CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Lehigh Valley Hospital - Pocono

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$17,500
about 1.4× the $12,807 Medicare rate · typically $14,516–$22,096
modeled estimate · not a bill or quote
What this hospital charges insurers
$22,134
Above the fair price
about $4,634 over the fair price · 1.7× Medicare
Medicare pays $12,807 Fair price $17,500 This hospital $22,134

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $6,351 Priciest $22,134

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

A fair price for a Heart stent placement (inpatient stay) is about $17,500 (about 1.4× the $12,807 Medicare rate). Lehigh Valley Hospital - Pocono charges insurers about $22,134 — above the fair price. Located in East Stroudsburg, PA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $17,500. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $15,213 - $39,024 119%
Blue Cross Blue Shieldmajor $14,921 - $49,333 117%
Aetnamajor $15,359 - $32,911 120%
Cignamajor $15,067 - $54,690 118%
Humanamajor $15,506 121%
Ambetter (Centene) $33,719 263%
AmeriHealth $15,067 118%
Devoted Health $15,506 121%
Geisinger $15,359 - $34,924 120%
HealthPartners $15,359 - $25,799 120%
UPMC Health Plan $15,506 - $32,468 121%
+ 4 smaller / regional plans $15,067 - $56,369

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 206 East Brown Street, East Stroudsburg, PA 18301
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals