▸ Hospital · PA · CCN 390080

Jeanes Hospital

7600 CENTRAL AVENUE, PHILADELPHIA, PA, 19111

146 beds2

Compliance grade

96/100

Procedures tracked

185

of 209 target codes

Payers

with negotiated rates

Rates published

44,761

last crawl 2026-05-24

▸ Compare with other hospitals All PA hospitals JSON Full cost report on HCRIS.io →

Source MRF: https://www.templehealth.org/sites/default/files/file/2026-04/232825878_temple-university-hospital--jeanes-campus_standardcharges.csv · CSV

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
behavioral
Psychoses	MS-DRG	885	17	—	—	$2,567.68	$17,505	$33,605
Psychiatric diagnostic evaluation	CPT	90791	18	$2,796	—	$62.91	$250.52	$1,261.26
Psychiatric eval with medical services	CPT	90792	18	$716	—	$62.91	$192.6	$1,261.26
Psychotherapy 30 minutes	CPT	90832	18	$866	—	$57.46	$195.79	$1,261.26
Psychotherapy 45 minutes	CPT	90834	18	$1,958	—	$86.19	$205.22	$1,261.26
Psychotherapy 60 minutes	CPT	90837	18	$1,958	—	$100.24	$205.22	$1,261.26
Crisis psychotherapy 60 minutes	CPT	90839	18	$1,958	—	$186.56	$246.09	$732.29
emergency
ED visit level 1	CPT	99281	18	$1,590	—	$50	$124.93	$1,428.1
ED visit level 2	CPT	99282	18	$2,317	—	$50	$227.49	$1,428.1
ED visit level 3	CPT	99283	18	$3,644	—	$125.2	$368.57	$1,428.1
ED visit level 4	CPT	99284	18	$5,987	—	$210.68	$537.27	$2,035.58
ED visit level 5	CPT	99285	18	$10,731	—	$233	$682.29	$3,648.54
Critical care, first hour	CPT	99291	18	$14,882	—	$256.16	$915.97	$5,059.88
imaging
CT head without contrast	CPT	70450	18	$6,129	—	$105.54	$154.9	$2,083.86
CT head with contrast	CPT	70460	18	$6,805	—	$165.27	$259.87	$2,313.7
CT head with and without contrast	CPT	70470	18	$8,856	—	$183.75	$259.87	$3,011.04
CT neck with contrast	CPT	70491	18	$6,805	—	$165.27	$259.87	$2,313.7
MRI brain without contrast	CPT	70551	18	$10,444	—	$186.13	$353.51	$3,550.96
MRI brain with contrast	CPT	70552	18	$11,813	—	$239.71	$516.88	$4,016.42
MRI brain with and without contrast	CPT	70553	18	$20,881	—	$293.72	$516.88	$7,099.54
Chest X-ray single view	CPT	71045	18	$1,048	—	$34.21	$98.33	$356.32
Chest X-ray 2 views	CPT	71046	18	$1,535	—	$36.23	$98.33	$521.9
Chest X-ray 3 views	CPT	71047	18	$1,097	—	$36.23	$98.33	$372.98
CT chest without contrast	CPT	71250	18	$6,129	—	$105.54	$154.9	$2,083.86
CT chest with contrast	CPT	71260	18	$6,806	—	$165.27	$259.87	$2,314.04
CT chest with and without contrast	CPT	71270	18	$8,861	—	$183.75	$259.87	$3,012.74
MRI chest without contrast	CPT	71550	18	$10,444	—	$186.13	$353.51	$3,550.96
MRI chest with contrast	CPT	71551	18	$11,813	—	$239.71	$974.29	$4,016.42
MRI chest with and without contrast	CPT	71552	18	$20,881	—	$293.72	$516.88	$7,099.54
Lumbosacral spine X-ray	CPT	72100	18	$1,113	—	$24.64	$118.13	$378.42
CT cervical spine without contrast	CPT	72125	18	$6,129	—	$105.54	$154.9	$2,083.86
CT thoracic spine without contrast	CPT	72128	18	$6,129	—	$105.54	$154.9	$2,083.86
CT lumbar spine without contrast	CPT	72131	18	$6,129	—	$105.54	$154.9	$2,083.86
MRI cervical spine without contrast	CPT	72141	18	$10,444	—	$186.13	$353.51	$3,550.96
