LEHIGH VALLEY HOSPITAL
ALLENTOWN, PA 18103 · Acute Care Hospitals
275 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 26, 2026 · Methodology
Procedures Analyzed
275
With CMS pricing data
Avg Charge-to-Medicare Ratio
8.8x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Voluntary non-profit - Private
Above 90th Percentile
8%
Compared to PA hospitals
Understanding Your Costs
When you receive a bill from LEHIGH VALLEY HOSPITAL, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, LEHIGH VALLEY HOSPITAL lists chargemaster rates that average 8.8x the corresponding Medicare reimbursement amount across 275 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).
The median hospital in PA has a chargemaster-to-Medicare ratio of 5.3x, with ratios across the state ranging from 1.1x to 13.8x. At 8.8x, this facility’s average ratio is above the state median. 128 hospitals in PA report pricing data to CMS (Source: CMS IPPS Provider Summary).
The procedure with the largest gap between the listed price and Medicare reimbursement at LEHIGH VALLEY HOSPITAL is KIDNEY TRANSPLANT (DRG 652). The listed chargemaster rate is $325,010, while Medicare reimburses $21,779 for the same procedure — a ratio of 14.9x (Source: CMS IPPS Provider Summary, FY2024).
What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.
21 of 275 procedures (8%) at this facility have listed rates above the 90th percentile compared to other PA hospitals reporting the same procedure data to CMS (Source: CMS IPPS Provider Summary).
LEHIGH VALLEY HOSPITAL is a voluntary non-profit - private acute care hospitals facility with a CMS quality rating of 4/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.
Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio
Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Procedure Pricing Lookup
Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.
| Procedure | DRG | Listed Charge | Medicare Reimb. | Ratio | State Position | |
|---|---|---|---|---|---|---|
| KIDNEY TRANSPLANT | 652 | $325,010 | $21,779 | 14.9x | 1th | Compare your bill |
| DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | 446 | $74,926 | $5,110 | 14.7x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $60,620 | $4,235 | 14.3x | 1th | Compare your bill |
| PNEUMOTHORAX WITH MCC | 199 | $228,895 | $16,457 | 13.9x | 1th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $58,824 | $4,286 | 13.7x | 1th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $177,614 | $13,041 | 13.6x | 1th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $186,302 | $13,764 | 13.5x | 1th | Compare your bill |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $249,231 | $19,205 | 13.0x | 1th | Compare your bill |
| PNEUMOTHORAX WITH CC | 200 | $91,260 | $7,105 | 12.8x | 1th | Compare your bill |
| HYPERTENSION WITH MCC | 304 | $97,611 | $7,822 | 12.5x | 1th | Compare your bill |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | 027 | $219,418 | $17,883 | 12.3x | 1th | Compare your bill |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $64,264 | $5,246 | 12.3x | 1th | Compare your bill |
| MAJOR CHEST TRAUMA WITH CC | 184 | $85,598 | $6,997 | 12.2x | 1th | Compare your bill |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | 026 | $326,568 | $27,372 | 11.9x | 1th | Compare your bill |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $123,652 | $10,485 | 11.8x | 1th | Compare your bill |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $81,817 | $7,120 | 11.5x | 1th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/ | 321 | $245,685 | $21,397 | 11.5x | 1th | Compare your bill |
| PSYCHOSES | 885 | $89,665 | $7,828 | 11.4x | 1th | Compare your bill |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $83,547 | $7,338 | 11.4x | 1th | Compare your bill |
| DISORDERS OF THE BILIARY TRACT WITH MCC | 444 | $134,486 | $11,972 | 11.2x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $77,184 | $6,876 | 11.2x | 1th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $69,493 | $6,196 | 11.2x | 1th | Compare your bill |
| OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | 964 | $111,104 | $9,906 | 11.2x | 1th | Compare your bill |
| EXTRACRANIAL PROCEDURES WITH CC | 038 | $123,823 | $11,110 | 11.2x | 1th | Compare your bill |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | 244 | $156,867 | $14,136 | 11.1x | 1th | Compare your bill |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $187,991 | $16,955 | 11.1x | 1th | Compare your bill |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | 433 | $80,887 | $7,324 | 11.0x | 1th | Compare your bill |
| OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | 093 | $52,677 | $4,783 | 11.0x | 1th | Compare your bill |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | 273 | $325,890 | $29,627 | 11.0x | 1th | Compare your bill |
| NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | 068 | $66,658 | $6,104 | 10.9x | 1th | Compare your bill |
| OTHER HEART ASSIST SYSTEM IMPLANT | 215 | $1,041,412 | $95,552 | 10.9x | 1th | Compare your bill |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $37,296 | $3,432 | 10.9x | 1th | Compare your bill |
| AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | 269 | $359,318 | $33,104 | 10.8x | 1th | Compare your bill |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $54,613 | $5,034 | 10.8x | 1th | Compare your bill |
| LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | 841 | $136,056 | $12,537 | 10.8x | 1th | Compare your bill |
| MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATIO | 808 | $186,399 | $17,213 | 10.8x | 1th | Compare your bill |
| OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | 963 | $186,870 | $17,359 | 10.8x | 1th | Compare your bill |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $79,988 | $7,440 | 10.8x | 1th | Compare your bill |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $433,858 | $40,399 | 10.7x | 1th | Compare your bill |
| INFLAMMATORY BOWEL DISEASE WITH CC | 386 | $64,115 | $5,992 | 10.7x | 1th | Compare your bill |
| FEVER AND INFLAMMATORY CONDITIONS | 864 | $66,015 | $6,176 | 10.7x | 1th | Compare your bill |
| DYSEQUILIBRIUM | 149 | $51,511 | $4,834 | 10.7x | 1th | Compare your bill |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $279,471 | $26,294 | 10.6x | 1th | Compare your bill |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $130,455 | $12,306 | 10.6x | 1th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $254,327 | $24,207 | 10.5x | 1th | Compare your bill |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | 328 | $105,575 | $10,047 | 10.5x | 1th | Compare your bill |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $100,819 | $9,623 | 10.5x | 1th | Compare your bill |
| SEIZURES WITHOUT MCC | 101 | $63,169 | $6,035 | 10.5x | 1th | Compare your bill |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $32,019 | $3,067 | 10.4x | 1th | Compare your bill |
| CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | 260 | $283,855 | $27,207 | 10.4x | 1th | Compare your bill |
Showing 50 of 275 procedures
All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Statewide Context
Charge-to-Medicare ratio range across PA hospitals
128 hospitals in PA report pricing data to CMS. This facility's average ratio of 8.8x places it at the upper-middle range of the state range (Source: CMS IPPS Provider Summary).
What You Can Do
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How it worksData: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).
Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.
Frequently Asked Questions About LEHIGH VALLEY HOSPITAL
How much does LEHIGH VALLEY HOSPITAL charge compared to Medicare?
According to CMS IPPS data, LEHIGH VALLEY HOSPITAL's listed chargemaster rates average 8.8x the Medicare reimbursement amount across 275 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.
What is the most expensive procedure at LEHIGH VALLEY HOSPITAL?
The procedure with the highest chargemaster-to-Medicare ratio at LEHIGH VALLEY HOSPITAL is KIDNEY TRANSPLANT (DRG 652), with a listed charge of $325,010 compared to Medicare reimbursement of $21,779 — a ratio of 14.9x. Source: CMS IPPS Provider Summary.
Is LEHIGH VALLEY HOSPITAL expensive compared to other PA hospitals?
LEHIGH VALLEY HOSPITAL's average chargemaster-to-Medicare ratio is 8.8x. Ratios vary significantly across PA hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.
Where does the pricing data for LEHIGH VALLEY HOSPITAL come from?
All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.
How can I check if my bill from LEHIGH VALLEY HOSPITAL is correct?
You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.
Does LEHIGH VALLEY HOSPITAL in ALLENTOWN, PA accept Medicare?
LEHIGH VALLEY HOSPITAL is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact LEHIGH VALLEY HOSPITAL directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.