Lehigh Valley Hospital - Pocono
Lehigh Valley Hospital - Pocono in East Stroudsburg, PA charges 7.5x the Medicare reimbursement rate across 56 analyzed procedures, reflecting typical pricing patterns for nonprofit hospitals in the region.
East Stroudsburg, PA 18301 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
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Pricing grade
D
High
Avg markup vs Medicare
7.45x
Charge / Medicare rate
Max markup
11.32x
Worst procedure
Procedures analyzed
56
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 |
|---|---|---|---|---|---|
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $49,689 | $24,845 | — | 11.3x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $53,228 | $26,614 | — | 10.9x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $57,006 | $28,503 | — | 9.5x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $174,118 | $87,059 | — | 9.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $74,868 | $37,434 | — | 8.9x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $107,581 | $53,790 | — | 8.9x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $100,279 | $50,139 | — | 8.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $54,603 | $27,301 | — | 8.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $68,148 | $34,074 | — | 8.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $43,885 | $21,943 | — | 8.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $38,941 | $19,470 | — | 8.5x |
| PSYCHOSES | 885 | $70,321 | $35,161 | — | 8.5x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $38,307 | $19,153 | — | 8.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $88,499 | $44,250 | — | 8.3x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $92,516 | $46,258 | — | 8.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $62,980 | $31,490 | — | 8.2x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $66,177 | $33,088 | — | 8.2x |
| SEIZURES WITHOUT MCC | 101 | $45,169 | $22,584 | — | 8x |
| RENAL FAILURE WITH CC | 683 | $43,718 | $21,859 | — | 7.9x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $183,780 | $91,890 | — | 7.9x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $48,096 | $24,048 | — | 7.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $45,420 | $22,710 | — | 7.8x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $36,178 | $18,089 | — | 7.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $79,623 | $39,812 | — | 7.7x |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | 543 | $45,971 | $22,985 | — | 7.7x |
| DIABETES WITH CC | 638 | $35,989 | $17,995 | — | 7.6x |
| CHEST PAIN | 313 | $34,547 | $17,273 | — | 7.6x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $105,016 | $52,508 | — | 7.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $32,787 | $16,393 | — | 7.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $52,234 | $26,117 | — | 7.6x |
| SYNCOPE AND COLLAPSE | 312 | $41,198 | $20,599 | — | 7.5x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $53,488 | $26,744 | — | 7.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $66,436 | $33,218 | — | 7.4x |
| DIABETES WITH MCC | 637 | $66,949 | $33,475 | — | 7.3x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $59,016 | $29,508 | — | 7.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $33,847 | $16,924 | — | 6.9x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $64,247 | $32,124 | — | 6.9x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $64,167 | $32,084 | — | 6.8x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $112,562 | $56,281 | — | 6.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $51,499 | $25,750 | — | 6.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $89,524 | $44,762 | — | 6.5x |
| RENAL FAILURE WITH MCC | 682 | $60,935 | $30,467 | — | 6.4x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $43,691 | $21,846 | — | 6.4x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $38,856 | $19,428 | — | 6.4x |
| CELLULITIS WITHOUT MCC | 603 | $35,535 | $17,767 | — | 6.4x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $43,276 | $21,638 | — | 6.3x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $68,114 | $34,057 | — | 6.3x |
| COAGULATION DISORDERS | 813 | $67,816 | $33,908 | — | 6.3x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $115,614 | $57,807 | — | 6.2x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $74,844 | $37,422 | — | 6.1x |
Showing 50 of 56 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