Jefferson Methodist Hospital — price list
← Hospital overviewVerified from Jefferson Methodist Hospital’s published price file
Includes 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.
2 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| 1-Destruction of localized lesion of choroid eg choroidal neovascularization photodynamic therapy includes intravenous infusion Outpatient | 67221 CPT | — | — | $185 – $10,704 | — | |
| 1-Ocular photodynamic ther Outpatient | 67221 CPT | — | — | $185 – $10,704 | — |