Pennsylvania / Lehigh Valley Hospital - Hazleton
CMS certification 390185 · Hazleton, PA · 1 entry in CMS's price-transparency list
Lehigh Valley Hospital - Hazleton: charges and Medicare payments
Lehigh Valley Hospital - Hazleton reported 970 Medicare inpatient stays across 36 DRGs in 2024. Across them it charged 6.02 times what it was paid — among the higher ratios in Pennsylvania, number 30 of 117 hospitals with at least 100 stays (state median 4.27×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 171 stays at an average charge of $79,592, 12% below the national average. It also billed 514 outpatient services, charging 11.57 times what Medicare paid.
- 1Medicare inpatient stays 970
- 2Charge ÷ paid, inpatient 6.02×
- 3Rank in PA (highest ratio = 1) 30 of 117
- 4CMS price-transparency actions 1
Inpatient stays
For the 36 DRGs that can be compared with the national average, Lehigh Valley Hospital - Hazleton charged more than the national average in 8 (22%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 171 | $79,592 | -12% | $13,208 |
| 291 Heart Failure and Shock with MCC | 124 | $50,068 | -11% | $9,338 |
| 682 Renal Failure with MCC | 43 | $58,965 | -11% | $10,604 |
| 683 Renal Failure with CC | 41 | $39,500 | -3% | $6,545 |
| 193 Simple Pneumonia and Pleurisy with MCC | 39 | $54,807 | -8% | $9,391 |
| 689 Kidney and Urinary Tract Infections with MCC | 32 | $45,045 | -12% | $8,132 |
| 690 Kidney and Urinary Tract Infections without MCC | 32 | $33,965 | -10% | $5,725 |
| 189 Pulmonary Edema and Respiratory Failure | 30 | $52,623 | -9% | $8,607 |
| 177 Respiratory Infections and Inflammations with MCC | 27 | $51,392 | -27% | $11,245 |
| 378 Gastrointestinal Hemorrhage with CC | 26 | $39,313 | -19% | $6,868 |
| 312 Syncope and Collapse | 24 | $42,945 | -6% | $6,225 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 24 | $73,231 | 0% | $11,508 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 22 | $39,151 | -3% | $5,990 |
| 884 Organic Disturbances and Intellectual Disability | 22 | $37,740 | -40% | $10,932 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 21 | $44,563 | -12% | $7,707 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 19 | $34,820 | -4% | $5,729 |
| 603 Cellulitis without MCC | 19 | $35,040 | -6% | $6,430 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 17 | $52,557 | -6% | $7,652 |
| 389 Gastrointestinal Obstruction with CC | 17 | $49,319 | +27% | $5,751 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 16 | $40,072 | +1% | $6,022 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 16 | $100,739 | +8% | $13,411 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 15 | $42,692 | -25% | $8,479 |
| 377 Gastrointestinal Hemorrhage with MCC | 15 | $83,683 | -2% | $12,057 |
| 552 Medical Back Problems without MCC | 15 | $45,058 | -8% | $6,838 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 14 | $56,744 | -25% | $10,378 |
| 481 Hip and Femur Procedures except Major Joint with CC | 14 | $115,002 | +14% | $14,335 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 13 | $291,275 | +27% | $39,929 |
| 057 Degenerative Nervous System Disorders without MCC | 12 | $63,944 | +13% | $9,952 |
| 178 Respiratory Infections and Inflammations with CC | 12 | $43,514 | -4% | $7,058 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $31,466 | -15% | $5,441 |
| 069 Transient Ischemia without Thrombolytic | 11 | $47,390 | -6% | $5,762 |
| 300 Peripheral Vascular Disorders with CC | 11 | $37,657 | -24% | $8,093 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $57,157 | -6% | $9,060 |
| 467 Revision of Hip or Knee Replacement with CC | 11 | $167,369 | +6% | $25,449 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 11 | $41,053 | -32% | $9,128 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 11 | $54,168 | +10% | $7,039 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 105 | $22,086 | $2,410 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 67 | $20,810 | $1,414 |
| Level 5 Musculoskeletal Procedures | 54 | $89,398 | $11,740 |
| Level 3 Vascular Procedures | 46 | $40,312 | $2,847 |
| Level 1 Laparoscopy and Related Services | 41 | $49,128 | $5,154 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 38 | $28,755 | $2,538 |
| Level 3 Musculoskeletal Procedures | 27 | $21,733 | $2,891 |
| Level 4 Musculoskeletal Procedures | 18 | $69,977 | $5,824 |
| Level 2 Urology and Related Services | 18 | $4,378 | $610 |
| Level 5 Urology and Related Services | 17 | $36,118 | $4,622 |
| Level 3 Urology and Related Services | 16 | $26,964 | $1,819 |
| Level 2 Upper GI Procedures | 15 | $19,688 | $1,700 |
| Level 2 Vascular Procedures | 14 | $17,426 | $1,431 |
| Level 2 Endovascular Procedures | 13 | $30,473 | $5,105 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 13 | $25,644 | $3,090 |
| Level 4 Urology and Related Services | 12 | $25,176 | $3,114 |
Against the Pennsylvania average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Lehigh Valley Hospital - Hazleton charged $79,592 on average, 10% less than the Pennsylvania average of $88,167, and was paid $13,208 against a state average of $16,881. For Heart Failure and Shock with MCC (DRG 291), Lehigh Valley Hospital - Hazleton charged $50,068 on average, 13% less than the Pennsylvania average of $57,362, and was paid $9,338 against a state average of $11,112. For Renal Failure with MCC (DRG 682), Lehigh Valley Hospital - Hazleton charged $58,965 on average, 14% less than the Pennsylvania average of $68,711, and was paid $10,604 against a state average of $12,876. For Renal Failure with CC (DRG 683), Lehigh Valley Hospital - Hazleton charged $39,500 on average, 6% less than the Pennsylvania average of $42,240, and was paid $6,545 against a state average of $7,926. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $22,086 was 2% above the state average of $21,732. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $20,810 was 52% above the state average of $13,651. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $89,398 was 41% above the state average of $63,627. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $40,312 was 77% above the state average of $22,799.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Lehigh Valley Hospital - Hazleton in Hazleton, PA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-07-18 (CMS case 5851)
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.