Lancaster General Hospital
Lancaster General Hospital in Lancaster, PA charges 4.8x the Medicare reimbursement rate across 174 analyzed procedures, reflecting typical pricing patterns for nonprofit-private healthcare facilities.
Lancaster, PA 17602 · Acute Care Hospitals · CMS Rating: 5/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Pricing grade
C
Average
Avg markup vs Medicare
4.84x
Charge / Medicare rate
Max markup
9.86x
Worst procedure
Procedures analyzed
174
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $34,329 | $17,164 | — | 9.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $99,809 | $49,904 | — | 9.7x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | 565 | $37,563 | $18,781 | — | 8x |
| MAJOR CHEST TRAUMA WITH MCC | 183 | $73,104 | $36,552 | — | 8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $93,634 | $46,817 | — | 7.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $26,058 | $13,029 | — | 7.6x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $39,585 | $19,792 | — | 7.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $29,104 | $14,552 | — | 7.3x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | 244 | $98,850 | $49,425 | — | 7.2x |
| MAJOR CHEST TRAUMA WITH CC | 184 | $41,765 | $20,883 | — | 7x |
| OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | 964 | $58,913 | $29,457 | — | 6.9x |
| PNEUMOTHORAX WITH CC | 200 | $44,764 | $22,382 | — | 6.9x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $33,382 | $16,691 | — | 6.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $36,895 | $18,448 | — | 6.6x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $40,716 | $20,358 | — | 6.4x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $97,244 | $48,622 | — | 6.4x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $48,195 | $24,097 | — | 6.3x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $53,110 | $26,555 | — | 6.2x |
| LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | 841 | $63,537 | $31,768 | — | 6.2x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | 896 | $87,512 | $43,756 | — | 6.2x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $95,285 | $47,642 | — | 6.2x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | 661 | $35,647 | $17,824 | — | 6.1x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $189,978 | $94,989 | — | 6.1x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $37,362 | $18,681 | — | 6.1x |
| CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | 847 | $39,790 | $19,895 | — | 6x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $18,750 | $9,375 | — | 6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $124,509 | $62,255 | — | 5.9x |
| EXTRACRANIAL PROCEDURES WITH CC | 038 | $63,597 | $31,799 | — | 5.8x |
| TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | 605 | $30,713 | $15,356 | — | 5.8x |
| PERITONEAL ADHESIOLYSIS WITH CC | 336 | $82,779 | $41,389 | — | 5.8x |
| CONCUSSION WITH CC | 089 | $38,001 | $19,000 | — | 5.7x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $30,826 | $15,413 | — | 5.7x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | 273 | $156,384 | $78,192 | — | 5.7x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | 442 | $35,534 | $17,767 | — | 5.6x |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $65,061 | $32,530 | — | 5.5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $76,247 | $38,123 | — | 5.5x |
| OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | 580 | $54,959 | $27,479 | — | 5.4x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $37,492 | $18,746 | — | 5.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $33,198 | $16,599 | — | 5.4x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $28,092 | $14,046 | — | 5.3x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $30,012 | $15,006 | — | 5.3x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | 242 | $147,148 | $73,574 | — | 5.3x |
| DIABETES WITH CC | 638 | $28,634 | $14,317 | — | 5.3x |
| COAGULATION DISORDERS | 813 | $71,176 | $35,588 | — | 5.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $25,793 | $12,897 | — | 5.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $23,819 | $11,909 | — | 5.2x |
| PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUR | 041 | $82,235 | $41,118 | — | 5.2x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $149,933 | $74,966 | — | 5.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $24,509 | $12,254 | — | 5.1x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $30,594 | $15,297 | — | 5.1x |
Showing 50 of 174 procedures
How LANCASTER GENERAL HOSPITAL compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use