Hospital · CCN 390049
St Luke's Hospital Bethlehem
801 Ostrum Street, Bethlehem, PA 18015 · Northampton County
Part of Saint Lukes University Health Network · 633 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater
178 admission types 58 outpatient services 8 Medicare-file findings
Billed per dollar paid, all admissions
7.86×
$1,038.9M billed against $132.2M paid across 6,633 Medicare discharges; the national figure is 5.03×.
4.0%
of adults in Northampton County have medical debt in collections
5.8%
uninsured in the county · state 6.5%
$84K
median household income
7.3×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (3 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
457
$137,361
$18,878
7.3× st 5.2×
291
Heart failure and shock with mcc
360
$102,984
$12,914
8.0× st 5.2×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
158
$463,112
$46,229
10.0× st 6.4×
853
Infectious and parasitic diseases with o.r. procedures with mcc
121
$395,964
$48,289
8.2× st 5.3×
872
Septicemia or severe sepsis without mv >96 hours without mcc
112
$79,507
$11,041
7.2× st 5.5×
552
Medical back problems without mcc
95
$70,369
$9,817
7.2× st 5.5×
682
Renal failure with mcc
95
$112,591
$14,987
7.5× st 5.4×
885
Psychoses
92
$200,947
$15,834
12.7× st 4.8×
064
Intracranial hemorrhage or cerebral infarction with mcc
89
$211,199
$19,878
10.6× st 6.0×
189
Pulmonary edema and respiratory failure
89
$85,190
$12,589
6.8× st 5.9×
177
Respiratory infections and inflammations with mcc
85
$116,657
$15,365
7.6× st 5.2×
683
Renal failure with cc
84
$76,247
$9,186
8.3× st 5.4×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
84
$68,433
$8,429
8.1× st 5.7×
309
Cardiac arrhythmia and conduction disorders with cc
83
$57,306
$8,210
7.0× st 5.4×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
81
$128,396
$18,710
6.9× st 5.0×
274
Percutaneous and other intracardiac procedures without mcc
80
$265,602
$30,299
8.8× st 6.2×
243
Permanent cardiac pacemaker implant with cc
79
$138,835
$20,943
6.6× st 6.1×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
72
$95,831
$10,154
9.4× st 6.3×
689
Kidney and urinary tract infections with mcc
72
$84,402
$11,425
7.4× st 5.3×
378
Gastrointestinal hemorrhage with cc
70
$81,905
$9,828
8.3× st 6.1×
690
Kidney and urinary tract infections without mcc
69
$61,656
$8,329
7.4× st 5.3×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
68
$130,410
$19,054
6.8× st 6.9×
057
Degenerative nervous system disorders without mcc
67
$87,129
$13,329
6.5× st 5.1×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
66
$553,920
$60,255
9.2× st 5.5×
330
Major small and large bowel procedures with cc
66
$195,544
$24,541
8.0× st 6.0×
698
Other kidney and urinary tract diagnoses with mcc
64
$115,544
$15,337
7.5× st 5.2×
481
Hip and femur procedures except major joint with cc
62
$161,499
$19,124
8.4× st 6.0×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
62
$60,296
$8,089
7.5× st 5.7×
603
Cellulitis without mcc
62
$53,993
$9,150
5.9× st 4.9×
092
Other disorders of nervous system with cc
60
$66,439
$10,587
6.3× st 6.1×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
60
$84,315
$12,715
6.6× st 5.6×
377
Gastrointestinal hemorrhage with mcc
58
$172,040
$18,444
9.3× st 5.9×
312
Syncope and collapse
55
$63,902
$9,503
6.7× st 5.8×
193
Simple pneumonia and pleurisy with mcc
53
$91,242
$13,857
6.6× st 5.3×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
49
$203,781
$25,899
7.9× st 6.3×
660
Kidney and ureter procedures for non-neoplasm with cc
48
$95,747
$14,215
6.7× st 5.8×
163
Major chest procedures with mcc
46
$294,390
$42,886
6.9× st 5.9×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
45
$90,743
$11,030
8.2× st 6.6×
164
Major chest procedures with cc
45
$201,252
$24,681
8.2× st 6.2×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
45
$73,124
$13,432
5.4× st 5.8×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
44
$42,004
$8,786
4.8× st 5.1×
300
Peripheral vascular disorders with cc
44
$61,697
$10,518
5.9× st 5.7×
308
Cardiac arrhythmia and conduction disorders with mcc
43
$110,585
$12,901
8.6× st 5.4×
253
Other vascular procedures with cc
43
$226,890
$25,381
8.9× st 6.4×
184
Major chest trauma with cc
42
$85,529
$11,776
7.3× st 5.5×
025
Craniotomy and endovascular intracranial procedures with mcc
39
$336,268
$47,249
7.1× st 6.4×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
38
$474,266
$55,054
8.6× st 5.8×
467
Revision of hip or knee replacement with cc
38
$267,554
$32,301
8.3× st 4.8×
854
Infectious and parasitic diseases with o.r. procedures with cc
37
$151,451
$22,486
6.7× st 5.5×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
36
$44,224
$7,381
6.0× st 5.4×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
36
$76,740
$10,346
7.4× st 5.9×
811
Red blood cell disorders with mcc
35
$109,321
$13,867
7.9× st 5.8×
605
Trauma to the skin, subcutaneous tissue and breast without mcc
34
$57,767
$8,811
6.6× st 5.9×
699
Other kidney and urinary tract diagnoses with cc
34
$84,114
$10,027
8.4× st 5.2×
242
Permanent cardiac pacemaker implant with mcc
34
$175,849
$31,888
5.5× st 6.2×
252
Other vascular procedures with mcc
34
$261,236
$33,795
7.7× st 6.1×
101
Seizures without mcc
33
$106,548
$9,582
11.1× st 6.1×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
33
$69,614
$8,515
8.2× st 5.4×
178
Respiratory infections and inflammations with cc
32
$72,666
$9,615
7.6× st 5.8×
175
Pulmonary embolism with mcc or acute cor pulmonale
32
$110,784
$13,725
8.1× st 6.2×
219
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
32
$511,761
$66,258
7.7× st 6.1×
661
Kidney and ureter procedures for non-neoplasm without cc/mcc
31
$76,025
$11,125
6.8× st 4.7×
271
Other major cardiovascular procedures with cc
31
$273,472
$31,885
8.6× st 6.0×
100
Seizures with mcc
31
$192,561
$18,669
10.3× st 5.9×
617
Amputation of lower limb for endocrine, nutritional and metabolic disorders with cc
31
$151,667
$18,729
8.1× st 5.7×
270
Other major cardiovascular procedures with mcc
31
$358,175
$54,638
6.6× st 6.0×
331
Major small and large bowel procedures without cc/mcc
30
$144,604
$19,420
7.4× st 6.1×
329
Major small and large bowel procedures with mcc
30
$309,345
$40,270
7.7× st 5.9×
190
Chronic obstructive pulmonary disease with mcc
30
$76,821
$11,166
6.9× st 5.5×
393
Other digestive system diagnoses with mcc
30
$122,007
$16,514
7.4× st 5.6×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
30
$236,592
$27,867
8.5× st 6.5×
394
