Jefferson Einstein Montgomery Hospital

559 West Germantown Pike, East Norriton, PA 19403 · (484) 662-1000

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 4/5Philadelphia, PA-NJ-DE-MD metro Website ↗

Price file

Prices published

File dated 2026-09-15

2,321 price rows for 61 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · metro median $20

$10

cash

$8 to $4,152

40 negotiated rates

—

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · metro median $837

$419

cash

$251 to $1,441

40 negotiated rates

—

list

CT scan of the head, no contrast

CPT 70450 · metro median $381

$125

cash

$100 to $506

40 negotiated rates

—

list

CT scan of the pelvis, with contrast

CPT 72193 · metro median $661

$209

cash

$112 to $718

40 negotiated rates

—

list

Cataract surgery with lens implant

CPT 66984 · metro median $2,674

$2,674

cash

$1,009 to $20,920

40 negotiated rates

—

list

Cesarean section hospital stay, no complications

MS-DRG 788 · metro median $10,367

$13,354

cash

$6,773 to $24,798

34 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · metro median $58

$40

cash

$30 to $1,271

39 negotiated rates

—

list

Colonoscopy (diagnostic)

CPT 45378 · metro median $1,044

$1,044

cash

$858 to $8,218

40 negotiated rates

—

list

Colonoscopy with biopsy

CPT 45380 · metro median $1,360

$1,382

cash

$1,009 to $8,218

40 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385 · metro median $1,380

$1,382

cash

$1,009 to $8,218

40 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025 · metro median $23

cash

$7 to $288

40 negotiated rates

—

list

Comprehensive metabolic panel (blood test)

CPT 80053 · metro median $29

$12

cash

$10 to $4,435

40 negotiated rates

—

list

Diagnostic mammogram (both breasts)

CPT 77066 · metro median $189

$134

cash

$101 to $461

40 negotiated rates

—

list

Established patient office visit (about 40 minutes)

CPT 99215

—

cash

$72 to $186

6 negotiated rates

—

list

Family psychotherapy with the patient

CPT 90847 · metro median $174

$188

cash

$19 to $648

29 negotiated rates

—

list

Gallbladder removal (laparoscopic)

CPT 47562 · metro median $1,451

$6,841

cash

$1,009 to $23,538

40 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591 · metro median $60

$40

cash

$30 to $1,271

39 negotiated rates

—

list

Group psychotherapy

CPT 90853 · metro median $99

$108

cash

$45 to $373

29 negotiated rates

—

list

Hip or knee replacement, no major complications

MS-DRG 470 · metro median $26,093

$26,093

cash

$13,928 to $67,278

34 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392 · metro median $11,001

$11,001

cash

$5,866 to $23,180

34 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743 · metro median $15,120

$17,056

cash

$8,918 to $31,687

34 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505 · metro median $3,522

$6,980

cash

$1,009 to $14,238

40 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881 · metro median $3,218

$3,804

cash

$1,009 to $15,690

40 negotiated rates

—

list

Laser treatment after cataract surgery (YAG)

CPT 66821 · metro median $404

$597

cash

$516 to $8,218

40 negotiated rates

—

list

Left heart catheterization

CPT 93452 · metro median $3,830

$6,338

cash

$1,009 to $15,749

38 negotiated rates

—

list

Lipid panel (cholesterol test)

CPT 80061 · metro median $31

$16

cash

$13 to $4,504

39 negotiated rates

—

list

Liver function panel

CPT 80076 · metro median $24

cash

$8 to $4,670

40 negotiated rates

—

list

MRI of the brain, with and without contrast

CPT 70553 · metro median $1,237

$419

cash

$294 to $1,768

40 negotiated rates

—

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · metro median $1,011

$283

cash

$186 to $1,768

40 negotiated rates

—

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · metro median $860

$283

cash

$186 to $1,768

40 negotiated rates

—

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · metro median $877

$283

cash

$186 to $1,768

40 negotiated rates

—

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473 · metro median $24,166

$32,821

cash

$17,444 to $70,397

34 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · metro median $1,020

$1,044

cash

$837 to $4,483

40 negotiated rates

—

list

New patient office visit (about 30 minutes)

