Pennsylvania / Lehigh Valley Hospital - Dickson City

CMS certification 390338 · Dickson City, PA · 1 entry in CMS's price-transparency list

Lehigh Valley Hospital - Dickson City: charges and Medicare payments

Lehigh Valley Hospital - Dickson City reported 445 Medicare inpatient stays across 21 DRGs in 2024. Across them it charged 6.49 times what it was paid — among the higher ratios in Pennsylvania, number 25 of 117 hospitals with at least 100 stays (state median 4.27×, national 4.15×). Its most frequent stay was DRG 470, Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC: 89 stays at an average charge of $100,945, 8% above the national average. It also billed 1,330 outpatient services, charging 8.3 times what Medicare paid.

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  1. 1Medicare inpatient stays 445
  2. 2Charge ÷ paid, inpatient 6.49×
  3. 3Rank in PA (highest ratio = 1) 25 of 117
  4. 4CMS price-transparency actions 1
DRG 470$100,945DRG 871$61,848DRG 481$121,425DRG 690$36,163DRG 291$55,864DRG 603$34,921DRG 522$129,043DRG 177$69,974DRG 193$55,400DRG 872$41,978
Average charge per stay at Lehigh Valley Hospital - Dickson City, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 21 DRGs that can be compared with the national average, Lehigh Valley Hospital - Dickson City charged more than the national average in 7 (33%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
470 Major Hip and Knee Joint Replacement or Reattachment of...89$100,945+8%$13,820
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC37$61,848-32%$13,748
481 Hip and Femur Procedures except Major Joint with CC26$121,425+21%$15,190
690 Kidney and Urinary Tract Infections without MCC26$36,163-4%$7,740
291 Heart Failure and Shock with MCC21$55,864-1%$10,634
603 Cellulitis without MCC21$34,921-6%$7,541
522 Hip Replacement with Principal Diagnosis of Hip Fracture...20$129,043+26%$14,541
177 Respiratory Infections and Inflammations with MCC19$69,974-1%$12,370
193 Simple Pneumonia and Pleurisy with MCC19$55,400-7%$9,160
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC18$41,978-14%$7,784
467 Revision of Hip or Knee Replacement with CC16$164,151+4%$23,998
683 Renal Failure with CC16$39,363-3%$7,182
468 Revision of Hip or Knee Replacement without CC/MCC15$170,994+38%$19,116
552 Medical Back Problems without MCC15$30,197-38%$8,011
689 Kidney and Urinary Tract Infections with MCC15$38,549-25%$8,475
194 Simple Pneumonia and Pleurisy with CC13$36,149-6%$7,643
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...13$30,128-25%$6,288
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...13$33,130-22%$7,295
460 Spinal Fusion except Cervical without MCC11$153,355-10%$19,649
482 Hip and Femur Procedures except Major Joint without CC/MCC11$89,293+15%$10,910
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...11$37,902+2%$6,341

Outpatient services

Against the Pennsylvania average

For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Lehigh Valley Hospital - Dickson City charged $100,945 on average, 31% more than the Pennsylvania average of $77,050, and was paid $13,820 against a state average of $15,450. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Lehigh Valley Hospital - Dickson City charged $61,848 on average, 30% less than the Pennsylvania average of $88,167, and was paid $13,748 against a state average of $16,881. For Hip and Femur Procedures except Major Joint with CC (DRG 481), Lehigh Valley Hospital - Dickson City charged $121,425 on average, 17% more than the Pennsylvania average of $103,609, and was paid $15,190 against a state average of $17,414. For Kidney and Urinary Tract Infections without MCC (DRG 690), Lehigh Valley Hospital - Dickson City charged $36,163 on average, 1% less than the Pennsylvania average of $36,664, and was paid $7,740 against a state average of $7,034. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $75,059 was 18% above the state average of $63,627. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $47,386 was 0% below the state average of $47,486. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $11,981 was 5% below the state average of $12,623. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $42,653 was 6% above the state average of $40,125.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Lehigh Valley Hospital - Dickson City in Dickson City, PA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.

Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.

Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.