Other digestive system diagnoses with cc
30
$87,221
$9,688
9.0× st 5.9×
314
Other circulatory system diagnoses with mcc
29
$109,755
$21,601
5.1× st 5.8×
637
Diabetes with mcc
29
$85,696
$14,459
5.9× st 5.4×
281
Acute myocardial infarction, discharged alive with cc
29
$94,064
$9,949
9.5× st 6.6×
194
Simple pneumonia and pleurisy with cc
29
$62,402
$9,016
6.9× st 5.6×
460
Spinal fusion except cervical without mcc
29
$279,020
$39,462
7.1× st 4.7×
235
Coronary bypass without cardiac catheterization with mcc
29
$453,333
$62,374
7.3× st 6.3×
638
Diabetes with cc
28
$63,221
$10,213
6.2× st 5.2×
208
Respiratory system diagnosis with ventilator support <=96 hours
28
$210,049
$24,945
8.4× st 6.4×
191
Chronic obstructive pulmonary disease with cc
27
$55,956
$8,407
6.7× st 6.0×
522
Hip replacement with principal diagnosis of hip fracture without mcc
27
$176,855
$20,675
8.6× st 5.7×
812
Red blood cell disorders without mcc
26
$57,426
$9,557
6.0× st 6.3×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
26
$280,479
$38,651
7.3× st 5.8×
315
Other circulatory system diagnoses with cc
26
$70,136
$9,623
7.3× st 6.9×
086
Traumatic stupor and coma <1 hour with cc
26
$69,092
$13,237
5.2× st 5.7×
176
Pulmonary embolism without mcc
26
$80,617
$10,166
7.9× st 6.5×
202
Bronchitis and asthma with cc/mcc
25
$72,215
$9,681
7.5× st 5.7×
659
Kidney and ureter procedures for non-neoplasm with mcc
25
$201,162
$28,891
7.0× st 6.1×
091
Other disorders of nervous system with mcc
25
$168,148
$18,856
8.9× st 6.3×
183
Major chest trauma with mcc
25
$110,849
$15,665
7.1× st 5.9×
305
Hypertension without mcc
24
$69,502
$7,606
9.1× st 5.8×
982
Extensive o.r. procedures unrelated to principal diagnosis with cc
24
$171,183
$26,165
6.5× st 5.6×
083
Traumatic stupor and coma >1 hour with cc
24
$82,444
$13,738
6.0× st 5.8×
389
Gastrointestinal obstruction with cc
24
$56,946
$8,262
6.9× st 5.8×
180
Respiratory neoplasms with mcc
23
$122,124
$17,740
6.9× st 6.4×
480
Hip and femur procedures except major joint with mcc
23
$224,236
$27,832
8.1× st 6.4×
920
Complications of treatment with cc
23
$91,281
$9,827
9.3× st 6.4×
327
Stomach, esophageal and duodenal procedures with cc
22
$229,528
$26,803
8.6× st 7.5×
038
Extracranial procedures with cc
22
$149,086
$15,699
9.5× st 7.2×
074
Cranial and peripheral nerve disorders without mcc
22
$74,367
$10,947
6.8× st 6.1×
884
Organic disturbances and intellectual disability
21
$167,081
$17,081
9.8× st 4.5×
186
Pleural effusion with mcc
21
$107,156
$14,167
7.6× st 7.4×
644
Endocrine disorders with cc
21
$88,925
$10,624
8.4× st 5.6×
445
Disorders of the biliary tract with cc
20
$97,277
$11,461
8.5× st 6.8×
813
Coagulation disorders
20
$74,967
$14,900
5.0× st 6.5×
657
Kidney and ureter procedures for neoplasm with cc
20
$156,518
$20,188
7.8× st 7.2×
444
Disorders of the biliary tract with mcc
20
$136,574
$17,461
7.8× st 6.7×
070
Other cerebrovascular disorders with mcc
20
$128,249
$19,743
6.5× st 6.0×
056
Degenerative nervous system disorders with mcc
19
$237,916
$26,182
9.1× st 5.3×
556
Signs and symptoms of musculoskeletal system and connective tissue without mcc
19
$66,449
$8,813
7.5× st 5.5×
039
Extracranial procedures without cc/mcc
19
$123,613
$11,818
10.5× st 8.0×
551
Medical back problems with mcc
19
$94,091
$15,613
6.0× st 5.7×
035
Carotid artery stent procedures with cc
19
$192,162
$25,061
7.7× st 5.6×
165
Major chest procedures without cc/mcc
19
$137,506
$17,278
8.0× st 6.2×
233
Coronary bypass with cardiac catheterization or open ablation with mcc
19
$535,247
$67,283
8.0× st 6.3×
244
Permanent cardiac pacemaker implant without cc/mcc
19
$136,845
$18,053
7.6× st 6.5×
273
Percutaneous and other intracardiac procedures with mcc
19
$272,831
$37,060
7.4× st 7.4×
269
Aortic and heart assist procedures except pulsation balloon without mcc
18
$377,234
$37,495
10.1× st 6.0×
328
Stomach, esophageal and duodenal procedures without cc/mcc
18
$131,659
$16,229
8.1× st 6.1×
435
Malignancy of hepatobiliary system or pancreas with mcc
18
$155,350
$17,355
9.0× st 7.1×
082
Traumatic stupor and coma >1 hour with mcc
18
$166,558
$20,738
8.0× st 5.6×
643
Endocrine disorders with mcc
18
$124,294
$15,656
7.9× st 5.4×
299
Peripheral vascular disorders with mcc
18
$79,617
$14,746
5.4× st 5.8×
236
Coronary bypass without cardiac catheterization without mcc
18
$339,460
$39,912
8.5× st 5.6×
229
Other cardiothoracic procedures without mcc
18
$275,612
$29,135
9.5× st 7.2×
239
Amputation for circulatory system disorders except upper limb and toe with mcc
17
$403,839
$48,180
8.4× st 7.5×
948
Signs and symptoms without mcc
17
$61,388
$8,163
7.5× st 6.1×
277
Cardiac defibrillator implant without mcc
17
$353,055
$46,454
7.6× st 7.8×
085
Traumatic stupor and coma <1 hour with mcc
17
$132,028
$19,782
6.7× st 5.9×
326
Stomach, esophageal and duodenal procedures with mcc
16
$334,434
$44,794
7.5× st 6.8×
071
Other cerebrovascular disorders with cc
16
$79,976
$10,234
7.8× st 6.2×
554
Bone diseases and arthropathies without mcc
16
$60,111
$8,407
7.2× st 5.1×
565
Other musculoskeletal system and connective tissue diagnoses with cc
16
$74,221
$11,993
6.2× st 5.1×
856
Postoperative or post-traumatic infections with o.r. procedures with mcc
16
$268,813
$39,752
6.8× st 6.3×
149
Dysequilibrium
16
$65,180
$7,524
8.7× st 6.2×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
15
$184,232
$18,601
9.9× st 5.9×
166
Other respiratory system o.r. procedures with mcc
15
$277,191
$35,732
7.8× st 5.9×
069
Transient ischemia without thrombolytic
15
$74,577
$8,236
9.1× st 6.4×
306
Cardiac congenital and valvular disorders with mcc
15
$86,754
$18,176
4.8× st 7.1×
483
Major joint or limb reattachment procedures of upper extremities
15
$191,372
$25,761
7.4× st 5.0×
919
Complications of treatment with mcc
14
$153,293
$18,552
8.3× st 5.9×
602
Cellulitis with mcc
14
$103,000
$14,484
7.1× st 4.9×
280
Acute myocardial infarction, discharged alive with mcc
14
$132,328
$15,441
8.6× st 5.2×
388
Gastrointestinal obstruction with mcc
14
$97,513
$15,607
6.2× st 6.1×
536
Fractures of hip and pelvis without mcc
14
$58,950
$7,860
7.5× st 5.8×
093
Other disorders of nervous system without cc/mcc
14
$69,587
$8,031
8.7× st 6.7×
386
Inflammatory bowel disease with cc
13
$82,939
$10,882
7.6× st 6.9×
713
Transurethral prostatectomy with cc/mcc
13
$91,713
$13,769
6.7× st 6.4×
292
Heart failure and shock with cc
13
$56,392
$8,580
6.6× st 7.5×
956
Limb reattachment, hip and femur procedures for multiple significant trauma
