Lehigh Valley Health Network · East Stroudsburg, PA
31
In-network payers
258
Disclosed rate categories
249
Beds
3
Care quality
Lehigh Valley Hospital – Pocono is a 249-bed voluntary non-profit - private hospital in East Stroudsburg, PA, affiliated with Lehigh Valley Health Network. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 258 disclosed rate categories.
CCN (Medicare provider number)
390201
NPI
1568459436
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
249
Care Quality
3
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Lehigh Valley Hospital – Pocono 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.
Childbirth · Inpatient
MS-DRG 807
$8,998 - $18,684
from 4 insurers · median $12,205
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$15,484 - $26,227
from 4 insurers · median $17,517
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Gynecology
CPT 58558
$7,412 - $13,319
from 3 insurers · median $11,955
12 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Gynecology
CPT 58571
$25,121 - $45,807
from 3 insurers · median $38,872
32 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 470
$27,733 - $55,645
from 4 insurers · median $36,338
32 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery
CPT 47562
$2,098 - $25,361
from 4 insurers · median $17,898
70 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 49650
$15,900 - $25,361
from 3 insurers · median $22,194
70 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 216
$128,166 - $295,724
from 4 insurers · median $184,293
Hospital reports cardiac thoracic surgery services to CMS
CT imaging
CPT 74177
$949 - $2,009
from 4 insurers · median $1,238
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$8,998 - $18,684
from 4 insurers · median $12,205
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Digestive procedures
CPT 47563
$10,933 - $25,464
from 3 insurers · median $22,194
70 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 49505
$8,463 - $17,234
from 3 insurers · median $14,035
32 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Cardiology and vascular testing
CPT 93306
$1,282 - $2,448
from 3 insurers · median $2,069
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,516 - $5,290
from 3 insurers · median $4,493
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 55866
$5,263 - $47,396
from 3 insurers · median $38,872
32 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 43239
$1,432 - $4,017
from 3 insurers · median $3,415
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$3,349 - $6,458
from 3 insurers · median $5,166
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$201 - $423
from 3 insurers · median $343
Common here, based on CMS Medicare volume
Urology
CPT 50590
$8,040 - $15,596
from 3 insurers · median $13,266
51 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Gynecology
CPT 58661
$13,601 - $24,552
from 3 insurers · median $22,194
Typical for a hospital with this service line
Mammography
CPT 77067
$210 - $461
from 3 insurers · median $231
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$3,726 - $7,507
from 4 insurers · median $4,788
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$283 - $520
from 4 insurers · median $370
Common here, based on CMS Medicare volume
Gynecology
CPT 58662
$15,505 - $25,361
from 3 insurers · median $22,194
Typical for a hospital with this service line
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.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 434% | 21 | 0 |
| Insurer B* | 24 | 368% | 20 | 1 |
| Insurer C* | 10 | 262% | 5 | 0 |
| Insurer D* | 23 | 228% | 5 | 11 |
How we chose these services: 9 appear in this hospital's own Medicare claims, 9 are common here based on CMS Medicare volume, and 6 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 – Pocono.
206 East Brown Street, East Stroudsburg, PA 18301
(570) 421-4000
The nearest hospitals of similar type and size. Their rates are compared with Lehigh Valley Hospital – Pocono for the same insurers and services above.
St Lukes Warren Hospital
▲ Rates typically 8% higher than Lehigh Valley Hospital – Pocono (21 services)
Newton Medical Center
▼ Rates typically 53% lower than Lehigh Valley Hospital – Pocono (21 services)
St Lukes Hospital Easton Campus
▼ Rates typically 66% lower than Lehigh Valley Hospital – Pocono (21 services)
St Lukes Lehighton Campus
▼ Rates typically 16% lower than Lehigh Valley Hospital – Pocono (20 services)
Hunterdon Medical Center
▼ Rates typically 21% lower than Lehigh Valley Hospital – Pocono (21 services)
Geisinger Community Medical Center
▼ Rates typically 30% lower than Lehigh Valley Hospital – Pocono (21 services)
Lehigh Valley Hospital - Schuylkill E. Norwegian Street
Lehigh Valley Hospital - Dickson City
Lehigh Valley Hospital - Schuylkill
Lehigh Valley Hospital – Muhlenberg
About Lehigh Valley Hospital – Pocono's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Lehigh Valley Hospital – Pocono range from $949 to $2,009 across 4 insurers. Aetna's rate is $2,009. The median at nearby comparable hospitals is $760. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Lehigh Valley Hospital – Pocono range from $1,516 to $5,290 across 3 insurers. UnitedHealthcare's rate is $4,493. The median at nearby comparable hospitals is $2,928. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Lehigh Valley Hospital – Pocono range from $8,998 to $18,684 across 4 insurers. Cigna's rate is $18,684. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Lehigh Valley Hospital – Pocono range from $210 to $461 across 3 insurers. UnitedHealthcare's rate is $231. The median at nearby comparable hospitals is $178. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Lehigh Valley Hospital – Pocono range from $27,733 to $55,645 across 4 insurers. Aetna's rate is $36,844. The median at nearby comparable hospitals is $30,922. What a patient pays depends on their plan's deductible, coinsurance and network status.
Lehigh Valley Hospital – Pocono has 249 beds. Facility type: Short Term Acute Care Hospital.
Lehigh Valley Hospital – Pocono is located at 206 East Brown Street, East Stroudsburg, PA 18301. Its main phone number is (570) 421-4000.
Lehigh Valley Hospital – Pocono's CMS Certification Number (CCN), also called its Medicare provider number, is 390201.
The National Provider Identifier (NPI) on file for Lehigh Valley Hospital – Pocono is 1568459436.
Lehigh Valley Hospital – Pocono is affiliated with Lehigh Valley Health Network.
Lehigh Valley Hospital – Pocono lists 31 in-network payers, including Aetna, Ambetter, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
258 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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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.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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
}
]
}]
}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