Lehigh Valley Hospital
Lehigh Valley Hospital in Allentown, PA charges 8.8x the Medicare reimbursement rate on average across 275 analyzed procedures, with 8% showing significantly higher markups.
Allentown, PA 18103 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Pricing grade
F
Very high
Avg markup vs Medicare
8.8x
Charge / Medicare rate
Max markup
14.92x
Worst procedure
Procedures analyzed
275
With pricing data
Outlier procedures
7.6%
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 |
|---|---|---|---|---|---|
| KIDNEY TRANSPLANT | 652 | $325,010 | $162,505 | — | 14.9x |
| DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | 446 | $74,926 | $37,463 | — | 14.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $60,620 | $30,310 | — | 14.3x |
| PNEUMOTHORAX WITH MCC | 199 | $228,895 | $114,447 | — | 13.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $58,824 | $29,412 | — | 13.7x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $177,614 | $88,807 | — | 13.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $186,302 | $93,151 | — | 13.5x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $249,231 | $124,615 | — | 13x |
| PNEUMOTHORAX WITH CC | 200 | $91,260 | $45,630 | — | 12.8x |
| HYPERTENSION WITH MCC | 304 | $97,611 | $48,805 | — | 12.5x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | 027 | $219,418 | $109,709 | — | 12.3x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $64,264 | $32,132 | — | 12.3x |
| MAJOR CHEST TRAUMA WITH CC | 184 | $85,598 | $42,799 | — | 12.2x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | 026 | $326,568 | $163,284 | — | 11.9x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $123,652 | $61,826 | — | 11.8x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $81,817 | $40,908 | — | 11.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/ | 321 | $245,685 | $122,843 | — | 11.5x |
| PSYCHOSES | 885 | $89,665 | $44,833 | — | 11.5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $83,547 | $41,774 | — | 11.4x |
| DISORDERS OF THE BILIARY TRACT WITH MCC | 444 | $134,486 | $67,243 | — | 11.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $77,184 | $38,592 | — | 11.2x |
| OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | 964 | $111,104 | $55,552 | — | 11.2x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $69,493 | $34,747 | — | 11.2x |
| EXTRACRANIAL PROCEDURES WITH CC | 038 | $123,823 | $61,912 | — | 11.2x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | 244 | $156,867 | $78,433 | — | 11.1x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $187,991 | $93,995 | — | 11.1x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | 433 | $80,887 | $40,444 | — | 11x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | 093 | $52,677 | $26,339 | — | 11x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | 273 | $325,890 | $162,945 | — | 11x |
| NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | 068 | $66,658 | $33,329 | — | 10.9x |
| OTHER HEART ASSIST SYSTEM IMPLANT | 215 | $1,041,412 | $520,706 | — | 10.9x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $37,296 | $18,648 | — | 10.9x |
| LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | 841 | $136,056 | $68,028 | — | 10.9x |
| AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | 269 | $359,318 | $179,659 | — | 10.9x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $54,613 | $27,307 | — | 10.9x |
| MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATIO | 808 | $186,399 | $93,200 | — | 10.8x |
| OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | 963 | $186,870 | $93,435 | — | 10.8x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $79,988 | $39,994 | — | 10.8x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $433,858 | $216,929 | — | 10.7x |
| INFLAMMATORY BOWEL DISEASE WITH CC | 386 | $64,115 | $32,057 | — | 10.7x |
| FEVER AND INFLAMMATORY CONDITIONS | 864 | $66,015 | $33,008 | — | 10.7x |
| DYSEQUILIBRIUM | 149 | $51,511 | $25,755 | — | 10.7x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $279,471 | $139,735 | — | 10.6x |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $130,455 | $65,228 | — | 10.6x |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | 328 | $105,575 | $52,788 | — | 10.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $254,327 | $127,163 | — | 10.5x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $100,819 | $50,409 | — | 10.5x |
| SEIZURES WITHOUT MCC | 101 | $63,169 | $31,584 | — | 10.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $32,019 | $16,009 | — | 10.4x |
| CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | 260 | $283,855 | $141,928 | — | 10.4x |
Showing 50 of 275 procedures
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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