Medicine & Surgery ยท Inpatient
Major lower-extremity joint replacement without MCC
MS-DRG 470
$29,202 - $36,006
from 3 insurers ยท median $30,217
30 Medicare discharges for this DRG in CMS hospital data
Saint Lukes University Health Network (SLUHN) ยท Lehighton, PA
32
In-network payers
249
Disclosed rate categories
62
Beds
5
Care quality
St Lukes Carbon Campus is a 62-bed hospital in Lehighton, PA, affiliated with Saint Lukes University Health Network (SLUHN). Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 249 disclosed rate categories.
CCN (Medicare provider number)
390335
NPI
1699340927
Type
Short Term Acute Care Hospital
Beds
62
Care Quality
5
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 St Lukes Carbon Campus 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.
Medicine & Surgery ยท Inpatient
MS-DRG 470
$29,202 - $36,006
from 3 insurers ยท median $30,217
30 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 74177
$1,378 - $3,513
from 4 insurers ยท median $3,025
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$9,789 - $12,245
from 2 insurers ยท median $11,017
39 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 49505
$7,427 - $11,932
from 4 insurers ยท median $11,836
23 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Digestive procedures
CPT 49650
$9,882 - $12,181
from 4 insurers ยท median $11,108
39 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 70450
$911 - $989
from 4 insurers ยท median $949
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$878 - $2,506
from 4 insurers ยท median $2,131
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$3,305 - $5,123
from 4 insurers ยท median $4,428
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$2,701 - $5,096
from 2 insurers ยท median $3,898
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$2,672 - $6,128
from 2 insurers ยท median $4,400
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$9,645 - $12,245
from 2 insurers ยท median $10,945
39 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Cardiology and vascular testing
CPT 93306
$840 - $1,414
from 4 insurers ยท median $1,354
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$1,707 - $2,024
from 4 insurers ยท median $1,749
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$234 - $602
from 4 insurers ยท median $282
Common here, based on CMS Medicare volume
MRI imaging
CPT 74183
$3,178 - $5,275
from 4 insurers ยท median $4,358
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$11,274 - $16,457
from 2 insurers ยท median $13,865
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$121 - $267
from 4 insurers ยท median $221
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$1,956 - $2,572
from 4 insurers ยท median $2,213
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$1,988 - $2,410
from 4 insurers ยท median $2,108
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29881
$7,528 - $7,586
from 2 insurers ยท median $7,557
22 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Cardiology and vascular testing
CPT 93971
$694 - $1,259
from 4 insurers ยท median $1,139
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$6,855 - $9,265
from 2 insurers ยท median $8,060
26 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Cardiology and vascular testing
CPT 93970
$987 - $2,592
from 4 insurers ยท median $2,277
Common here, based on CMS Medicare volume
Lung function and sleep
CPT 95810
$2,891 - $5,758
from 4 insurers ยท median $4,970
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* | 16 | 856% | 3 | 1 |
| Insurer B* | 17 | 847% | 11 | 2 |
| Insurer C* | 24 | 550% | 22 | 1 |
| Insurer D* | 24 | 360% | 9 | 11 |
How we chose these services: 7 appear in this hospital's own Medicare claims, 16 are common here based on CMS Medicare volume, and 1 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 St Lukes Carbon Campus.
500 Saint Lukes Dr, Lehighton, PA 18235
None
About St Lukes Carbon Campus's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at St Lukes Carbon Campus range from $3,305 to $5,123 across 4 insurers. Blue Cross Blue Shield's rate is $3,305. The median at nearby comparable hospitals is $860. 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 St Lukes Carbon Campus range from $1,378 to $3,513 across 4 insurers. Blue Cross Blue Shield's rate is $1,378. The median at nearby comparable hospitals is $883. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at St Lukes Carbon Campus range from $2,672 to $6,128 across 2 insurers. Aetna's rate is $6,128. The median at nearby comparable hospitals is $3,242. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at St Lukes Carbon Campus range from $234 to $602 across 4 insurers. Blue Cross Blue Shield's rate is $602. The median at nearby comparable hospitals is $284. 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 St Lukes Carbon Campus range from $29,202 to $36,006 across 3 insurers. Aetna's rate is $30,217. The median at nearby comparable hospitals is $36,026. What a patient pays depends on their plan's deductible, coinsurance and network status.
St Lukes Carbon Campus has 62 beds. Facility type: Short Term Acute Care Hospital.
St Lukes Carbon Campus is located at 500 Saint Lukes Dr, Lehighton, PA 18235. Its main phone number is None.
St Lukes Carbon Campus's CMS Certification Number (CCN), also called its Medicare provider number, is 390335.
The National Provider Identifier (NPI) on file for St Lukes Carbon Campus is 1699340927.
St Lukes Carbon Campus is affiliated with Saint Lukes University Health Network (SLUHN).
St Lukes Carbon Campus lists 32 in-network payers, including Aetna, Ameri Health, 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.
249 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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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