MRI thoracic spine without contrast	CPT	72146	18	$10,444	—	$186.13	$353.51	$3,550.96
MRI lumbar spine without contrast	CPT	72148	18	$10,444	—	$186.13	$353.51	$3,550.96
MRI lumbar spine with and without contrast	CPT	72149	18	$11,813	—	$239.71	$516.88	$4,016.42
MRI cervical spine with and without contrast	CPT	72156	18	$20,881	—	$293.72	$516.88	$7,099.54
MRI lumbar spine with contrast	CPT	72158	18	$18,653	—	$293.72	$516.88	$6,342.02
CT pelvis without contrast	CPT	72192	18	$6,129	—	$105.54	$154.9	$2,083.86
CT pelvis with contrast	CPT	72193	18	$6,805	—	$165.27	$259.87	$2,313.7
Shoulder X-ray	CPT	73030	18	$1,929	—	$24.64	$120.66	$655.86
Humerus X-ray	CPT	73060	18	$967	—	$24.64	$112.05	$328.78
Hand X-ray 3 views	CPT	73130	18	$1,792	—	$24.64	$112.05	$609.28
MRI upper extremity joint without contrast	CPT	73221	18	$10,444	—	$186.13	$353.51	$3,550.96
MRI upper extremity joint with and without contrast	CPT	73223	18	$11,813	—	$293.72	$516.88	$4,016.42
Knee X-ray 1-2 views	CPT	73560	18	$872	—	$24.64	$106.21	$296.48
Ankle X-ray 3 views	CPT	73610	18	$1,792	—	$24.64	$112.05	$609.28
MRI lower extremity joint without contrast	CPT	73721	18	$20,881	—	$186.13	$353.51	$7,099.54
MRI lower extremity joint with and without contrast	CPT	73723	18	$10,444	—	$293.72	$516.88	$3,550.96
CT abdomen without contrast	CPT	74150	18	$6,129	—	$105.54	$154.9	$2,083.86
CT abdomen with contrast	CPT	74160	18	$6,805	—	$165.27	$259.87	$2,313.7
CT abdomen with and without contrast	CPT	74170	18	$8,861	—	$183.75	$259.87	$3,012.74
CT abdomen and pelvis without contrast	CPT	74176	18	$6,129	—	$222.84	$351.37	$2,083.86
CT abdomen and pelvis with contrast	CPT	74177	18	$6,805	—	$319.3	$516.88	$2,313.7
CT abdomen and pelvis with and without contrast	CPT	74178	18	$8,861	—	$319.3	$516.88	$3,012.74
MRI abdomen without contrast	CPT	74181	18	$10,444	—	$186.13	$353.51	$3,550.96
MRI abdomen with and without contrast	CPT	74183	18	$20,881	—	$293.72	$516.88	$7,099.54
Abdominal ultrasound complete	CPT	76700	18	$3,240	—	$52.97	$154.9	$1,101.6
Abdominal ultrasound limited	CPT	76705	18	$2,335	—	$52.97	$142.25	$793.9
Retroperitoneal ultrasound complete	CPT	76770	18	$3,240	—	$52.97	$154.9	$1,101.6
Obstetric ultrasound first trimester	CPT	76801	18	$3,468	—	$52.97	$154.9	$1,179.12
Obstetric ultrasound after first trimester	CPT	76805	18	$4,175	—	$52.97	$178.12	$1,419.5
Obstetric ultrasound with fetal anatomy	CPT	76811	18	$4,175	—	$83.67	$353.51	$1,419.5
Transvaginal ultrasound	CPT	76830	18	$2,516	—	$52.97	$154.9	$855.44
Pelvic ultrasound complete	CPT	76856	18	$2,516	—	$52.97	$154.9	$855.44
Scrotal ultrasound	CPT	76870	18	$2,727	—	$52.97	$154.25	$927.18
Diagnostic mammography unilateral	CPT	77065	14	$1,081	—	$65.94	$227.48	$378.35
Diagnostic mammography bilateral	CPT	77066	14	$1,346	—	$82.11	$288.43	$471.1
Screening mammography bilateral	CPT	77067	14	$1,197	—	$73.02	$232.57	$418.95
EKG tracing only	CPT	93005	18	$1,293	—	$14.71	$74.51	$439.62
Transthoracic echocardiogram complete	CPT	93306	18	$10,200	—	$179.48	$585.82	$3,468