13
$234,558
$30,035
7.8× st 5.4×
228
Other cardiothoracic procedures with mcc
13
$354,158
$46,187
7.7× st 9.0×
103
Headaches without mcc
13
$80,068
$9,263
8.6× st 4.6×
054
Nervous system neoplasms with mcc
13
$195,649
$17,905
10.9× st 6.5×
907
Other o.r. procedures for injuries with mcc
13
$348,846
$49,354
7.1× st 7.3×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
13
$175,931
$30,445
5.8× st 6.0×
468
Revision of hip or knee replacement without cc/mcc
13
$194,155
$28,042
6.9× st 5.0×
432
Cirrhosis and alcoholic hepatitis with mcc
13
$112,055
$21,786
5.1× st 5.9×
196
Interstitial lung disease with mcc
12
$113,229
$19,455
5.8× st 6.2×
516
Other musculoskeletal system and connective tissue o.r. procedures with cc
12
$160,744
$30,134
5.3× st 5.1×
908
Other o.r. procedures for injuries with cc
12
$127,769
$19,961
6.4× st 6.3×
464
Wound debridement and skin graft except hand for musculoskeletal and connective tissue d
12
$167,678
$24,071
7.0× st 6.1×
880
Acute adjustment reaction and psychosocial dysfunction
12
$77,861
$9,134
8.5× st 5.6×
240
Amputation for circulatory system disorders except upper limb and toe with cc
12
$232,536
$24,167
9.6× st 7.7×
862
Postoperative and post-traumatic infections with mcc
12
$105,208
$16,389
6.4× st 6.0×
418
Laparoscopic cholecystectomy without c.d.e. with cc
12
$147,304
$15,690
9.4× st 6.5×
264
Other circulatory system o.r. procedures
11
$130,775
$28,863
4.5× st 5.7×
405
Pancreas, liver and shunt procedures with mcc
11
$462,351
$48,794
9.5× st 6.9×
406
Pancreas, liver and shunt procedures with cc
11
$250,334
$26,721
9.4× st 6.8×
027
Craniotomy and endovascular intracranial procedures without cc/mcc
11
$200,933
$28,347
7.1× st 7.0×
372
Major gastrointestinal disorders and peritoneal infections with cc
11
$88,663
$10,393
8.5× st 5.8×
669
Transurethral procedures with cc
11
$115,284
$14,757
7.8× st 7.8×
840
Lymphoma and non-acute leukemia with mcc
11
$160,540
$30,480
5.3× st 6.7×
673
Other kidney and urinary tract procedures with mcc
11
$236,664
$34,367
6.9× st 5.9×
004
Tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck withou
11
$881,002
$115,936
7.6× st 6.3×
205
Other respiratory system diagnoses with mcc
11
$80,881
$16,379
4.9× st 8.9×
433
Cirrhosis and alcoholic hepatitis with cc
11
$80,281
$12,465
6.4× st 7.4×
542
Pathological fractures and musculoskeletal and connective tissue malignancy with mcc
11
$84,691
$15,667
5.4× st 7.1×
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
5302
Level 2 Upper GI Procedures
470
$18,570
$1,843
10.1×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
441
$15,697
$1,570
10.0×
5431
Level 1 Nerve Procedures
401
$14,378
$1,857
7.7×
5115
Level 5 Musculoskeletal Procedures
372
$90,665
$12,473
7.3×
5373
Level 3 Urology and Related Services
370
$28,351
$1,976
14.3×
8011
Comprehensive Observation Services
363
$32,554
$2,599
12.5×
5191
Level 1 Endovascular Procedures
269
$39,672
$3,141
12.6×
5375
Level 5 Urology and Related Services
261
$55,966
$4,970
11.3×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
191
$36,432
$2,665
13.7×
5114
Level 4 Musculoskeletal Procedures
190
$71,747
$6,900
10.4×
5183
Level 3 Vascular Procedures
182
$29,055
$3,025
9.6×
5374
Level 4 Urology and Related Services
