22/100
#2,111 nationally
Lehigh Valley Hospital - Pocono
206 East Brown Street, East Stroudsburg, PA 18301 · (570) 421-4000
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Lehigh Valley Hospital - Pocono billed $7.24 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
- 7.2x
- volume-weighted across all its priced work
- Procedures priced
- 87
- inpatient and outpatient combined
- Rank in PA
- #98
- lower markup ranks higher
- CMS quality stars
- 3/5
- 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 17% of U.S. hospitals.
Better than 24% of U.S. hospitals.
Better than 24% of U.S. hospitals.
Better than 33% 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 |
177 | $21,440 | $2,575 | +10% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
143 | $20,201 | $1,564 | +100% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
121 | $62,918 | $9,674 | +45% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
120 | $107,223 | $15,339 | +64% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
97 | $30,170 | $3,083 | +58% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
70 | $56,194 | $5,500 | +60% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
67 | $17,523 | $1,856 | +49% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
53 | $35,197 | $2,719 | +99% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
51 | $20,162 | $3,241 | about average |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
46 | $16,277 | $1,987 | +26% |
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 |
|---|---|---|---|
|
COPD (with complications)
MS-DRG 191 · Inpatient stay |
$100,230 | $12,221 | +201% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
$76,996 | $12,566 | +113% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$20,201 | $1,564 | +100% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$35,197 | $2,719 | +99% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
$73,471 | $7,953 | +94% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
$287,831 | $31,990 | +94% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
$235,284 | $24,688 | +89% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
$88,110 | $9,927 | +86% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
$25,526 | $5,360 | -29% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$22,578 | $3,131 | -11% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
$33,105 | $6,966 | -4% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$20,162 | $3,241 | about average |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
$84,347 | $14,481 | +6% |
|
Seizures without Major Complications
MS-DRG 101 · Inpatient stay |
$43,056 | $7,591 | +6% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
$40,148 | $7,726 | +6% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
$42,399 | $6,360 | +7% |
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.