Pennsylvania / St Luke's Hospital - Upper Bucks Campus
CMS certification 390035 · Quakertown, PA
St Luke's Hospital - Upper Bucks Campus: charges and Medicare payments
St Luke's Hospital - Upper Bucks Campus reported 1,113 Medicare inpatient stays across 36 DRGs in 2024. Across them it charged 8.76 times what it was paid — among the higher ratios in Pennsylvania, number 6 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: 240 stays at an average charge of $136,608, 51% above the national average. It also billed 882 outpatient services, charging 12.2 times what Medicare paid.
- 1Medicare inpatient stays 1,113
- 2Charge ÷ paid, inpatient 8.76×
- 3Rank in PA (highest ratio = 1) 6 of 117
- 4CMS price-transparency actions 0
Inpatient stays
For the 36 DRGs that can be compared with the national average, St Luke's Hospital - Upper Bucks Campus charged more than the national average in 35 (97%). 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 | 240 | $136,608 | +51% | $16,900 |
| 291 Heart Failure and Shock with MCC | 104 | $100,093 | +78% | $11,025 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 60 | $87,490 | +78% | $9,120 |
| 885 Psychoses | 50 | $153,085 | +248% | $13,474 |
| 690 Kidney and Urinary Tract Infections without MCC | 43 | $69,258 | +83% | $7,198 |
| 189 Pulmonary Edema and Respiratory Failure | 42 | $96,343 | +67% | $10,943 |
| 682 Renal Failure with MCC | 38 | $110,059 | +67% | $12,555 |
| 689 Kidney and Urinary Tract Infections with MCC | 36 | $85,073 | +66% | $9,975 |
| 683 Renal Failure with CC | 31 | $64,638 | +59% | $8,493 |
| 177 Respiratory Infections and Inflammations with MCC | 30 | $107,224 | +52% | $14,911 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 29 | $75,186 | +87% | $6,930 |
| 378 Gastrointestinal Hemorrhage with CC | 28 | $93,339 | +92% | $8,610 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 27 | $62,621 | +69% | $6,684 |
| 603 Cellulitis without MCC | 26 | $57,230 | +53% | $7,573 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 25 | $151,476 | +63% | $16,074 |
| 193 Simple Pneumonia and Pleurisy with MCC | 22 | $99,126 | +66% | $11,189 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 22 | $63,739 | +76% | $6,358 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 21 | $159,931 | +118% | $13,943 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 18 | $82,393 | +48% | $8,885 |
| 092 Other Disorders of Nervous System with CC | 17 | $71,738 | +39% | $8,777 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 17 | $311,728 | +36% | $41,393 |
| 377 Gastrointestinal Hemorrhage with MCC | 15 | $134,086 | +57% | $14,691 |
| 057 Degenerative Nervous System Disorders without MCC | 14 | $88,845 | +57% | $11,798 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 14 | $163,949 | +60% | $18,000 |
| 552 Medical Back Problems without MCC | 14 | $63,532 | +30% | $8,283 |
| 178 Respiratory Infections and Inflammations with CC | 13 | $81,242 | +79% | $9,351 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 13 | $92,658 | +95% | $8,443 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 12 | $91,830 | -8% | $16,111 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 12 | $117,358 | +80% | $12,643 |
| 194 Simple Pneumonia and Pleurisy with CC | 12 | $84,067 | +119% | $7,494 |
| 389 Gastrointestinal Obstruction with CC | 12 | $66,093 | +70% | $7,389 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $77,155 | +28% | $11,023 |
| 202 Bronchitis and Asthma with CC/MCC | 11 | $101,415 | +120% | $8,280 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $80,239 | +31% | $10,898 |
| 439 Disorders of Pancreas except Malignancy with CC | 11 | $70,076 | +61% | $7,899 |
| 481 Hip and Femur Procedures except Major Joint with CC | 11 | $166,007 | +65% | $18,372 |
Outpatient services
Against the Pennsylvania average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Luke's Hospital - Upper Bucks Campus charged $136,608 on average, 55% more than the Pennsylvania average of $88,167, and was paid $16,900 against a state average of $16,881. For Heart Failure and Shock with MCC (DRG 291), St Luke's Hospital - Upper Bucks Campus charged $100,093 on average, 74% more than the Pennsylvania average of $57,362, and was paid $11,025 against a state average of $11,112. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), St Luke's Hospital - Upper Bucks Campus charged $87,490 on average, 76% more than the Pennsylvania average of $49,758, and was paid $9,120 against a state average of $9,077. For Psychoses (DRG 885), St Luke's Hospital - Upper Bucks Campus charged $153,085 on average, 140% more than the Pennsylvania average of $63,773, and was paid $13,474 against a state average of $13,207. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $39,613 was 82% above the state average of $21,732. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $11,596 was 8% below the state average of $12,623. For Level 2 Musculoskeletal Procedures (outpatient APC 5112), its average charge of $13,566 was 9% above the state average of $12,460. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $95,950 was 51% above the state average of $63,627.
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.