CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Lehigh Valley Hospital - Pocono

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$28,363
about 1.2× the $23,504 Medicare rate · typically $23,393–$36,020
modeled estimate · not a bill or quote
What this hospital charges insurers
$31,046
About the fair price
about $2,683 over the fair price · 1.3× Medicare
Medicare pays $23,504 Fair price $28,363 This hospital $31,046

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 $11,459 Priciest $31,046

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

A fair price for a Spinal fusion, single level (inpatient stay) is about $28,363 (about 1.2× the $23,504 Medicare rate). Lehigh Valley Hospital - Pocono charges insurers about $31,046 — about the fair price. Located in East Stroudsburg, PA.

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 $25,575 - $66,565 109%
Blue Cross Blue Shieldmajor $25,083 - $83,787 107%
Aetnamajor $25,821 - $56,137 110%
Cignamajor $25,329 - $93,287 108%
Humanamajor $26,067 111%
Ambetter (Centene) $56,685 241%
AmeriHealth $25,329 108%
Devoted Health $26,067 111%
Geisinger $25,821 - $58,712 110%
HealthPartners $25,821 - $44,006 110%
UPMC Health Plan $26,067 - $55,381 111%
+ 3 smaller / regional plans $25,329 - $50,851

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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