Pennsylvania / St Luke's Hospital - Carbon Campus
CMS certification 390335 · Lehighton, PA
St Luke's Hospital - Carbon Campus: charges and Medicare payments
St Luke's Hospital - Carbon Campus reported 830 Medicare inpatient stays across 30 DRGs in 2024. Across them it charged 8.26 times what it was paid — among the higher ratios in Pennsylvania, number 8 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: 170 stays at an average charge of $127,114, 41% above the national average. It also billed 637 outpatient services, charging 14.13 times what Medicare paid.
- 1Medicare inpatient stays 830
- 2Charge ÷ paid, inpatient 8.26×
- 3Rank in PA (highest ratio = 1) 8 of 117
- 4CMS price-transparency actions 0
Inpatient stays
For the 30 DRGs that can be compared with the national average, St Luke's Hospital - Carbon Campus charged more than the national average in 28 (93%). 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 | 170 | $127,114 | +41% | $15,240 |
| 291 Heart Failure and Shock with MCC | 103 | $73,692 | +31% | $9,621 |
| 683 Renal Failure with CC | 44 | $61,732 | +52% | $7,010 |
| 189 Pulmonary Edema and Respiratory Failure | 39 | $72,705 | +26% | $10,796 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 39 | $63,027 | +57% | $7,168 |
| 177 Respiratory Infections and Inflammations with MCC | 32 | $114,501 | +62% | $12,386 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 31 | $69,598 | +42% | $8,495 |
| 378 Gastrointestinal Hemorrhage with CC | 24 | $69,866 | +44% | $7,246 |
| 092 Other Disorders of Nervous System with CC | 23 | $81,056 | +57% | $8,222 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 21 | $127,427 | +37% | $14,593 |
| 603 Cellulitis without MCC | 20 | $48,840 | +31% | $6,419 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 20 | $116,714 | +94% | $11,256 |
| 689 Kidney and Urinary Tract Infections with MCC | 20 | $73,674 | +44% | $8,866 |
| 057 Degenerative Nervous System Disorders without MCC | 19 | $77,415 | +37% | $11,479 |
| 193 Simple Pneumonia and Pleurisy with MCC | 19 | $66,904 | +12% | $9,368 |
| 682 Renal Failure with MCC | 19 | $87,398 | +33% | $11,423 |
| 690 Kidney and Urinary Tract Infections without MCC | 19 | $57,934 | +53% | $6,443 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 17 | $221,889 | -3% | $29,635 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 16 | $74,668 | +34% | $7,509 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 15 | $74,037 | +21% | $9,813 |
| 314 Other Circulatory System Diagnoses with MCC | 14 | $109,634 | +16% | $14,662 |
| 377 Gastrointestinal Hemorrhage with MCC | 13 | $97,455 | +14% | $13,941 |
| 389 Gastrointestinal Obstruction with CC | 13 | $61,944 | +59% | $7,371 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $60,798 | +64% | $6,052 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 12 | $64,174 | +27% | $8,606 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 11 | $159,054 | +144% | $12,437 |
| 393 Other Digestive System Diagnoses with MCC | 11 | $70,227 | -9% | $12,338 |
| 552 Medical Back Problems without MCC | 11 | $66,253 | +36% | $7,917 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 11 | $72,619 | +70% | $6,755 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 11 | $94,931 | +29% | $11,370 |
Outpatient services
Against the Pennsylvania average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Luke's Hospital - Carbon Campus charged $127,114 on average, 44% more than the Pennsylvania average of $88,167, and was paid $15,240 against a state average of $16,881. For Heart Failure and Shock with MCC (DRG 291), St Luke's Hospital - Carbon Campus charged $73,692 on average, 28% more than the Pennsylvania average of $57,362, and was paid $9,621 against a state average of $11,112. For Renal Failure with CC (DRG 683), St Luke's Hospital - Carbon Campus charged $61,732 on average, 46% more than the Pennsylvania average of $42,240, and was paid $7,010 against a state average of $7,926. For Pulmonary Edema and Respiratory Failure (DRG 189), St Luke's Hospital - Carbon Campus charged $72,705 on average, 11% more than the Pennsylvania average of $65,329, and was paid $10,796 against a state average of $11,268. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $33,349 was 53% above the state average of $21,732. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $62,032 was 55% above the state average of $40,125. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $23,945 was 45% above the state average of $16,557. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $23,486 was 72% above the state average of $13,651.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
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.