60/100
#959 nationally
Lancaster General Hospital
555 North Duke Street, Lancaster, PA 17602 · (717) 544-5511
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Lancaster General Hospital billed $4.26 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 4.3x
- volume-weighted across all its priced work
- Procedures priced
- 212
- inpatient and outpatient combined
- Rank in PA
- #40
- lower markup ranks higher
- CMS quality stars
- 5/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 53% of U.S. hospitals.
Better than 59% of U.S. hospitals.
Better than 63% of U.S. hospitals.
Better than 80% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
739 | $14,670 | $2,488 | -25% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
477 | $36,954 | $12,047 | -41% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
462 | $10,031 | $1,486 | about average |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
346 | $23,196 | $3,011 | -8% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
345 | $9,375 | $1,788 | -17% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
343 | $37,508 | $10,114 | -14% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
309 | $61,192 | $15,949 | -6% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
288 | $180,074 | $21,893 | +36% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
270 | $11,045 | $1,749 | -6% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
248 | $25,677 | $5,316 | -27% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
$180,074 | $21,893 | +36% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
$48,343 | $4,820 | +34% |
|
Other Circulatory System Diagnoses with Complications
MS-DRG 315 · Inpatient stay |
$52,349 | $11,169 | +26% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
$41,924 | $5,193 | +21% |
|
Level 2 Electrophysiologic Procedures
APC 5212 · Hospital outpatient visit |
$53,476 | $6,947 | +20% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$61,189 | $9,903 | +19% |
|
Permanent Cardiac Pacemaker Implant without Complications/mcc
MS-DRG 244 · Inpatient stay |
$86,267 | $14,571 | +13% |
|
Permanent Cardiac Pacemaker Implant with Complications
MS-DRG 243 · Inpatient stay |
$105,427 | $21,034 | +13% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Combined Anterior and Posterior Spinal Fusion without Complications/mcc
MS-DRG 455 · Inpatient stay |
$81,758 | $31,667 | -54% |
|
Major Chest Procedures with Complications
MS-DRG 164 · Inpatient stay |
$52,016 | $23,765 | -52% |
|
Level 7 Radiation Therapy
APC 5627 · Hospital outpatient visit |
$29,964 | $7,244 | -49% |
|
Spinal Fusion Except Cervical without Major Complications
MS-DRG 460 · Inpatient stay |
$77,448 | $27,402 | -47% |
|
Level 4 Neurostimulator and Related Procedures
APC 5464 · Hospital outpatient visit |
$43,530 | $18,743 | -46% |
|
Cranial and Peripheral Nerve Disorders without Major Complications
MS-DRG 074 · Inpatient stay |
$25,871 | $9,495 | -46% |
|
Combined Anterior and Posterior Spinal Fusion with Complications
MS-DRG 454 · Inpatient stay |
$120,827 | $45,446 | -46% |
|
Peripheral, Cranial Nerve and Other Nervous System Procedures with Major Complications
MS-DRG 040 · Inpatient stay |
$104,746 | $33,586 | -44% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.