,122	$6,781 – $24,798	—
OTITIS MEDIA AND URI WITH MCC Inpatient	152 MS-DRG	—	$16,288	$8,452 – $31,478	—
PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC Inpatient	42 MS-DRG	—	$23,451	$12,995 – $58,354	—
PNEUMOTHORAX WITH CC Inpatient	200 MS-DRG	—	$15,199	$8,253 – $30,381	—
PNEUMOTHORAX WITHOUT CC/MCC Inpatient	201 MS-DRG	—	$10,154	$5,113 – $22,108	—
RESPIRATORY NEOPLASMS WITHOUT CC/MCC Inpatient	182 MS-DRG	—	$10,663	$5,809 – $24,779	—