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HOSPITALProprietary

LEHIGH VALLEY HOSPITAL - MACUNGIE

Macungie, PA

3369 STATE ROUTE 100, Macungie, PA 18062(835) 215-5500

Not rated by CMS

CMS star rating

19

Beds

457

Inpatient discharges a year

$43.2M

Net patient revenue a year

About this hospital

LEHIGH VALLEY HOSPITAL - MACUNGIE is a 19-bed proprietary hospital in Macungie, PA.

CCN
390430
Teaching
No Medicare-funded residents
County
Lehigh County
Metro area
Allentown-Bethlehem-Easton, PA-NJ MSA
Medicare contractor
Jurisdiction L, Novitas Solutions (12001)
In Medicare since
2024
Last CMS survey
2024

Prices for common services

The 24 services LEHIGH VALLEY HOSPITAL - MACUNGIE most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$683 - $1,664

from 3 insurers · median $1,004

Aetna$1,664
Insurer A*$683
Insurer B*$1,004
Medicare $338

Common here, based on CMS Medicare volume

Gynecology

Laparoscopic hysterectomy with tube or ovary removal, uterus up to 250 g

CPT 58571

$11,134 - $50,715

from 3 insurers · median $30,592

Blue Cross$30,592
Insurer A*$11,134
Insurer B*$50,715
Medicare $10,860

Typical for a hospital with this service line

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$572 - $2,607

from 3 insurers · median $1,573

Aetna$2,607
Insurer A*$572
Insurer B*$1,573
Medicare $529

Common here, based on CMS Medicare volume

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$6,332 - $28,843

from 3 insurers · median $17,399

Cigna$6,332
Insurer A*$17,399
Insurer B*$28,843
Medicare $6,176

Typical for a hospital with this service line

How the insurers pay at LEHIGH VALLEY HOSPITAL - MACUNGIE

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*24
467%
00
Insurer B*24
282%
00
Insurer C*24
103%
00

How we chose these services: 0 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 12 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for LEHIGH VALLEY HOSPITAL - MACUNGIE, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare

More about this hospital

  • Quality

    Not rated by CMS

    • 112 min in the ER before going home (US median 148)
    • No Medicare readmissions penalty
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 447 affiliated clinicians
    See doctors and services
  • Finances

    $43.2M net patient revenue

    • Operating margin on patient care 0.6%
    • $906,962 unreimbursed and uncompensated care
    • $1.1M net income
    See finances
  • Ownership and leadership

    Owned by Lehigh Valley Health Network

    • Private (for profit)
    • Andrew Mulvey, chief executive
    See ownership and leadership

Location

3369 STATE ROUTE 100, Macungie, PA 18062

(835) 215-5500

Get directions

Frequently asked questions

About LEHIGH VALLEY HOSPITAL - MACUNGIE's rates and hospital price transparency.

How much does an MRI cost at LEHIGH VALLEY HOSPITAL - MACUNGIE?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at LEHIGH VALLEY HOSPITAL - MACUNGIE range from $669 to $1,664 across 3 insurers. Cigna's rate is $669. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at LEHIGH VALLEY HOSPITAL - MACUNGIE?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at LEHIGH VALLEY HOSPITAL - MACUNGIE range from $683 to $1,664 across 3 insurers. Aetna's rate is $1,664. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at LEHIGH VALLEY HOSPITAL - MACUNGIE?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at LEHIGH VALLEY HOSPITAL - MACUNGIE range from $71 to $393 across 3 insurers. Aetna's rate is $393. What a patient pays depends on their plan's deductible, coinsurance and network status.

Is LEHIGH VALLEY HOSPITAL - MACUNGIE a teaching hospital?

CMS reports no Medicare-funded interns or residents at LEHIGH VALLEY HOSPITAL - MACUNGIE for fiscal year 2027.

Does Medicare penalize LEHIGH VALLEY HOSPITAL - MACUNGIE for readmissions?

No. LEHIGH VALLEY HOSPITAL - MACUNGIE has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.

What is LEHIGH VALLEY HOSPITAL - MACUNGIE's case mix index?

LEHIGH VALLEY HOSPITAL - MACUNGIE's Medicare case mix index is 1.00 for fiscal year 2027, higher than 2% of hospitals paid under the inpatient prospective payment system.

How many patients does LEHIGH VALLEY HOSPITAL - MACUNGIE admit?

LEHIGH VALLEY HOSPITAL - MACUNGIE reported 457 inpatient discharges and 1,010 inpatient days from Jan 1, 2025 to Dec 31, 2025.

How many employees does LEHIGH VALLEY HOSPITAL - MACUNGIE have?

LEHIGH VALLEY HOSPITAL - MACUNGIE reported 202 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.

How much revenue does LEHIGH VALLEY HOSPITAL - MACUNGIE make?

LEHIGH VALLEY HOSPITAL - MACUNGIE reported $43.2M in net patient revenue on $312.9M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of 0.6%, and net income of $1.1M.

How much charity and uncompensated care does LEHIGH VALLEY HOSPITAL - MACUNGIE provide?

LEHIGH VALLEY HOSPITAL - MACUNGIE reported $906,962 of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $102,382 of charity care at cost.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
Talk to us about your MRF
Chargemaster analysis

Get your chargemaster right for billing and payer contracts

Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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