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Hospital Profile General Acute Care Hospital Updated: 2026-08-12

Good Shepherd Specialty Hospital

2545 Schoenersville Road, Bethlehem, PA 18017 · 37 Priced Procedures

CMS Overall Rating No CMS Rating
Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.Near Fair BaseRate Benchmark
1.00×vs. Fair Market Price
Position vs. 1.00× Fair PriceRight at U.S. Average (0%) 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).81/100 · Corroborated
81/100Self-Pay Cash Beats Insurance 14% of the Time
File Completeness100Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic92Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment56Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing51Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount100Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.Regional Value Leader
CMS Star RatingNot RatedOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety ScoreNot ScoredComposite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER WaitNo ER DataMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Good Shepherd Specialty Hospital prices shoppable and inpatient services (11.2× to 14.0× Medicare, divergence 1.25×) in alignment with regional hospital peers (1.00× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

Regional Benchmark in PAU.S. National Reference Pool
Advantage

Where They're Good (Patient & Payer Edge)

  • Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
  • Self-pay cash beats commercial insurance on 14% of shoppable procedures (99/100 Cash Honesty)
  • CMS clinical safety score (54/100 safety score) with 72% patient recommendation
  • IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (70.0% AGB cap)
Watchout

Where You Can Get Burned (Markup Traps)

  • Outpatient surgery & OR suites carry a 2.4× markup over Medicare rates
  • Captive ER (16.2×) & laboratory (1.4×) services average 1.25× higher multiples than routine shoppable care (11.2×)
  • Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
  • Unnegotiated chargemaster list prices average 14.8× Medicare (24¢ true HCRIS cost per $1 gross)
Front-Door ShoppableElective / Imaging
11.2× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.25× Divergence
14.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+28% Upper Tail
Q25 0.78× · Q50 1.00× · Q75 1.28×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.
Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×
Front-Door Shoppable CareFront-Door Shoppable
11.2× MedicareWatchout
Outpatient Surgery & ORBack-Door Captive
2.4× MedicareFair
Diagnostic Imaging (CT/MRI)Front-Door Shoppable
12.1× MedicareWatchout
Back-Door Captive ER VisitsBack-Door Captive
16.2× MedicareWatchout
Inpatient Lab & PathologyBack-Door Captive
1.4× MedicareGood
Specialty & Infusion Drugs (J-Codes)Back-Door Captive
1.3× MedicareGood
Self-Pay Cash Honesty & 501(r)Integrity & Outcomes
14% Cash Edge · 99/100Good
CMS Clinical Safety & Star ValueIntegrity & Outcomes
3 CMS · 54/100Elevated

Procedure Prices at Good Shepherd Specialty Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 37 published procedures.

Sort:
Audit a Bill & 501(r) Cap ↓
Procedure & Billing Code This Hospital vs. Fair
Physical therapy (gait training)
CPT Code: 97116
 $159 4.8×
Speech therapy (language evaluation)
CPT Code: 92507
 $158 1.8×
Physical therapy (therapeutic exercise)
CPT Code: 97110
 $116 3.3×
Prosthetic fitting and training
CPT Code: 97761
 $108 2.4×
Blood test, thyroid (TSH)
CPT Code: 84443
 $284 15.8×
Culture, blood
CPT Code: 87040
 $253 23.0×
Blood test, PSA (prostate screen)
CPT Code: 84153
 $246 12.9×
Blood test, magnesium
CPT Code: 83735
 $155 22.1×
Culture, bacterial
CPT Code: 87070
 $170 18.9×
Blood test, basic metabolic panel
CPT Code: 80048
 $155 17.2×
Blood test, comprehensive metabolic panel
CPT Code: 80053
 $178 16.2×
Blood test, ferritin (iron stores)
CPT Code: 82728
 $182 13.0×
Blood test, cholesterol (lipid panel)
CPT Code: 80061
 $179 12.8×
Hepatitis C antibody test
CPT Code: 86803
 $191 12.7×
Blood test, vitamin B12
CPT Code: 82607
 $202 12.6×
Blood test, average blood sugar (A1c)
CPT Code: 83036
 $131 13.1×
Blood test, calcium
CPT Code: 82310
 $71 14.2×
Blood test, creatinine (kidney)
CPT Code: 82565
 $71 14.2×
Blood test, lipase
CPT Code: 83690
 $95 13.6×
Blood test, sodium
CPT Code: 84295
 $67 13.4×
Blood test, amylase
CPT Code: 82150
 $88 12.6×
Blood test, liver function panel
CPT Code: 80076
 $110 12.2×
Blood test, clotting time (PTT)
CPT Code: 85730
 $81 13.5×
Blood test, complete blood count (CBC)
CPT Code: 85025
 $83 10.4×
Urinalysis (automated, with microscopy)
CPT Code: 81001
 $40 13.3×
Showing top 25 high-impact procedures of 37 total
Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 70.0%

Audit a Bill or Quote at Good Shepherd Specialty Hospital (Zero PHI Required)

CMS CCN: 392033
CPT 97116
Fair BaseRate™ $33
Medicare Rate $29
Self-Pay Cash $159
Insurer Median $159
Pre-filled with Good Shepherd Specialty Hospital’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
2026 FPL: $15,650 + $5,500 per additional person
Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $148 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $148

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (70.0% of gross = $148).

Step 2 · Cash vs. Insurance Arbitrage Save $53 Paying Cash

Self-Pay Cash Rate ($159) Beats Your Bill

Good Shepherd Specialty Hospital's published 45 CFR § 180 self-pay cash rate is $159 (vs. $159 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$179 Above Fair BaseRate

Negotiate Toward $33 Fair BaseRate ($29 Medicare)

Your bill ($212) is $179 above the denoised Fair BaseRate ($33) and 7.3× the $29 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.
IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 233009874
Filing Period: 200012
Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold
Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier
Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported
26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (70.0% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑
Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Good Shepherd Specialty Hospital.

Price Index: 2.54× regional baseline
Quality: 54/100 CMS composite
Median Household Income$88,946U.S. Census ACS
Local Uninsured Share4.7%Regional ACS estimate
200% FPL (1 Person)$31,920Common free-care ceiling
400% FPL (Family of 4)$128,600Common AGB cap ceiling
45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 81/100 · Corroborated CMS CCN 392033 EIN 233009874

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 392033) ↗ Verify IRS Form 990 (EIN 233009874) ↗ CMS HCRIS Cost Reports ↗
Published MRF File233009874-1952349870_good-shepherd-rehabilitation-network_standardcharges.csv
Publication / Vintage2026-08-12 · 0.71 MB
Validated Rate Rows146 (CMS v3.0.0)
File Integrity Digest9ae4135822bffa6933ad…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy