St Luke's Hospital - Monroe Campus
ST LUKE'S HOSPITAL - MONROE CAMPUS in Stroudsburg, PA charges 11.3x the Medicare reimbursement rate across 57 analyzed procedures, with 14% qualifying as pricing outliers.
Stroudsburg, PA 18360 · Acute Care Hospitals · CMS Rating: 4/5
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
F
Very high
Avg markup vs Medicare
11.32x
Charge / Medicare rate
Max markup
17.08x
Worst procedure
Procedures analyzed
57
With pricing data
Outlier procedures
14%
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 |
|---|---|---|---|---|---|
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $77,978 | $38,989 | — | 17.1x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $85,135 | $42,567 | — | 15.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $84,280 | $42,140 | — | 15.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $104,834 | $52,417 | — | 15.3x |
| SYNCOPE AND COLLAPSE | 312 | $72,221 | $36,111 | — | 14.4x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $133,420 | $66,710 | — | 13.8x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $91,396 | $45,698 | — | 13.7x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $171,485 | $85,743 | — | 13.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $65,310 | $32,655 | — | 13.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $59,134 | $29,567 | — | 13.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $57,315 | $28,657 | — | 13.2x |
| DYSEQUILIBRIUM | 149 | $57,300 | $28,650 | — | 13.2x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $80,853 | $40,426 | — | 12.8x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $138,136 | $69,068 | — | 12.8x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $136,404 | $68,202 | — | 12.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $85,319 | $42,659 | — | 12.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $76,055 | $38,027 | — | 12.4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $59,660 | $29,830 | — | 12.4x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $60,787 | $30,393 | — | 12.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $55,852 | $27,926 | — | 12.3x |
| HYPERTENSION WITHOUT MCC | 305 | $52,423 | $26,211 | — | 12.1x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $56,795 | $28,398 | — | 11.7x |
| SEIZURES WITHOUT MCC | 101 | $62,428 | $31,214 | — | 11.6x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $108,073 | $54,036 | — | 11.6x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $68,126 | $34,063 | — | 11.5x |
| CELLULITIS WITHOUT MCC | 603 | $58,656 | $29,328 | — | 11.3x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $78,557 | $39,278 | — | 11.2x |
| RENAL FAILURE WITH CC | 683 | $61,215 | $30,607 | — | 11.1x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $63,738 | $31,869 | — | 11.1x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $59,535 | $29,767 | — | 10.8x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $62,659 | $31,329 | — | 10.8x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $55,130 | $27,565 | — | 10.7x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $134,109 | $67,055 | — | 10.7x |
| CHEST PAIN | 313 | $48,943 | $24,472 | — | 10.6x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $87,409 | $43,704 | — | 10.5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $142,053 | $71,026 | — | 10.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $86,072 | $43,036 | — | 10.4x |
| CELLULITIS WITH MCC | 602 | $96,925 | $48,463 | — | 10.4x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $83,610 | $41,805 | — | 10.3x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $62,505 | $31,253 | — | 10.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $119,891 | $59,945 | — | 9.8x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $133,470 | $66,735 | — | 9.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $90,802 | $45,401 | — | 9.7x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $51,378 | $25,689 | — | 9.6x |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | 074 | $58,840 | $29,420 | — | 9.6x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $63,348 | $31,674 | — | 9.6x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | 091 | $103,090 | $51,545 | — | 9.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $65,918 | $32,959 | — | 9.3x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $71,379 | $35,689 | — | 9.3x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $251,808 | $125,904 | — | 9.1x |
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.
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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.
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