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Jefferson Methodist Hospital
Philadelphia, PA · CMS ID: 390205
This hospital has pricing data for 43 procedures ranging from $1 to $1,307.
Procedures (43)
Chest X-Ray 1 View
71045Cash Price
(No Insurance)
$105
Gross Charge
$381
Insurance Negotiated Rates
Aetna$8
Chest X-Ray 2 Views
71046Cash Price
(No Insurance)
$105
Gross Charge
$410
Insurance Negotiated Rates
Aetna$15
Cash Price
(No Insurance)
$1,003
Gross Charge
$872
Insurance Negotiated Rates
Medicaid$99
Cash Price
(No Insurance)
$1,307
Gross Charge
$1,137
Insurance Negotiated Rates
Aetna$225
Cash Price
(No Insurance)
$1,307
Gross Charge
$3,249
Insurance Negotiated Rates
Aetna$268
Cash Price
(No Insurance)
$9
Gross Charge
$8
Insurance Negotiated Rates
Medicare$5
Cash Price
(No Insurance)
$12
Gross Charge
$785
Insurance Negotiated Rates
Blue Cross Blue Shield$7
Cash Price
(No Insurance)
$445
Gross Charge
$3,139
Insurance Negotiated Rates
Aetna$193
Cash Price
(No Insurance)
$282
Gross Charge
$2,855
Insurance Negotiated Rates
Aetna$101
CT Chest Low Dose
71271Cash Price
(No Insurance)
$129
Gross Charge
$321
Insurance Negotiated Rates
Medicaid$47
Cash Price
(No Insurance)
$218
Gross Charge
$2,737
Insurance Negotiated Rates
Aetna$88
ER Visit Level 3
99283Cash Price
(No Insurance)
$296
Gross Charge
$1,177
Insurance Negotiated Rates
Aetna$74
ER Visit Level 4
99284Cash Price
(No Insurance)
$461
Gross Charge
$1,310
Insurance Negotiated Rates
Aetna$118
ER Visit Level 5
99285Cash Price
(No Insurance)
$662
Gross Charge
$9,941
Insurance Negotiated Rates
Aetna$188
Cash Price
(No Insurance)
$215
Gross Charge
$791
Insurance Negotiated Rates
Aetna$5
Hemoglobin A1C
83036Cash Price
(No Insurance)
$11
Gross Charge
$135
Insurance Negotiated Rates
Blue Cross Blue Shield$7
Cash Price
(No Insurance)
—
Gross Charge
—
Insurance Negotiated Rates
Aetna$776
Lipid Panel
80061Cash Price
(No Insurance)
$1
Gross Charge
$487
Insurance Negotiated Rates
Blue Cross Blue Shield$9
Mammogram Diagnostic
77066Cash Price
(No Insurance)
$139
Gross Charge
$627
Insurance Negotiated Rates
Ibc 20220801$79
Mammogram Screening
77067Cash Price
(No Insurance)
$115
Gross Charge
$414
Insurance Negotiated Rates
Ibc 20220801$60
Cash Price
(No Insurance)
$445
Gross Charge
$5,249
Insurance Negotiated Rates
Aetna$269
MRI Cervical Spine
72141Cash Price
(No Insurance)
$282
Gross Charge
$3,512
Insurance Negotiated Rates
Medicaid$186
MRI Lumbar Spine
72148Cash Price
(No Insurance)
$282
Gross Charge
$3,512
Insurance Negotiated Rates
Medicaid$186
MRI Shoulder
73221Cash Price
(No Insurance)
$282
Gross Charge
$3,512
Insurance Negotiated Rates
Medicaid$186
Office Visit Level 3
99213Cash Price
(No Insurance)
—
Gross Charge
$147
Insurance Negotiated Rates
Keystone First 20230101$35
Office Visit Level 4
99214Cash Price
(No Insurance)
—
Gross Charge
$231
Insurance Negotiated Rates
Medicaid$52
TSH (Thyroid)
84443Cash Price
(No Insurance)
$19
Gross Charge
$385
Insurance Negotiated Rates
Blue Cross Blue Shield$12
Ultrasound Abdomen
76700Cash Price
(No Insurance)
$129
Gross Charge
$112
Insurance Negotiated Rates
Medicaid$53
Ultrasound Pelvis
76856Cash Price
(No Insurance)
$129
Gross Charge
$795
Insurance Negotiated Rates
Aetna$47
Cash Price
(No Insurance)
$129
Gross Charge
$795
Insurance Negotiated Rates
Aetna$47
Cash Price
(No Insurance)
$997
Gross Charge
$867
Insurance Negotiated Rates
Aetna$125
Cash Price
(No Insurance)
$997
Gross Charge
$867
Insurance Negotiated Rates
Aetna$149
Urinalysis
81001Cash Price
(No Insurance)
$4
Gross Charge
$43
Insurance Negotiated Rates
Blue Cross Blue Shield$2