Lehigh Valley Health Network · Pottsville, PA
32
In-network payers
297
Disclosed rate categories
189
Beds
2
Care quality
Lehigh Valley Hospital - Schuylkill is a 189-bed voluntary non-profit - private hospital in Pottsville, PA, affiliated with Lehigh Valley Health Network. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 297 disclosed rate categories.
CCN (Medicare provider number)
390030
NPI
1235138405
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
189
Care Quality
2
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 - Schuylkill 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
$5,411 - $11,119
from 4 insurers · median $6,378
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 obstetrics / child birth services to CMS
Gynecology
CPT 58558
$9,664 - $13,983
from 2 insurers · median $11,824
18 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Childbirth · Inpatient
MS-DRG 788
$8,907 - $17,204
from 4 insurers · median $10,366
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 obstetrics / child birth services to CMS
Medicine & Surgery
CPT 47562
$5,935 - $25,777
from 3 insurers · median $16,215
40 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 470
$21,214 - $52,151
from 4 insurers · median $22,109
24 Medicare discharges for this DRG in CMS hospital data
Digestive procedures
CPT 49650
$2,989 - $28,476
from 4 insurers · median $12,454
40 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 47563
$5,935 - $25,777
from 3 insurers · median $18,221
40 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 49505
$11,022 - $17,517
from 2 insurers · median $14,269
15 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$5,411 - $11,119
from 4 insurers · median $6,378
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 obstetrics / child birth services to CMS
CT imaging
CPT 74177
$1,064 - $1,822
from 3 insurers · median $1,625
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$36,820 - $57,535
from 3 insurers · median $44,151
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 473
$26,849 - $43,804
from 4 insurers · median $27,997
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 43239
$2,890 - $5,403
from 2 insurers · median $4,146
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$3,672 - $5,356
from 2 insurers · median $4,514
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$558 - $2,488
from 3 insurers · median $1,472
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$3,143 - $44,941
from 4 insurers · median $21,554
Typical for a hospital with this service line
CT imaging
CPT 70450
$324 - $1,044
from 3 insurers · median $529
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$3,825 - $7,610
from 3 insurers · median $6,216
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$86 - $454
from 3 insurers · median $260
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$1,036 - $3,308
from 3 insurers · median $1,822
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$500 - $1,275
from 3 insurers · median $830
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$5,935 - $27,212
from 3 insurers · median $18,221
Typical for a hospital with this service line
Urology
CPT 50590
$3,509 - $15,851
from 3 insurers · median $9,677
16 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
CT imaging
CPT 71260
$548 - $1,708
from 3 insurers · median $892
Common here, based on CMS Medicare volume
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 | 470% | 19 | 1 |
| Insurer B* | 24 | 302% | 5 | 13 |
| Insurer C* | 19 | 100% | 0 | 15 |
| Insurer D* | 8 | 39% | 0 | 3 |
How we chose these services: 7 appear in this hospital's own Medicare claims, 10 are common here based on CMS Medicare volume, and 7 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 - Schuylkill.
420 South Jackson Street, Pottsville, PA 17901
(570) 621-5102
The nearest hospitals of similar type and size. Their rates are compared with Lehigh Valley Hospital - Schuylkill for the same insurers and services above.
St. Joseph Medical Center
▲ Rates typically 85% higher than Lehigh Valley Hospital - Schuylkill (21 services)
St Lukes Lehighton Campus
▼ Rates typically 40% lower than Lehigh Valley Hospital - Schuylkill (21 services)
Wellspan Good Samaritan Hospital
Rates about the same as Lehigh Valley Hospital - Schuylkill (20 services)
Wellspan Ephrata Community Hospital
▲ Rates typically 74% higher than Lehigh Valley Hospital - Schuylkill (21 services)
Upmc Lititz
▲ Rates typically 7% higher than Lehigh Valley Hospital - Schuylkill (20 services)
Evangelical Community Hospital
Rates about the same as Lehigh Valley Hospital - Schuylkill (21 services)
Lehigh Valley Hospital - Schuylkill E. Norwegian Street
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Lehigh Valley Hospital – Pocono
Lehigh Valley Hospital - Hazleton
About Lehigh Valley Hospital - Schuylkill's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Lehigh Valley Hospital - Schuylkill range from $1,036 to $3,308 across 3 insurers. Blue Cross Blue Shield's rate is $3,308. The median at nearby comparable hospitals is $1,244. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Lehigh Valley Hospital - Schuylkill range from $1,064 to $1,822 across 3 insurers. Cigna's rate is $1,064. The median at nearby comparable hospitals is $1,376. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Lehigh Valley Hospital - Schuylkill range from $3,672 to $5,356 across 2 insurers. Blue Cross Blue Shield's rate is $3,672. The median at nearby comparable hospitals is $3,815. 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 - Schuylkill range from $5,411 to $11,119 across 4 insurers. UnitedHealthcare's rate is $5,984. 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 - Schuylkill range from $86 to $454 across 3 insurers. Aetna's rate is $454. The median at nearby comparable hospitals is $344. 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 - Schuylkill range from $21,214 to $52,151 across 4 insurers. Aetna's rate is $52,151. The median at nearby comparable hospitals is $36,261. What a patient pays depends on their plan's deductible, coinsurance and network status.
Lehigh Valley Hospital - Schuylkill has 189 beds. Facility type: Short Term Acute Care Hospital.
Lehigh Valley Hospital - Schuylkill is located at 420 South Jackson Street, Pottsville, PA 17901. Its main phone number is (570) 621-5102.
Lehigh Valley Hospital - Schuylkill's CMS Certification Number (CCN), also called its Medicare provider number, is 390030.
The National Provider Identifier (NPI) on file for Lehigh Valley Hospital - Schuylkill is 1235138405.
Lehigh Valley Hospital - Schuylkill is affiliated with Lehigh Valley Health Network.
Lehigh Valley Hospital - Schuylkill lists 32 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
297 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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{
"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