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St Luke's Hospital - Grand View Campus

St. Luke's Hospital - Grand View Campus in Sellersville, PA charges 5.8x the Medicare reimbursement rate across 57 analyzed procedures, representing a significant markup for this nonprofit facility.

Sellersville, PA 18960 · Acute Care Hospitals · CMS Rating: 5/5

By Elena Vasquez , Medical Billing Research Lead · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
About the analyst

Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.

57 procedures analyzed
CMS price transparency data
Updated 2026-04-03
Median 4.1x2.3x15.0x
5.8x
Medicare markup ratio
PA lowestSt Luke's Hospital - G...PA highest
5.8x
Avg markup ratio
5.5x
Median markup
57
Procedures
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Pricing grade

D

High

Avg markup vs Medicare

5.8x

Charge / Medicare rate

Max markup

10.98x

Worst procedure

Procedures analyzed

57

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.

ProcedureCodeGross chargeCash priceMedicareMarkup
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC066$26,683$13,34211x
TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC069$35,728$17,8649.3x
SYNCOPE AND COLLAPSE312$36,290$18,1458x
RED BLOOD CELL DISORDERS WITHOUT MCC812$39,156$19,5787.8x
GASTROINTESTINAL OBSTRUCTION WITH CC389$34,515$17,2587.7x
TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC086$54,872$27,4367.5x
HYPERTENSION WITHOUT MCC305$31,967$15,9847.4x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$29,352$14,6767.4x
FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC563$32,942$16,4717.4x
RENAL FAILURE WITH CC683$35,408$17,7047.4x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC391$49,717$24,8597.3x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC310$15,875$7,9377x
BRONCHITIS AND ASTHMA WITH CC/MCC202$29,714$14,8576.9x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$28,572$14,2866.9x
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC565$37,787$18,8936.7x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC330$98,407$49,2036.6x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$35,476$17,7386.5x
DIABETES WITH CC638$32,913$16,4576.5x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC309$26,171$13,0866.5x
GASTROINTESTINAL HEMORRHAGE WITH CC378$36,592$18,2966.4x
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC690$26,295$13,1476.2x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$29,204$14,6026x
MEDICAL BACK PROBLEMS WITHOUT MCC552$29,896$14,9485.9x
MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC372$37,049$18,5245.8x
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC394$30,464$15,2325.7x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC308$40,280$20,1405.7x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$32,191$16,0955.6x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC178$40,958$20,4795.5x
SEIZURES WITHOUT MCC101$27,812$13,9065.5x
CELLULITIS WITHOUT MCC603$26,246$13,1235.4x
RENAL FAILURE WITH MCC682$56,059$28,0295.4x
PULMONARY EDEMA AND RESPIRATORY FAILURE189$38,967$19,4835.3x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC280$50,392$25,1965.3x
HEART FAILURE AND SHOCK WITH MCC291$39,875$19,9375.2x
SIMPLE PNEUMONIA AND PLEURISY WITH CC194$24,305$12,1525.2x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$40,616$20,3085.2x
PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE175$43,422$21,7115.2x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$61,341$30,6705x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC480$92,388$46,1945x
KIDNEY AND URINARY TRACT INFECTIONS WITH MCC689$34,272$17,1364.9x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC640$40,773$20,3864.9x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC064$55,347$27,6744.9x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC190$31,084$15,5424.9x
PERIPHERAL VASCULAR DISORDERS WITH CC300$30,041$15,0214.8x
LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC493$66,967$33,4844.8x
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC698$48,068$24,0344.8x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$57,671$28,8364.6x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC329$156,347$78,1734.5x
GASTROINTESTINAL HEMORRHAGE WITH MCC377$50,157$25,0784.5x
CERVICAL SPINAL FUSION WITH CC472$87,986$43,9934.4x

Showing 50 of 57 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.

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

Related pricing data

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

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