18/100
#2,217 nationally
Lehigh Valley Hospital
1200 South Cedar Crest Boulevard, Allentown, PA 18103 · (610) 402-8000
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Lehigh Valley Hospital billed $7.56 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
- 7.6x
- volume-weighted across all its priced work
- Procedures priced
- 328
- inpatient and outpatient combined
- Rank in PA
- #104
- lower markup ranks higher
- CMS quality stars
- 4/5
- 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 15% of U.S. hospitals.
Better than 21% of U.S. hospitals.
Better than 19% of U.S. hospitals.
Better than 22% 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 |
|---|---|---|---|---|
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
1,465 | $85,743 | $12,688 | +37% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
1,138 | $29,077 | $2,620 | +50% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
992 | $110,274 | $17,438 | +69% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
830 | $67,971 | $11,706 | +57% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
792 | $21,920 | $1,566 | +117% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
697 | $12,032 | $1,852 | +6% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
622 | $50,993 | $6,860 | +28% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
619 | $42,355 | $3,161 | +68% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
511 | $16,578 | $2,270 | +41% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
413 | $34,071 | $5,018 | +24% |
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 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
$445,814 | $31,990 | +200% |
|
Extracranial Procedures without Complications/mcc
MS-DRG 039 · Inpatient stay |
$155,659 | $15,058 | +192% |
|
Major Chest Procedures without Complications/mcc
MS-DRG 165 · Inpatient stay |
$241,368 | $16,263 | +190% |
|
Knee Procedures without Principal Diagnosis of Infection with Complications/mcc
MS-DRG 488 · Inpatient stay |
$178,684 | $18,938 | +185% |
|
Other Cardiothoracic Procedures with Major Complications
MS-DRG 228 · Inpatient stay |
$641,642 | $62,928 | +184% |
|
Level 4 Neurostimulator and Related Procedures
APC 5464 · Hospital outpatient visit |
$228,598 | $20,939 | +183% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$8,699 | $656 | +177% |
|
Disorders of Pancreas Except Malignancy with Major Complications
MS-DRG 438 · Inpatient stay |
$183,789 | $16,943 | +164% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Dental and Oral Diseases with Major Complications
MS-DRG 157 · Inpatient stay |
$90,464 | $14,705 | -40% |
|
Concussion with Complications
MS-DRG 089 · Inpatient stay |
$54,900 | $11,163 | -38% |
|
Bone Diseases and Arthropathies with Major Complications
MS-DRG 553 · Inpatient stay |
$55,546 | $12,129 | -34% |
|
Osteomyelitis with Major Complications
MS-DRG 539 · Inpatient stay |
$70,351 | $15,521 | -26% |
|
Other Digestive System Diagnoses without Complications/mcc
MS-DRG 395 · Inpatient stay |
$30,217 | $6,104 | -16% |
|
Nervous System Neoplasms without Major Complications
MS-DRG 055 · Inpatient stay |
$53,512 | $10,335 | -12% |
|
Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio
MS-DRG 808 · Inpatient stay |
$94,583 | $20,057 | -11% |
|
Otitis Media and Uri without Major Complications
MS-DRG 153 · Inpatient stay |
$40,873 | $6,709 | -9% |
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.