172
$39,655
$3,337
11.9×
5213
Level 3 Electrophysiologic Procedures
164
$199,367
$22,972
8.7×
5112
Level 2 Musculoskeletal Procedures
158
$12,785
$1,543
8.3×
5361
Level 1 Laparoscopy and Related Services
155
$64,045
$5,599
11.4×
5362
Level 2 Laparoscopy and Related Services
148
$99,309
$9,884
10.0×
5113
Level 3 Musculoskeletal Procedures
136
$36,282
$3,033
12.0×
5222
Level 2 Pacemaker and Similar Procedures
125
$68,988
$8,232
8.4×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
116
$38,262
$3,351
11.4×
5154
Level 4 Airway Endoscopy
106
$53,486
$3,625
14.8×
5223
Level 3 Pacemaker and Similar Procedures
102
$65,295
$10,405
6.3×
5193
Level 3 Endovascular Procedures
102
$93,041
$10,541
8.8×
5192
Level 2 Endovascular Procedures
88
$56,813
$5,527
10.3×
5116
Level 6 Musculoskeletal Procedures
79
$143,374
$17,718
8.1×
5372
Level 2 Urology and Related Services
73
$4,989
$645
7.7×
5414
Level 4 Gynecologic Procedures
71
$37,626
$2,981
12.6×
5331
Complex GI Procedures
65
$50,399
$4,827
10.4×
5303
Level 3 Upper GI Procedures
64
$32,861
$3,630
9.1×
5416
Level 6 Gynecologic Procedures
61
$76,008
$7,370
10.3×
5165
Level 5 ENT Procedures
59
$71,739
$5,712
12.6×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
56
$47,105
$3,718
12.7×
5184
Level 4 Vascular Procedures
56
$72,358
$5,284
13.7×
5182
Level 2 Vascular Procedures
54
$8,748
$1,435
6.1×
5313
Level 3 Lower GI Procedures
53
$31,207
$2,656
11.8×
5232
Level 2 ICD and Similar Procedures
51
$217,527
$30,800
7.1×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
49
$78,652
$6,257
12.6×
5155
Level 5 Airway Endoscopy
48
$70,913
$6,676
10.6×
5194
Level 4 Endovascular Procedures
43
$140,406
$16,868
8.3×
5153
Level 3 Airway Endoscopy
41
$29,517
$1,656
17.8×
5465
Level 5 Neurostimulator and Related Procedures
39
$232,106
$29,467
7.9×
5415
Level 5 Gynecologic Procedures
39
$51,436
$4,841
10.6×
5164
Level 4 ENT Procedures
27
$49,581
$3,048
16.3×
5224
Level 4 Pacemaker and Similar Procedures
26
$126,912
$18,960
6.7×
5464
Level 4 Neurostimulator and Related Procedures
26
$214,185
$21,282
10.1×
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5881
Ancillary Outpatient Services When Patient Dies
—
—
—
—
5471
Implantation of Drug Infusion Device
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5166
Cochlear Implant Procedure
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
03 · Checks
Where the Medicare rows do not agree with themselves
Service
Severity
Rule
Detail
MS-DRG 039
info
inp_charge_10x_payment
average charge $123,613 is 10.5× the total payment
MS-DRG 054
info
inp_charge_10x_payment
average charge $195,649 is 10.9× the total payment
MS-DRG 064
info
inp_charge_10x_payment
average charge $211,199 is 10.6× the total payment
MS-DRG 100
info
inp_charge_10x_payment
average charge $192,561 is 10.3× the total payment
MS-DRG 101
info
inp_charge_10x_payment
average charge $106,548 is 11.1× the total payment
MS-DRG 267
info
inp_charge_10x_payment
average charge $463,112 is 10.0× the total payment
MS-DRG 269
info
inp_charge_10x_payment
average charge $377,234 is 10.1× the total payment
MS-DRG 885
info
inp_charge_10x_payment
average charge $200,947 is 12.7× 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.