CMS Price Transparency Data

Diagnostic procedure preparation

Facility: Lehigh Valley Hospital - Macungie

Billing Code: G0279 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$36
about 0.9× the $40 Medicare rate · typically $15–$54
modeled estimate · not a bill or quote
What this hospital charges insurers
$38
About the fair price
about $2 over the fair price · 0.9× Medicare
Medicare pays $40 Fair price $36 This hospital $38

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 $13 Priciest $38

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

A fair price for a Diagnostic procedure preparation is about $36 (about 0.9× the $40 Medicare rate). Lehigh Valley Hospital - Macungie charges insurers about $38 — about the fair price. Located in Macungie, PA.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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
Blue Cross Blue Shieldmajor $14 - $55 35%
Aetnamajor $15 - $70 37%
Cignamajor $15 37%
Humanamajor $14 35%
Ambetter (Centene) $43 106%
AmeriHealth $15 - $63 37%
Geisinger $15 - $62 37%
HealthPartners $15 - $59 37%
UPMC Health Plan $15 - $72 37%
+ 5 smaller / regional plans $15 - $82

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Facility Profile & Credentials

  • Address: 3369 State Route 100, Macungie, PA 18062
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals