Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

ST LUKES HOSPITAL

General Acute Care Hospital·BETHLEHEM, PA·NPI: 1013933175Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $20.7M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$20.7M

$20,740,249

Total Claims

427K

Beneficiaries

349K

1.2 claims/patient

Avg Cost/Claim

$49

Monthly Spending Trend

Yearly Spending

2018
$187K
+108%
2019
$389K
+649%
2020
$2.9M
+162%
2021
$7.6M
-52%
2022
$3.7M
-7%
2023
$3.4M
-25%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 18% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$3.6M

27K claims · 17.5%

Your Cost: $136.64/claim|Median: $42.48
3.2× median
99284Top 25%

Emergency dept visit, high complexity

$2.5M

16K claims · 12.0%

Your Cost: $154.09/claim|Median: $69.51
2.2× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$2.3M

64K claims · 11.3%

Your Cost: $36.76/claim|Median: $121.16
0.3× median
G0378Top 10%

Hospital observation service, per hour

$2.3M

2,422 claims · 11.2%

Your Cost: $956.43/claim|Median: $99.39
9.6× median
U0003Top 25%

Infectious disease detection (COVID-19)

$1.2M

14K claims · 5.6%

Your Cost: $80.02/claim|Median: $63.08
1.3× median
99213Top 10%

Office/outpatient visit, est. patient, low-mod complexity

$879K

11K claims · 4.2%

Your Cost: $77.30/claim|Median: $37.81
2.0× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$821K

4,959 claims · 4.0%

Your Cost: $165.64/claim|Median: $85.65
1.9× median
X0621Normal range

$777K

3,466 claims · 3.7%

Your Cost: $224.04/claim|Median: $212.75
1.1× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$492K

4,643 claims · 2.4%

Your Cost: $105.98/claim|Median: $97.61
1.1× median
99050Top 1%

$412K

4,155 claims · 2.0%

Your Cost: $99.15/claim|Median: $11.81
8.4× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$315K

13K claims · 1.5%

Your Cost: $23.57/claim|Median: $24.95
0.9× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$308K

13K claims · 1.5%

Your Cost: $23.42/claim|Median: $23.39
1.0× median
99203Top 10%

Office/outpatient visit, new patient, low-mod complexity

$277K

2,509 claims · 1.3%

Your Cost: $110.55/claim|Median: $57.85
1.9× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$273K

6,074 claims · 1.3%

Your Cost: $44.98/claim|Median: $58.55
0.8× median
99282Normal range

Emergency dept visit, low complexity

$196K

3,496 claims · 0.9%

Your Cost: $55.95/claim|Median: $37.72
1.5× median
88175Top 25%

Cytopathology, cervical or vaginal, ThinPrep

$190K

6,431 claims · 0.9%

Your Cost: $29.49/claim|Median: $19.06
1.5× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$170K

2,898 claims · 0.8%

Your Cost: $58.71/claim|Median: $47.65
1.2× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$169K

4,684 claims · 0.8%

Your Cost: $36.07/claim|Median: $39.70
0.9× median
87624Top 25%

HPV detection, high-risk types, nucleic acid

$141K

3,596 claims · 0.7%

Your Cost: $39.22/claim|Median: $25.57
1.5× median
74177Normal range

CT abdomen and pelvis with contrast

$136K

887 claims · 0.7%

Your Cost: $153.56/claim|Median: $65.76
2.3× median
43239Normal range

Upper GI endoscopy with biopsy

$122K

519 claims · 0.6%

Your Cost: $234.77/claim|Median: $151.68
1.5× median
80053Normal range

Comprehensive metabolic panel

$122K

13K claims · 0.6%

Your Cost: $9.69/claim|Median: $7.24
1.3× median
78815Top 25%

PET imaging for limited area

$111K

139 claims · 0.5%

Your Cost: $800.37/claim|Median: $325.10
2.5× median
80050Top 25%

General health panel

$105K

2,426 claims · 0.5%

Your Cost: $43.38/claim|Median: $25.59
1.7× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$102K

1,005 claims · 0.5%

Your Cost: $101.19/claim|Median: $106.79
0.9× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$101K

1,775 claims · 0.5%

Your Cost: $57.00/claim|Median: $35.43
1.6× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$95K

369 claims · 0.5%

Your Cost: $257.11/claim|Median: $233.73
1.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$78K

17K claims · 0.4%

Your Cost: $4.70/claim|Median: $4.71
1.0× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$74K

10K claims · 0.4%

Your Cost: $7.10/claim|Median: $7.50
0.9× median
70553Normal range

MRI brain without contrast, then with contrast

$74K

334 claims · 0.4%

Your Cost: $220.58/claim|Median: $133.68
1.7× median
97162Top 25%

PT evaluation, moderate complexity

$63K

946 claims · 0.3%

Your Cost: $66.76/claim|Median: $46.10
1.4× median
X0616Normal range

$59K

337 claims · 0.3%

Your Cost: $173.66/claim|Median: $182.02
1.0× median
80061Top 25%

Lipid panel

$57K

4,297 claims · 0.3%

Your Cost: $13.24/claim|Median: $8.41
1.6× median
87070Normal range

Bacterial culture, any source except blood or urine

$56K

6,457 claims · 0.3%

Your Cost: $8.63/claim|Median: $5.89
1.5× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$53K

618 claims · 0.3%

Your Cost: $85.01/claim|Median: $91.47
0.9× median
97161Top 25%

Physical therapy evaluation, low complexity

$51K

770 claims · 0.2%

Your Cost: $66.81/claim|Median: $47.89
1.4× median
X0620Normal range

$51K

283 claims · 0.2%

Your Cost: $180.43/claim|Median: $191.98
0.9× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$51K

703 claims · 0.2%

Your Cost: $72.38/claim|Median: $54.68
1.3× median
82306Top 25%

Vitamin D, 25 hydroxy

$46K

1,478 claims · 0.2%

Your Cost: $31.41/claim|Median: $18.18
1.7× median
99214Top 10%

Office/outpatient visit, est. patient, mod-high complexity

$46K

438 claims · 0.2%

Your Cost: $104.50/claim|Median: $53.41
2.0× median
73721Top 25%

MRI joint of lower extremity without contrast

$42K

165 claims · 0.2%

Your Cost: $255.42/claim|Median: $127.34
2.0× median
84443Top 10%

Thyroid stimulating hormone (TSH)

$42K

2,110 claims · 0.2%

Your Cost: $19.67/claim|Median: $9.87
2.0× median
77066Normal range

$40K

483 claims · 0.2%

Your Cost: $83.84/claim|Median: $43.94
1.9× median
76642Normal range

$40K

1,010 claims · 0.2%

Your Cost: $39.22/claim|Median: $32.06
1.2× median
76813Normal range

Ultrasound for fetal nuchal translucency measurement

$38K

720 claims · 0.2%

Your Cost: $52.69/claim|Median: $70.87
0.7× median
77067Top 25%

Screening mammography, bilateral, including CAD

$38K

442 claims · 0.2%

Your Cost: $84.92/claim|Median: $39.33
2.2× median
70450Normal range

CT head/brain without contrast

$37K

732 claims · 0.2%

Your Cost: $50.80/claim|Median: $45.53
1.1× median
88305Normal range

Surgical pathology, gross and microscopic examination

$37K

2,853 claims · 0.2%

Your Cost: $13.00/claim|Median: $35.80
0.4× median
87086Normal range

Urine culture, colony count, with identification

$34K

4,638 claims · 0.2%

Your Cost: $7.39/claim|Median: $5.31
1.4× median
72148Normal range

MRI lumbar spine without contrast

$32K

224 claims · 0.2%

Your Cost: $143.64/claim|Median: $101.03
1.4× median