Transthoracic echocardiogram	CPT	93307	18	$6,454	—	$250.79	$314.22	$2,194.36
Stress echocardiogram	CPT	93350	18	$6,198	—	$169.06	$660.48	$2,107.32
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	17	—	—	$22,493	$26,494	$54,312
Intracranial hemorrhage/CVA w CC	MS-DRG	065	17	—	—	$11,774	$13,868	$41,782
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	17	—	—	$8,282.95	$9,756.49	$36,171
Respiratory infections & inflammations w MCC	MS-DRG	177	17	—	—	$17,691	$20,838	$64,753
COPD w MCC	MS-DRG	190	17	—	—	$12,817	$15,097	$39,103
COPD w CC	MS-DRG	191	17	—	—	$7,453	$11,235	$33,019
COPD w/o CC/MCC	MS-DRG	192	17	—	—	$7,453	$8,811.31	$28,595
Simple pneumonia & pleurisy w CC	MS-DRG	194	17	—	—	$9,584.43	$11,290	$35,933
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	17	—	—	$7,684.2	$9,051.22	$29,483
AMI discharged alive w MCC	MS-DRG	280	17	—	—	$18,134	$21,561	$61,056
AMI discharged alive w CC	MS-DRG	281	17	—	—	$10,797	$12,837	$46,082
AMI discharged alive w/o CC/MCC	MS-DRG	282	17	—	—	$8,697.5	$10,245	$37,274
Heart failure & shock w MCC	MS-DRG	291	17	—	—	$8,847	$16,549	$44,183
Heart failure & shock w CC	MS-DRG	292	17	—	—	$8,847	$11,307	$35,578
Heart failure & shock w/o CC/MCC	MS-DRG	293	17	—	—	$7,014.7	$8,417.64	$30,772
Cardiac arrhythmia w MCC	MS-DRG	308	17	—	—	$13,849	$16,312	$38,060
Cardiac arrhythmia w CC	MS-DRG	309	17	—	—	$8,832.46	$10,404	$28,904
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	17	—	—	$7,015.78	$8,263.89	$22,606
GI hemorrhage w CC	MS-DRG	378	17	—	—	$11,457	$13,495	$35,792
GI hemorrhage w/o CC/MCC	MS-DRG	379	17	—	—	$7,704.53	$9,075.17	$29,757
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	17	—	—	$4,981	$10,470	$25,000
Fractures of femur w/o MCC	MS-DRG	533	17	—	—	$17,745	$20,901	$39,651
Kidney/UTI w MCC	MS-DRG	689	17	—	—	$13,381	$15,761	$37,169
Kidney/UTI w/o MCC	MS-DRG	690	17	—	—	$9,622.97	$11,335	$28,086
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	17	—	—	$21,759	$25,630	$61,382
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	17	—	—	$11,913	$14,032	$48,389
lab
Basic metabolic panel (BMP)	CPT	80048	18	$1,113	—	$8.46	$12.69	$378.42
General health panel	CPT	80050	13	$1,182	—	$43.89	$145.39	$413.7
Electrolyte panel	CPT	80051	18	$554	—	$7.01	$10.52	$188.36
Comprehensive metabolic panel	CPT	80053	18	$2,537	—	$10.56	$15.84	$862.58
Lipid panel	CPT	80061	18	$1,549	—	$13.39	$20.09	$526.66
Renal function panel	CPT	80069	18	$1,197	—	$8.68	$13.02	$406.98
Hepatic function panel	CPT	80076	18	$755	—	$8.17	$12.26	$256.7
Urinalysis non-automated	CPT	81002	18	$8	—	$2.15	$3.65	$22.88
Urinalysis automated	CPT	81003	18	$372	—	$2.25	$5.97	$126.48
Glucose quantitative	CPT	82947	18	$441	—	$3.93	$9.36	$149.94
Hemoglobin A1c	CPT	83036	18	$1,010	—	$9.71	$14.56	$343.4
Thyroid stimulating hormone (TSH)	CPT	84443	18	$1,293	—	$16.8	$25.2	$439.62
Complete blood count with automated differential	CPT	85025	18	$620	—	$7.77	$13.26	$210.8
Complete blood count without differential	CPT	85027	18	$457	—	$6.47	$9.71	$155.38
