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ST LUKES HOSPITAL BETHLEHEM

BETHLEHEM, PA 18015 · Acute Care Hospitals

183 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024

By BillRazor Research · Last updated March 26, 2026 · Methodology

Procedures Analyzed

183

With CMS pricing data

Avg Charge-to-Medicare Ratio

10.3x

Chargemaster ÷ Medicare

CMS Quality Rating

Patient experience & outcomes

Hospital Type

Acute Care Hospitals

Voluntary non-profit - Private

Above 90th Percentile

39%

Compared to PA hospitals

Understanding Your Costs

When you receive a bill from ST LUKES HOSPITAL BETHLEHEM, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, ST LUKES HOSPITAL BETHLEHEM lists chargemaster rates that average 10.3x the corresponding Medicare reimbursement amount across 183 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 10.3x, 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 ST LUKES HOSPITAL BETHLEHEM is PSYCHOSES (DRG 885). The listed chargemaster rate is $196,643, while Medicare reimburses $9,192 for the same procedure — a ratio of 21.4x (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.

72 of 183 procedures (39%) 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).

ST LUKES HOSPITAL BETHLEHEM is a voluntary non-profit - private acute care hospitals facility with a CMS quality rating of 5/5 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

Listed Chargemaster Rate Medicare Reimbursement

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.

ProcedureDRGListed ChargeMedicare Reimb.RatioState Position
PSYCHOSES885$196,643$9,19221.4x
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC066$71,949$4,03017.9x
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EXTRACRANIAL PROCEDURES WITH CC038$185,479$10,43617.8x
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DIABETES WITH MCC637$239,305$13,97217.1x
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OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC093$92,601$5,69416.3x
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$115,025$7,31115.7x
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O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC621$123,068$8,05915.3x
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PULMONARY EMBOLISM WITHOUT MCC176$80,866$5,46714.8x
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MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES483$208,479$14,15514.7x
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OTHER VASCULAR PROCEDURES WITHOUT CC/MCC254$191,045$13,65314.0x
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CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC074$93,672$6,76613.8x
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DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC439$76,925$5,57713.8x
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CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$100,537$7,33013.7x
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NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC071$106,577$7,77913.7x
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TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC069$70,332$5,16913.6x
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UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC742$177,322$13,07213.6x
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OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC699$101,008$7,65013.2x
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DYSEQUILIBRIUM149$66,452$5,10713.0x
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MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC331$132,585$10,23812.9x
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PERIPHERAL VASCULAR DISORDERS WITH CC300$94,478$7,35512.8x
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SIGNS AND SYMPTOMS WITHOUT MCC948$73,057$5,70812.8x
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MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC435$243,135$19,20112.7x
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RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS208$252,807$20,15112.6x
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ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$92,434$7,37312.5x
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SEIZURES WITH MCC100$193,295$15,50312.5x
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RED BLOOD CELL DISORDERS WITHOUT MCC812$79,404$6,48412.3x
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AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC240$273,044$22,39312.2x
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CERVICAL SPINAL FUSION WITH CC472$255,942$21,06612.2x
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EXTRACRANIAL PROCEDURES WITHOUT CC/MCC039$98,899$8,18512.1x
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC064$173,914$14,42012.1x
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CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC310$45,323$3,78712.0x
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SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS870$497,562$41,66211.9x
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CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC309$60,454$5,06711.9x
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PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC543$101,111$8,48111.9x
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CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC236$324,814$27,56711.8x
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NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC070$164,887$14,10511.7x
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CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC433$94,904$8,16611.6x
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CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC308$105,320$9,07011.6x
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MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC436$87,549$7,56111.6x
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GASTROINTESTINAL OBSTRUCTION WITH CC389$70,821$6,14411.5x
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DISORDERS OF THE BILIARY TRACT WITH MCC444$156,328$13,59611.5x
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CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC026$284,323$24,79211.5x
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EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC981$378,298$33,50211.3x
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PNEUMOTHORAX WITH CC200$94,415$8,40611.2x
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KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC690$65,158$5,86411.1x
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PNEUMOTHORAX WITH MCC199$157,221$14,14811.1x
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MAJOR CHEST PROCEDURES WITH CC164$196,165$17,67411.1x
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OTHER CIRCULATORY SYSTEM O.R. PROCEDURES264$240,855$22,14410.9x
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OTHER O.R. PROCEDURES FOR INJURIES WITH MCC907$345,064$31,74710.9x
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MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$62,257$5,72710.9x
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Showing 50 of 183 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

1.1x
Median: 5.3x
13.8x
10.3x

128 hospitals in PA report pricing data to CMS. This facility's average ratio of 10.3x places it at the upper-middle range of the state range (Source: CMS IPPS Provider Summary).

What You Can Do

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Request an Itemized Bill

Federal law entitles you to a detailed breakdown of every charge. If you haven't received one, knowing what to ask for is the first step.

Learn how

Check for Common Errors

Research suggests 49-80% of hospital bills contain errors — from duplicate charges to incorrect procedure codes.

How it works

Data: 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.

Read our methodology·Report a data error

Frequently Asked Questions About ST LUKES HOSPITAL BETHLEHEM

How much does ST LUKES HOSPITAL BETHLEHEM charge compared to Medicare?

According to CMS IPPS data, ST LUKES HOSPITAL BETHLEHEM's listed chargemaster rates average 10.3x the Medicare reimbursement amount across 183 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 ST LUKES HOSPITAL BETHLEHEM?

The procedure with the highest chargemaster-to-Medicare ratio at ST LUKES HOSPITAL BETHLEHEM is PSYCHOSES (DRG 885), with a listed charge of $196,643 compared to Medicare reimbursement of $9,192 — a ratio of 21.4x. Source: CMS IPPS Provider Summary.

Is ST LUKES HOSPITAL BETHLEHEM expensive compared to other PA hospitals?

ST LUKES HOSPITAL BETHLEHEM's average chargemaster-to-Medicare ratio is 10.3x. 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 ST LUKES HOSPITAL BETHLEHEM 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 ST LUKES HOSPITAL BETHLEHEM 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 ST LUKES HOSPITAL BETHLEHEM in BETHLEHEM, PA accept Medicare?

ST LUKES HOSPITAL BETHLEHEM is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact ST LUKES HOSPITAL BETHLEHEM directly or check with your insurance provider.

Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.