St Lukes Hospital Bethlehem
St. Lukes Hospital Bethlehem charges 10.3x the Medicare reimbursement rate across 183 analyzed procedures, with 39% showing significant pricing variations from standard benchmarks.
Bethlehem, PA 18015 · Acute Care Hospitals · CMS Rating: 5/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
F
Very high
Avg markup vs Medicare
10.32x
Charge / Medicare rate
Max markup
21.39x
Worst procedure
Procedures analyzed
183
With pricing data
Outlier procedures
39.3%
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 |
|---|---|---|---|---|---|
| PSYCHOSES | 885 | $196,643 | $98,321 | — | 21.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $71,949 | $35,974 | — | 17.9x |
| EXTRACRANIAL PROCEDURES WITH CC | 038 | $185,479 | $92,740 | — | 17.8x |
| DIABETES WITH MCC | 637 | $239,305 | $119,652 | — | 17.1x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | 093 | $92,601 | $46,300 | — | 16.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $115,025 | $57,513 | — | 15.7x |
| O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | 621 | $123,068 | $61,534 | — | 15.3x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $80,866 | $40,433 | — | 14.8x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $208,479 | $104,239 | — | 14.7x |
| OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | 254 | $191,045 | $95,523 | — | 14x |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | 074 | $93,672 | $46,836 | — | 13.9x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $76,925 | $38,462 | — | 13.8x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $100,537 | $50,269 | — | 13.7x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $106,577 | $53,288 | — | 13.7x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $70,332 | $35,166 | — | 13.6x |
| UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | 742 | $177,322 | $88,661 | — | 13.6x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $101,008 | $50,504 | — | 13.2x |
| DYSEQUILIBRIUM | 149 | $66,452 | $33,226 | — | 13x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $132,585 | $66,293 | — | 13x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $94,478 | $47,239 | — | 12.9x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $73,057 | $36,528 | — | 12.8x |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $243,135 | $121,568 | — | 12.7x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $252,807 | $126,404 | — | 12.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $92,434 | $46,217 | — | 12.5x |
| SEIZURES WITH MCC | 100 | $193,295 | $96,648 | — | 12.5x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $79,404 | $39,702 | — | 12.3x |
| AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | 240 | $273,044 | $136,522 | — | 12.2x |
| CERVICAL SPINAL FUSION WITH CC | 472 | $255,942 | $127,971 | — | 12.2x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $98,899 | $49,449 | — | 12.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $173,914 | $86,957 | — | 12.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $45,323 | $22,661 | — | 12x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $497,562 | $248,781 | — | 11.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $60,454 | $30,227 | — | 11.9x |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | 543 | $101,111 | $50,555 | — | 11.9x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $324,814 | $162,407 | — | 11.8x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $164,887 | $82,444 | — | 11.7x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | 433 | $94,904 | $47,452 | — | 11.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $105,320 | $52,660 | — | 11.6x |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | 436 | $87,549 | $43,775 | — | 11.6x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $70,821 | $35,410 | — | 11.5x |
| DISORDERS OF THE BILIARY TRACT WITH MCC | 444 | $156,328 | $78,164 | — | 11.5x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | 026 | $284,323 | $142,162 | — | 11.5x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $378,298 | $189,149 | — | 11.3x |
| PNEUMOTHORAX WITH CC | 200 | $94,415 | $47,207 | — | 11.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $65,158 | $32,579 | — | 11.1x |
| PNEUMOTHORAX WITH MCC | 199 | $157,221 | $78,611 | — | 11.1x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $196,165 | $98,083 | — | 11.1x |
| OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | 264 | $240,855 | $120,427 | — | 10.9x |
| OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | 907 | $345,064 | $172,532 | — | 10.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $62,257 | $31,129 | — | 10.9x |
Showing 50 of 183 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