CostGrade

All published prices at Lehigh Valley Hospital

328 procedures, each showing what the hospital billed, what that care was actually paid for, and how the charge compares with the national middle for the same coded work.

F
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%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

394 $20,492 $1,815 +74%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

379 $20,135 $3,086 about average
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

375 $21,605 $3,353 +5%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

365 $269,605 $22,871 +103%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

349 $19,071 $1,955 +48%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

307 $35,647 $3,028 +87%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

303 $11,463 $1,547 about average
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

301 $53,276 $5,613 +52%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

276 $55,519 $8,798 +42%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

271 $48,630 $7,527 +51%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

261 $29,173 $3,331 +25%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

243 $85,185 $14,728 +55%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

239 $26,117 $2,588 +48%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

227 $59,240 $9,639 +51%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

215 $130,094 $10,677 +92%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

213 $463,148 $41,992 +144%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

213 $48,723 $8,354 +48%
Fainting

MS-DRG 312 · Inpatient stay

206 $53,037 $7,857 +45%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

201 $104,999 $9,781 +76%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

200 $146,680 $18,135 +77%
Respiratory Failure

MS-DRG 189 · Inpatient stay

193 $77,775 $11,185 +61%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

186 $107,791 $16,472 +35%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

181 $67,435 $9,337 +63%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

178 $46,421 $4,451 +28%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

176 $87,558 $14,993 +54%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

176 $277,743 $43,737 +56%
Organic Disturbances and Intellectual Disability

MS-DRG 884 · Inpatient stay

171 $70,518 $14,573 +41%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

169 $71,525 $9,386 +57%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

166 $83,708 $13,287 +58%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

164 $46,135 $7,783 +55%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

159 $74,604 $11,975 +60%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

159 $109,398 $10,405 +112%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

158 $58,142 $3,597 +156%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

147 $178,947 $16,746 +76%
Stroke (severe)

MS-DRG 064 · Inpatient stay

141 $144,592 $17,504 +90%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

141 $46,769 $7,033 +53%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

139 $41,920 $8,224 +37%
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with

MS-DRG 543 · Inpatient stay

138 $60,996 $9,880 +47%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

135 $22,934 $2,738 +38%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

132 $148,049 $18,843 +78%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

132 $46,995 $7,400 +54%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

131 $49,849 $9,233 +34%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

130 $71,030 $12,845 +48%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

125 $39,146 $6,188 about average
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

119 $263,489 $27,320 +111%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

119 $25,928 $3,693 +9%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

118 $47,429 $7,645 +49%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

116 $169,287 $20,607 +92%
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization

MS-DRG 219 · Inpatient stay

113 $474,354 $68,427 +42%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

112 $118,872 $15,884 +67%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

112 $78,301 $8,285 +107%
Level 5 Airway Endoscopy

APC 5155 · Hospital outpatient visit

112 $99,604 $6,581 +159%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

109 $11,057 $1,562 +29%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

105 $205,209 $16,772 +115%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

104 $49,437 $8,308 +43%
Kidney and Ureter Procedures for Non-neoplasm with Complications

MS-DRG 660 · Inpatient stay

104 $67,975 $12,391 +22%
Level 5 ENT Procedures

APC 5165 · Hospital outpatient visit

104 $43,182 $5,537 +26%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

103 $62,414 $10,012 +53%
Other Disorders of Nervous System with Complications

MS-DRG 092 · Inpatient stay

102 $58,797 $9,367 +31%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

98 $238,080 $25,836 +66%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

98 $79,461 $11,516 +64%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

97 $107,295 $14,249 +75%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

97 $52,139 $8,656 +34%
Psychoses

MS-DRG 885 · Inpatient stay

95 $80,317 $14,693 +123%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

93 $51,602 $7,982 +65%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

91 $149,612 $21,766 +49%
Level 2 Urology and Related Services

APC 5372 · Hospital outpatient visit

91 $8,699 $656 +177%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

88 $294,185 $41,435 +64%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

88 $61,361 $9,430 +63%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

87 $75,956 $11,083 +60%
Revision of Hip or Knee Replacement with Complications

MS-DRG 467 · Inpatient stay

87 $164,891 $31,193 +27%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without

MS-DRG 563 · Inpatient stay

84 $48,715 $8,100 +33%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

84 $445,814 $31,990 +200%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

83 $92,227 $12,794 +69%
COPD (severe)

MS-DRG 190 · Inpatient stay

83 $65,335 $10,311 +56%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

80 $77,715 $8,701 +77%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

79 $79,679 $11,571 +55%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

75 $22,572 $3,049 +24%
Bronchitis and Asthma with Complications/mcc

MS-DRG 202 · Inpatient stay

73 $45,636 $9,285 +16%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

72 $139,469 $20,680 +63%
Degenerative Nervous System Disorders with Major Complications

MS-DRG 056 · Inpatient stay

70 $84,541 $20,346 about average
Craniotomy and Endovascular Intracranial Procedures with Major Complications

MS-DRG 025 · Inpatient stay

69 $362,248 $40,952 +88%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

68 $61,147 $7,472 +48%
Peripheral Vascular Disorders with Complications

MS-DRG 300 · Inpatient stay

68 $55,301 $9,488 +29%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

68 $103,090 $17,676 +32%
Level 5 Gynecologic Procedures

APC 5415 · Hospital outpatient visit

68 $35,206 $4,738 +17%
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications

MS-DRG 493 · Inpatient stay

66 $150,197 $21,640 +48%
Back Problems (severe)

MS-DRG 551 · Inpatient stay

66 $124,213 $15,506 +79%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

64 $66,710 $8,647 +64%
Diabetes with Major Complications

MS-DRG 637 · Inpatient stay

64 $86,278 $12,827 +53%

These figures are averages across this hospital's Medicare patients in the most recent federal data year. They are not a quote and not your bill. For your own case, ask the hospital for a written good-faith estimate and check its published machine-readable price file.