Jefferson Hospital

565 Coal Valley Road · Jefferson Hills, PA 15025

🤖AI Overview

⚠️ This hospital charges 6.0x what Medicare pays — significantly above the national average of 5.5x.

Total Charges

$125.0M

Medicare Payments

$20.9M

Discharges

1,962

Avg Length of Stay

4.7 days

Markup Ratio

6.0x

Risk Score

1.96

Fairness Grade: F

Failing — charges more than 5x what Medicare pays

Jefferson Hospital charges an average of $63,734 per discharge, but Medicare only pays $10,645 — a markup of 6.0x. Grades are based on this ratio: A (under 2x), B (2–3x), C (3–4x), D (4–5x), F (over 5x).

How This Hospital Compares

Markup Ratio

This Hospital

6.0x

State Avg

6.7x

National Avg

5.3x

Avg Charge per Discharge

This Hospital

$63,734

State Avg

$93,705

National Avg

$69,838

Avg Length of Stay

This Hospital

4.7 days

State Avg

5.2 days

National Avg

4.8 days

Patient Demographics

Age Distribution

Under 65

9.0%

65–74

42.7%

75–84

29.2%

85+

19.0%

Gender

52.0%

Female

48.0%

Male

Dual Eligibility

14.7%

Dual Eligible

85.3%

Non-Dual

Race & Ethnicity

White

92.6%

Black

3.9%

Asian

1.1%

Other

2.0%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension

75.0%

High Cholesterol

75.0%

Arthritis

59.2%

Ischemic Heart Disease

51.0%

Heart Failure

44.1%

Diabetes

41.0%

Chronic Kidney Disease

40.3%

Mood Disorders

39.6%

Atrial Fibrillation

39.4%

Anxiety

39.4%

COPD

36.8%

Depression

36.7%

Cancer

22.1%

Tobacco Use

19.7%

Alzheimer's/Dementia

19.6%

Stroke/TIA

18.9%

Osteoporosis

18.6%

Asthma

13.8%

Substance Use

10.6%

Bipolar Disorder

7.5%

Parkinson's

3.6%

Schizophrenia/Psychosis

3.1%

Personality Disorders

2.0%

PTSD

1.9%

ADHD/Conduct Disorders

1.1%

Related from TheDataProject.ai

🔍 See Medicare provider data on OpenMedicare

⚠️ Important: Data reflects Medicare inpatient claims. Charges represent what hospitals bill — not what patients typically pay. Medicare payment amounts reflect negotiated rates. Individual patient costs depend on insurance coverage and specific services.