Urine culture bacterial	CPT	87086	18	$642	—	$8.07	$12.11	$218.28
Urine culture identification	CPT	87088	18	$1,452	—	$8.09	$12.13	$493.68
Tissue exam by pathologist level IV	CPT	88305	18	$3,062	—	$54.77	$82.16	$1,041.08
maternity
Fetal non-stress test	CPT	59025	18	$3,208	—	$39.07	$252.99	$4,398.03
Cesarean section w CC/MCC	MS-DRG	765	1	—	—	$34,908	$34,908	$34,908
Cesarean section w/o CC/MCC	MS-DRG	766	1	—	—	$26,907	$26,907	$26,907
Vaginal delivery w complicating dx	MS-DRG	774	1	—	—	$20,763	$20,763	$20,763
Vaginal delivery w/o complicating dx	MS-DRG	775	1	—	—	$15,662	$15,662	$15,662
office
Office visit, new patient, 15-29 min	CPT	99202	14	$310	—	$8.91	$42.91	$115.94
Office visit, new patient, 30-44 minutes	CPT	99203	14	$440	—	$13.3	$61.6	$164.56
Office visit, new patient, 45-59 min	CPT	99204	14	$716	—	$21.05	$101.87	$1,261.26
Office visit, new patient, 60-74 min	CPT	99205	14	$891	—	$26.84	$124.74	$333.23
Office visit, established patient, 5 min	CPT	99211	14	$420	—	$1.1	$9.29	$157.08
Office visit, established patient, 10-19 min	CPT	99212	14	$480	—	$2.01	$14.53	$179.52
Office visit, established patient, 20-29 minutes	CPT	99213	14	$519	—	$8.78	$70	$194.11
Office visit, established patient, 30-39 minutes	CPT	99214	14	$716	—	$13.18	$83.99	$1,261.26
Office visit, established patient, 40-54 min	CPT	99215	14	$891	—	$18.3	$116.69	$1,261.26
preventive
Upper GI endoscopy diagnostic	CPT	43235	18	$3,937	—	$236.1	$1,048.65	$4,300
Upper GI endoscopy with biopsy	CPT	43239	18	$6,328	—	$280.15	$1,048.65	$4,300
Sigmoidoscopy diagnostic	CPT	45330	18	$3,468	—	$100.21	$1,075.21	$10,355
Sigmoidoscopy with biopsy	CPT	45331	18	$3,468	—	$120.05	$1,075.21	$4,300
Colonoscopy diagnostic	CPT	45378	18	$4,197	—	$340.33	$1,075.21	$4,300
Colonoscopy with biopsy	CPT	45380	18	$6,996	—	$425.03	$1,383.55	$4,300
Colonoscopy with polyp removal	CPT	45385	18	$6,691	—	$505.46	$1,383.55	$4,300
surgery
Total shoulder arthroplasty	CPT	23472	18	—	—	$1,670	$19,351	$58,720
PCI w drug-eluting stent w MCC	MS-DRG	246	2	—	—	$62,246	$82,110	$101,974
PCI w drug-eluting stent w/o MCC	MS-DRG	247	2	—	—	$39,313	$56,967	$74,621
Total hip replacement	CPT	27130	18	—	—	$1,670	$14,169	$42,996
Total knee replacement	CPT	27447	18	—	—	$1,670	$14,169	$42,996
Knee revision arthroplasty single component	CPT	27486	18	—	—	$1,670	$14,169	$42,996
Knee revision arthroplasty all components	CPT	27487	18	—	—	$1,670	$19,351	$58,720
Shoulder arthroscopy with decompression	CPT	29826	6	—	—	$154.38	$3,748	$5,512.4
Shoulder arthroscopy with rotator cuff repair	CPT	29827	18	—	—	$1,670	$8,008.23	$24,301
Knee arthroscopy with meniscectomy	CPT	29881	18	—	—	$1,024.77	$3,714.27	$10,958
ACL reconstruction	CPT	29888	18	—	—	$1,670	$7,855.7	$24,301
Major small/large bowel procedures w MCC	MS-DRG	329	17	—	—	$50,188	$59,116	$158,192
Major small/large bowel procedures w CC	MS-DRG	330	17	—	—	$26,630	$31,367	$101,584
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	17	—	—	$18,979	$22,355	$64,651
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	17	—	—	$18,350	$21,965	$60,048
