Hospital · CCN 390035
St Luke's Hospital - Upper Bucks Campus
3000 St. Luke's Drive, Quakertown, PA 18951 · Bucks County
Part of Saint Lukes University Health Network · 86 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater
36 admission types 41 outpatient services 8 Medicare-file findings
Billed per dollar paid, all admissions
8.76×
$120.8M billed against $13.8M paid across 1,113 Medicare discharges; the national figure is 5.03×.
2.4%
of adults in Bucks County have medical debt in collections
5.3%
uninsured in the county · state 6.5%
$107K
median household income
4.4×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (6 in the inpatient or outpatient file)ⓘ
01 · Admissions
What it billed Medicare, by admission type
Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.
DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
240
$136,608
$16,900
8.1× st 5.2×
291
Heart failure and shock with mcc
104
$100,093
$11,025
9.1× st 5.2×
872
Septicemia or severe sepsis without mv >96 hours without mcc
60
$87,490
$9,120
9.6× st 5.5×
885
Psychoses
50
$153,085
$13,474
11.4× st 4.8×
690
Kidney and urinary tract infections without mcc
43
$69,258
$7,198
9.6× st 5.3×
189
Pulmonary edema and respiratory failure
42
$96,343
$10,943
8.8× st 5.9×
682
Renal failure with mcc
38
$110,059
$12,555
8.8× st 5.4×
689
Kidney and urinary tract infections with mcc
36
$85,073
$9,975
8.5× st 5.3×
683
Renal failure with cc
31
$64,638
$8,493
7.6× st 5.4×
177
Respiratory infections and inflammations with mcc
30
$107,224
$14,911
7.2× st 5.2×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
29
$75,186
$6,930
10.9× st 5.7×
378
Gastrointestinal hemorrhage with cc
28
$93,339
$8,610
10.8× st 6.1×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
27
$62,621
$6,684
9.4× st 5.7×
603
Cellulitis without mcc
26
$57,230
$7,573
7.6× st 4.9×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
25
$151,476
$16,074
9.4× st 5.0×
309
Cardiac arrhythmia and conduction disorders with cc
22
$63,739
$6,358
10.0× st 5.4×
193
Simple pneumonia and pleurisy with mcc
22
$99,126
$11,189
8.9× st 5.3×
698
Other kidney and urinary tract diagnoses with mcc
21
$159,931
$13,943
11.5× st 5.2×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
18
$82,393
$8,885
9.3× st 6.3×
092
Other disorders of nervous system with cc
17
$71,738
$8,777
8.2× st 6.1×
853
Infectious and parasitic diseases with o.r. procedures with mcc
17
$311,728
$41,393
7.5× st 5.3×
377
Gastrointestinal hemorrhage with mcc
15
$134,086
$14,691
9.1× st 5.9×
552
Medical back problems without mcc
14
$63,532
$8,283
7.7× st 5.5×
522
Hip replacement with principal diagnosis of hip fracture without mcc
14
$163,949
$18,000
9.1× st 5.7×
057
Degenerative nervous system disorders without mcc
14
$88,845
$11,798
7.5× st 5.1×
178
Respiratory infections and inflammations with cc
13
$81,242
$9,351
8.7× st 5.8×
699
Other kidney and urinary tract diagnoses with cc
13
$92,658
$8,443
11.0× st 5.2×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
12
$77,155
$11,023
7.0× st 5.6×
064
Intracranial hemorrhage or cerebral infarction with mcc
12
$91,830
$16,111
5.7× st 6.0×
175
Pulmonary embolism with mcc or acute cor pulmonale
12
$117,358
$12,643
9.3× st 6.2×
389
Gastrointestinal obstruction with cc
12
$66,093
$7,389
8.9× st 5.8×
194
Simple pneumonia and pleurisy with cc
12
$84,067
$7,494
11.2× st 5.6×
202
Bronchitis and asthma with cc/mcc
11
$101,415
$8,280
12.2× st 5.7×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
11
$80,239
$10,898
7.4× st 5.8×
481
Hip and femur procedures except major joint with cc
11
$166,007
$18,372
9.0× st 6.0×
439
Disorders of pancreas except malignancy with cc
11
$70,076
$7,899
8.9× st 6.8×
02 · Outpatient
Outpatient services
Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.
APC
Service
Services
Charge
Allowed
Billed ÷ allowed
8011
Comprehensive Observation Services
141
$39,613
$2,611
15.2×
5431
Level 1 Nerve Procedures
127
$11,596
$1,851
6.3×
5112
Level 2 Musculoskeletal Procedures
69
$13,566
$1,510
9.0×
5115
Level 5 Musculoskeletal Procedures
65
$95,950
$12,678
7.6×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
54
$23,202
$1,550
15.0×
5373
Level 3 Urology and Related Services
50
$26,580
$1,965
13.5×
5302
Level 2 Upper GI Procedures
48
$13,772
$1,836
7.5×
5113
Level 3 Musculoskeletal Procedures
47
$40,839
$3,074
13.3×
5114
Level 4 Musculoskeletal Procedures
44
$81,908
$6,902
11.9×
5361
Level 1 Laparoscopy and Related Services
43
$56,122
$5,566
10.1×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
32
$45,950
$2,502
18.4×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
32
$27,571
$3,255
8.5×
5183
Level 3 Vascular Procedures
30
$18,903
$3,075
6.1×
5414
Level 4 Gynecologic Procedures
20
$29,513
$3,016
9.8×
5182
Level 2 Vascular Procedures
20
$16,827
$1,468
11.5×
5465
Level 5 Neurostimulator and Related Procedures
18
$263,204
$28,333
9.3×
5116
Level 6 Musculoskeletal Procedures
18
$207,551
$17,938
11.6×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
13
$86,783
$6,291
13.8×
5193
Level 3 Endovascular Procedures
11
$93,381
$10,603
8.8×
5415
Level 5 Gynecologic Procedures
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5627
Level 7 Radiation Therapy
—
—
—
—
5375
Level 5 Urology and Related Services
—
—
—
—
5374
Level 4 Urology and Related Services
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
03 · Checks
Where the Medicare rows do not agree with themselves
Service
Severity
Rule
Detail
MS-DRG 194
info
inp_charge_10x_payment
average charge $84,067 is 11.2× the total payment
MS-DRG 202
info
inp_charge_10x_payment
average charge $101,415 is 12.2× the total payment
MS-DRG 309
info
inp_charge_10x_payment
average charge $63,739 is 10.0× the total payment
MS-DRG 378
info
inp_charge_10x_payment
average charge $93,339 is 10.8× the total payment
MS-DRG 392
info
inp_charge_10x_payment
average charge $75,186 is 10.8× the total payment
MS-DRG 698
info
inp_charge_10x_payment
average charge $159,931 is 11.5× the total payment
MS-DRG 699
info
inp_charge_10x_payment
average charge $92,658 is 11.0× the total payment
MS-DRG 885
info
inp_charge_10x_payment
average charge $153,085 is 11.4× the total payment
Sources for this hospital
the files read, as fetched — not our copy of them- MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
- MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
- chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
- 2020 ZCTA to County relationship file · US Census Bureau · 2020tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
Every figure on this page is computed from these files by pipeline/prices/; the same rows are in the API.
Source rows for this hospital as JSON: inpatient · outpatient. CMS, Medicare Inpatient and Outpatient Hospitals by Provider and Service, 2024.