At Lehigh Valley Health Network (LVHN), we provide price estimates to patients for tests and procedures. Get a price quote now.
About Your Price Quote
If you successfully complete your request online, you will receive a price quote immediately. If you submit a request, you will receive a response from our financial assistance department within two business days. If you have questions, call the department Monday through Friday, 8 a.m. to 4:30 p.m., at 484-884-0840.
Note: You might receive care from several different health care providers along your journey. For example, you may see your family physician, have an X-ray taken and read by another provider, get blood work done, receive anesthesia for a procedure or need medical transportation. Several organizations that provide these services are independent of LVHN or Lehigh Valley Physician Group and have their own independent billing processes. Learn more about our billing policies and processes.
Good faith estimate
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
- You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment and hospital fees.
- Make sure your health care provider gives you a Good Faith Estimate in writing at least one business day before your scheduled medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
- If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
- Make sure to save a copy or picture of your Good Faith Estimate. Estimates may be revised if services are changed.
Negotiated Insurance Rates
Hospitals nationwide are required to post online negotiated insurance rates between the hospital and insurance companies. A negotiated insurance rate is the amount an insurer will pay the provider for a specific service. (Example: Hospital charges $10 for a service. Negotiated insurance rate for that service is 40%. Insurance company allows $4. Hospital is paid no more than $4. In some cases, the insurance company pays all or nearly all of the $4. The patient is responsible to pay the difference between the $4 and what the insurance pays. Sometimes the patient is responsible to pay $0.)
The rates listed here are what insurance companies contract to pay out for procedures and any other services provided at LVHN.
Why the rates listed are not what you will be typically responsible to pay
We’re all unique individuals. The exact tests, procedures and care you need to live the best life are unique to you and determine the amount your care costs. A list of the negotiated insurance rates won’t tell you what kind of care you will need or the services you will receive. Also, depending on your insurance coverage, the amounts you pay out of pocket will vary based on your individual coverage, such as a copayment, coinsurance or deductible amounts. What you need to know is that you will get the personalized care you need at LVHN.
See a list of negotiated insurance rates for the locations listed below. Note: The negotiated insurance rate are in a machine-readable, JSON file format that shows inpatient (DRG) and outpatient (APC) rates.