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	17	—	—	$12,644	$17,946	$43,534
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	17	—	—	$37,447	$44,109	$122,354
Laparoscopic appendectomy	CPT	44970	18	—	—	$1,670	$6,672.07	$20,246
Spinal fusion (non-cervical) w MCC	MS-DRG	459	2	—	—	$134,153	$152,527	$170,901
Spinal fusion (non-cervical) w/o MCC	MS-DRG	460	2	—	—	$78,312	$100,366	$122,421
Major joint replacement w MCC	MS-DRG	469	17	—	—	$33,442	$39,761	$93,611
Major joint replacement w/o MCC	MS-DRG	470	17	—	—	$21,614	$25,697	$69,762
Laparoscopic cholecystectomy	CPT	47562	18	—	—	$1,670	$6,735.61	$20,246
Lap cholecystectomy with cholangiography	CPT	47563	18	—	—	$1,670	$6,735.61	$20,246
Hip & femur procedures except major joint w MCC	MS-DRG	480	17	—	—	$32,147	$38,222	$84,353
Hip & femur procedures except major joint w CC	MS-DRG	481	17	—	—	$23,387	$27,806	$64,897
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	17	—	—	$18,423	$21,904	$54,922
Lap inguinal hernia repair	CPT	49650	18	—	—	$1,670	$6,672.07	$20,246
Total abdominal hysterectomy	CPT	58150	6	—	—	$975.83	$6,879.74	$10,355
Vaginal hysterectomy	CPT	58260	18	—	—	$1,670	$5,783.79	$16,753
Lap-assisted vaginal hysterectomy	CPT	58550	18	—	—	$1,670	$6,879.74	$20,246
Lap-assisted vaginal hysterectomy >250g	CPT	58552	18	—	—	$1,670	$11,508	$35,599
Lap salpingo-oophorectomy	CPT	58661	18	—	—	$1,670	$6,672.07	$20,246
OR procedure for obesity w MCC	MS-DRG	619	17	—	—	$31,881	$37,552	$96,985
OR procedure for obesity w CC	MS-DRG	620	17	—	—	$18,094	$21,313	$67,737
OR procedure for obesity w/o CC/MCC	MS-DRG	621	17	—	—	$17,109	$20,153	$59,248
Complex cataract surgery	CPT	66982	18	—	—	$1,670	$2,668.28	$12,075
Cataract surgery with lens implant	CPT	66984	18	—	—	$1,136.07	$2,619.77	$12,075
Vitrectomy mechanical	CPT	67042	18	—	—	$1,670	$4,779.03	$13,843
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	17	—	—	$14,242	$16,775	$30,445
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	17	—	—	$22,901	$26,975	$48,360
PCI single major coronary artery	CPT	92920	18	$14,095	—	$1,670	$6,101.96	$19,061
PCI with drug-eluting stent	CPT	92928	18	$21,404	—	$1,670	$12,007	$38,661
PCI bypass graft	CPT	92937	18	$21,404	—	$2,607.01	$12,134	$38,661
Left heart catheterization	CPT	93452	18	$30,821	—	$1,670	$3,921.53	$12,740
Coronary angiography with cath	CPT	93455	18	$28,479	—	$1,670	$3,987.06	$12,740
Coronary angiography with bypass cath	CPT	93458	18	$20,754	—	$1,670	$3,748.29	$12,740

Payer mix (top 18)

Payer	Codes covered	Median rate
geisinger	185	$1,428.1
Blue Cross Blue Shield	181	$701.62
Aetna	177	$937
UnitedHealthcare	177	$855.44
gateway health plan	177	$458.38
health partners plans	176	$255.81
upmc health plan	175	$332.25
Cigna	175	$330.82
innovage	175	$270.25
keystone first	175	$336.27
Oscar Health	175	$376.19
pennsylvania health and wellness	175	$324.05
prime health services	175	$399.21
Humana	162	$402.64
clover health	162	$426.8
elder health	162	$483.17
naphcare	162	$603.96
occunet	132	$304.19