CPT 99203

—

cash

$52 to $129

6 negotiated rates

—

list

New patient office visit (about 45 minutes)

CPT 99204

—

cash

$72 to $215

6 negotiated rates

—

list

New patient office visit (about 60 minutes)

CPT 99205

—

cash

$78 to $175

6 negotiated rates

—

list

PSA test (prostate)

CPT 84153 · metro median $57

$21

cash

$17 to $684

39 negotiated rates

—

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · metro median $34

cash

$6 to $246

40 negotiated rates

—

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · metro median $299

$125

cash

$53 to $429

40 negotiated rates

—

list

Prostate biopsy

CPT 55700 · metro median $325

$2,402

cash

$1,009 to $9,713

40 negotiated rates

—

list

Prostate removal (laparoscopic)

CPT 55866 · metro median $3,965

$12,207

cash

$1,009 to $42,003

40 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610 · metro median $21

cash

$4 to $147

40 negotiated rates

—

list

Psychotherapy, 30 minutes

CPT 90832 · metro median $181

$188

cash

$39 to $648

29 negotiated rates

—

list

Psychotherapy, 45 minutes

CPT 90834 · metro median $181

$188

cash

$58 to $648

29 negotiated rates

—

list

Psychotherapy, 60 minutes

CPT 90837 · metro median $188

$188

cash

$77 to $648

29 negotiated rates

—

list

Removal of a breast lump (biopsy by excision)

CPT 19120 · metro median $3,356

$3,356

cash

$1,009 to $15,449

40 negotiated rates

—

list

Screening mammogram (both breasts)

CPT 77067 · metro median $169

$111

cash

$82 to $381

40 negotiated rates

—

list

Shoulder arthroscopy with decompression

CPT 29826

—

cash

$1,009 to $15,690

13 negotiated rates

—

list

Sleep study (overnight, attended)

CPT 95810 · metro median $1,062

$1,193

cash

$303 to $4,105

40 negotiated rates

—

list

Spinal fusion (not neck), no complications

MS-DRG 460

—

cash

$45,932 to $55,985

4 negotiated rates

—

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · metro median $1,006

$1,021

cash

$837 to $4,483

40 negotiated rates

—

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · metro median $725

$725

cash

$651 to $4,483

40 negotiated rates

—

list

TSH test (thyroid)

CPT 84443 · metro median $37

$19

cash

$16 to $687

40 negotiated rates

—

list

Tonsils and adenoids removal (under age 12)

CPT 42820 · metro median $6,936

$6,936

cash

$1,009 to $23,866

40 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830 · metro median $255

$125

cash

$53 to $429

40 negotiated rates

—

list

Ultrasound of the abdomen (complete)

CPT 76700 · metro median $461

$125

cash

$53 to $429

40 negotiated rates

—

list

Upper endoscopy (EGD)

CPT 43235 · metro median $1,046

$1,069

cash

$882 to $4,483

40 negotiated rates

—

list

Upper endoscopy with biopsy

CPT 43239 · metro median $1,069

$1,069

cash

$882 to $8,218

40 negotiated rates

—

list

Urinalysis with microscope

CPT 81001 · metro median $13

cash

$3 to $115

40 negotiated rates

—

list

Vaginal delivery hospital stay, no complications

MS-DRG 807 · metro median $7,370

$9,617

cash

$4,823 to $24,798

34 negotiated rates

—

list

X-ray of the lower spine (4 or more views)

CPT 72110 · metro median $236

$125

cash

$29 to $429

40 negotiated rates

—

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://use2webtechstgpricelist.blob.core.windows.net/pricelist/Complete%20File/204193243_jefferson-einstein-montgomery-hospital_standardcharges.csv
Jefferson Einstein Montgomery Hospital · parsed · wide v3.0.0 · file dated 2026-09-15 · 16 MB · 2321 price rows read · read Nov 2026