CostGrade

All published prices at Lehigh Valley Hospital - Pocono

87 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.

D
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%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

45 $66,791 $10,172 +43%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

44 $22,578 $3,131 -11%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

42 $44,689 $6,774 +50%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

42 $71,570 $12,551 +15%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

39 $50,696 $5,047 +85%
Psychoses

MS-DRG 885 · Inpatient stay

37 $76,996 $12,566 +113%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

35 $78,433 $13,369 +43%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

34 $43,587 $6,233 +42%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

32 $45,882 $7,681 +17%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

32 $69,042 $11,544 +30%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

32 $49,295 $7,163 +50%
Level 2 Vascular Procedures

APC 5182 · Hospital outpatient visit

32 $12,424 $1,562 +45%
Level 1 Abdominal/peritoneal/biliary and Related Procedures

APC 5341 · Hospital outpatient visit

32 $33,712 $3,374 +45%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

32 $92,968 $9,769 +56%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

31 $48,300 $8,268 +17%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

31 $55,765 $8,519 +42%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

30 $41,579 $6,791 +31%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

27 $56,858 $7,776 +25%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

26 $78,186 $13,963 +38%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

24 $116,323 $14,023 +14%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

23 $82,699 $13,470 +16%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

23 $35,535 $6,639 +10%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

23 $41,595 $6,107 +36%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

21 $78,976 $10,662 +63%
Respiratory Failure

MS-DRG 189 · Inpatient stay

20 $65,109 $10,410 +34%
COPD (severe)

MS-DRG 190 · Inpatient stay

20 $54,142 $8,408 +29%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

20 $84,347 $14,481 +6%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

20 $27,226 $3,570 +14%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

20 $104,088 $10,719 +54%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

20 $73,471 $7,953 +94%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

19 $124,159 $20,202 +24%
Signs and Symptoms without Major Complications

MS-DRG 948 · Inpatient stay

19 $41,411 $6,204 +28%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

19 $42,399 $6,360 +7%
Level 6 Musculoskeletal Procedures

APC 5116 · Hospital outpatient visit

19 $147,637 $18,135 +78%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

19 $215,827 $23,104 +63%
Other Vascular Procedures with Complications

MS-DRG 253 · Inpatient stay

18 $136,318 $19,474 +21%
Major Small and Large Bowel Procedures without Complications/mcc

MS-DRG 331 · Inpatient stay

18 $103,061 $13,846 +38%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

18 $23,063 $2,738 +39%
Transient Ischemia without Thrombolytic

MS-DRG 069 · Inpatient stay

17 $49,437 $6,427 +20%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

17 $64,228 $10,862 +18%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

17 $88,110 $9,927 +86%
Irregular Heartbeat (uncomplicated)

MS-DRG 310 · Inpatient stay

17 $33,001 $4,624 +31%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

17 $142,467 $17,049 +71%
Urinary Tract Infection (severe)

MS-DRG 689 · Inpatient stay

17 $56,856 $9,104 +40%
Red Blood Cell Disorders without Major Complications

MS-DRG 812 · Inpatient stay

17 $49,668 $7,306 +34%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

17 $272,943 $38,592 +53%
COPD (with complications)

MS-DRG 191 · Inpatient stay

17 $100,230 $12,221 +201%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

17 $27,203 $3,481 +20%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

17 $46,025 $5,575 +33%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

16 $51,111 $7,624 +37%
Fainting

MS-DRG 312 · Inpatient stay

16 $45,097 $6,946 +23%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

15 $43,056 $7,591 +6%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

15 $67,189 $10,736 +31%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

15 $37,972 $6,997 +24%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

14 $51,502 $10,335 +8%
Diabetes (with complications)

MS-DRG 638 · Inpatient stay

14 $33,105 $6,966 -4%
Stroke (severe)

MS-DRG 064 · Inpatient stay

13 $117,675 $15,408 +54%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

13 $235,284 $24,688 +89%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

13 $166,836 $24,248 +42%
Organic Disturbances and Intellectual Disability

MS-DRG 884 · Inpatient stay

13 $69,478 $12,657 +39%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

13 $53,095 $6,729 +33%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

13 $90,088 $9,731 +75%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

12 $173,000 $24,381 +20%
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

12 $197,427 $42,266 +10%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

12 $119,738 $16,210 +40%
Pulmonary Embolism without Major Complications

MS-DRG 176 · Inpatient stay

12 $60,061 $6,583 +71%
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without

MS-DRG 563 · Inpatient stay

12 $50,248 $7,521 +37%
Level 4 Vascular Procedures

APC 5184 · Hospital outpatient visit

12 $25,526 $5,360 -29%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

12 $287,831 $31,990 +94%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

12 $20,841 $3,049 +15%
Stroke (uncomplicated)

MS-DRG 066 · Inpatient stay

11 $42,596 $5,578 +19%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

11 $65,948 $7,277 +51%
Chest Pain

MS-DRG 313 · Inpatient stay

11 $38,330 $5,882 +14%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

11 $46,206 $7,503 +19%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

11 $40,148 $7,726 +6%
Coagulation Disorders

MS-DRG 813 · Inpatient stay

11 $96,323 $11,979 +44%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

11 $15,338 $1,568 +37%

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.