Lehigh Valley Hospital - Hazleton
LEHIGH VALLEY HOSPITAL - HAZLETON in Hazleton, PA charges 6.9x the Medicare reimbursement rate across 38 analyzed procedures, reflecting this nonprofit hospital's pricing structure relative to government benchmarks.
Hazleton, PA 18201 · Acute Care Hospitals · CMS Rating: 1/5
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
D
High
Avg markup vs Medicare
6.9x
Charge / Medicare rate
Max markup
8.98x
Worst procedure
Procedures analyzed
38
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 |
|---|---|---|---|---|---|
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $103,388 | $51,694 | — | 9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $45,294 | $22,647 | — | 8.8x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $36,658 | $18,329 | — | 8.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $35,292 | $17,646 | — | 8.3x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $101,574 | $50,787 | — | 8.2x |
| DIABETES WITH CC | 638 | $37,235 | $18,618 | — | 8.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $34,902 | $17,451 | — | 7.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $41,238 | $20,619 | — | 7.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $33,222 | $16,611 | — | 7.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $61,092 | $30,546 | — | 7.7x |
| CELLULITIS WITHOUT MCC | 603 | $32,838 | $16,419 | — | 7.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $31,729 | $15,864 | — | 7.6x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $99,879 | $49,940 | — | 7.5x |
| SYNCOPE AND COLLAPSE | 312 | $37,601 | $18,800 | — | 7.5x |
| DIABETES WITH MCC | 637 | $61,916 | $30,958 | — | 7.4x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $106,765 | $53,382 | — | 7.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $53,548 | $26,774 | — | 7.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $28,350 | $14,175 | — | 7.1x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $42,035 | $21,017 | — | 7x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $41,079 | $20,539 | — | 7x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $52,695 | $26,347 | — | 7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $38,994 | $19,497 | — | 6.9x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $37,851 | $18,926 | — | 6.9x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $35,349 | $17,674 | — | 6.7x |
| RENAL FAILURE WITH CC | 683 | $32,727 | $16,363 | — | 6.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $79,268 | $39,634 | — | 6.4x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $40,192 | $20,096 | — | 6.4x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $70,168 | $35,084 | — | 6.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $57,968 | $28,984 | — | 6x |
| RENAL FAILURE WITH MCC | 682 | $52,604 | $26,302 | — | 5.9x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $74,344 | $37,172 | — | 5.8x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $35,445 | $17,722 | — | 5.7x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $63,633 | $31,817 | — | 5.6x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $161,033 | $80,516 | — | 5.3x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $44,536 | $22,268 | — | 5.3x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $164,253 | $82,126 | — | 5.2x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $41,049 | $20,525 | — | 4.5x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $35,777 | $17,888 | — | 4.2x |
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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