Hospital · CCN 390335
St Luke's Hospital - Carbon Campus
500 St Luke's Drive, Lehighton, PA 18235 · Carbon County
Part of Saint Lukes University Health Network · 52 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater
30 admission types 39 outpatient services 4 Medicare-file findings
Billed per dollar paid, all admissions
8.26×
$75.9M billed against $9.2M paid across 830 Medicare discharges; the national figure is 5.03×.
3.8%
of adults in Carbon County have medical debt in collections
6.8%
uninsured in the county · state 6.5%
$65K
median household income
8.3×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 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
170
$127,114
$15,240
8.3× st 5.2×
291
Heart failure and shock with mcc
103
$73,692
$9,621
7.7× st 5.2×
683
Renal failure with cc
44
$61,732
$7,010
8.8× st 5.4×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
39
$63,027
$7,168
8.8× st 5.7×
189
Pulmonary edema and respiratory failure
39
$72,705
$10,796
6.7× st 5.9×
177
Respiratory infections and inflammations with mcc
32
$114,501
$12,386
9.2× st 5.2×
872
Septicemia or severe sepsis without mv >96 hours without mcc
31
$69,598
$8,495
8.2× st 5.5×
378
Gastrointestinal hemorrhage with cc
24
$69,866
$7,246
9.6× st 6.1×
092
Other disorders of nervous system with cc
23
$81,056
$8,222
9.9× st 6.1×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
21
$127,427
$14,593
8.7× st 5.0×
689
Kidney and urinary tract infections with mcc
20
$73,674
$8,866
8.3× st 5.3×
603
Cellulitis without mcc
20
$48,840
$6,419
7.6× st 4.9×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
20
$116,714
$11,256
10.4× st 5.6×
690
Kidney and urinary tract infections without mcc
19
$57,934
$6,443
9.0× st 5.3×
682
Renal failure with mcc
19
$87,398
$11,423
7.7× st 5.4×
057
Degenerative nervous system disorders without mcc
19
$77,415
$11,479
6.7× st 5.1×
193
Simple pneumonia and pleurisy with mcc
19
$66,904
$9,368
7.1× st 5.3×
853
Infectious and parasitic diseases with o.r. procedures with mcc
17
$221,889
$29,635
7.5× st 5.3×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
16
$74,668
$7,509
9.9× st 6.3×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
15
$74,037
$9,813
7.5× st 5.8×
314
Other circulatory system diagnoses with mcc
14
$109,634
$14,662
7.5× st 5.8×
377
Gastrointestinal hemorrhage with mcc
13
$97,455
$13,941
7.0× st 5.9×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
13
$60,798
$6,052
10.0× st 5.7×
389
Gastrointestinal obstruction with cc
13
$61,944
$7,371
8.4× st 5.8×
190
Chronic obstructive pulmonary disease with mcc
12
$64,174
$8,606
7.5× st 5.5×
552
Medical back problems without mcc
11
$66,253
$7,917
8.4× st 5.5×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
11
$72,619
$6,755
10.8× st 5.4×
698
Other kidney and urinary tract diagnoses with mcc
11
$94,931
$11,370
8.3× st 5.2×
175
Pulmonary embolism with mcc or acute cor pulmonale
11
$159,054
$12,437
12.8× st 6.2×
393
Other digestive system diagnoses with mcc
11
$70,227
$12,338
5.7× st 5.6×
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
183
$33,349
$2,495
13.4×
5361
Level 1 Laparoscopy and Related Services
39
$62,032
$5,044
12.3×
5373
Level 3 Urology and Related Services
38
$23,945
$1,856
12.9×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
37
$23,486
$1,478
15.9×
5183
Level 3 Vascular Procedures
32
$28,782
$2,833
10.2×
5302
Level 2 Upper GI Procedures
32
$16,969
$1,734
9.8×
5374
Level 4 Urology and Related Services
28
$47,255
$3,177
14.9×
5375
Level 5 Urology and Related Services
26
$65,967
$4,716
14.0×
5222
Level 2 Pacemaker and Similar Procedures
26
$49,063
$7,743
6.3×
5491
Level 1 Intraocular Procedures
26
$27,010
$2,124
12.7×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
23
$38,118
$3,153
12.1×
5113
Level 3 Musculoskeletal Procedures
22
$32,030
$2,843
11.3×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
19
$50,904
$2,481
20.5×
5114
Level 4 Musculoskeletal Procedures
19
$69,945
$5,512
12.7×
5182
Level 2 Vascular Procedures
17
$10,169
$1,409
7.2×
5193
Level 3 Endovascular Procedures
15
$93,678
$9,459
9.9×
5112
Level 2 Musculoskeletal Procedures
14
$18,108
$1,465
12.4×
5115
Level 5 Musculoskeletal Procedures
14
$96,929
$11,240
8.6×
5192
Level 2 Endovascular Procedures
14
$39,302
$5,209
7.5×
5223
Level 3 Pacemaker and Similar Procedures
13
$62,521
$9,725
6.4×
5376
Level 6 Urology and Related Services
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
03 · Checks
Where the Medicare rows do not agree with themselves
Service
Severity
Rule
Detail
MS-DRG 175
info
inp_charge_10x_payment
average charge $159,054 is 12.8× the total payment
MS-DRG 563
info
inp_charge_10x_payment
average charge $72,619 is 10.8× the total payment
MS-DRG 640
info
inp_charge_10x_payment
average charge $116,714 is 10.4× the total payment
MS-DRG 641
info
inp_charge_10x_payment
average charge $60,798 is 10.0× 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.