Geisinger-community Medical Center
GEISINGER-COMMUNITY MEDICAL CENTER in Scranton, PA charges 10.7x the Medicare reimbursement rate on average, based on analysis of 111 common medical procedures at this nonprofit hospital.
Scranton, PA 18510 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Pricing grade
F
Very high
Avg markup vs Medicare
10.67x
Charge / Medicare rate
Max markup
17.68x
Worst procedure
Procedures analyzed
111
With pricing data
Outlier procedures
10.8%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $67,195 | $33,598 | — | 17.7x |
| ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WIT | 062 | $160,769 | $80,384 | — | 16.5x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $67,386 | $33,693 | — | 15.2x |
| MAJOR CHEST TRAUMA WITH CC | 184 | $94,357 | $47,179 | — | 15.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $40,860 | $20,430 | — | 14.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $63,776 | $31,888 | — | 14.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $90,424 | $45,212 | — | 14.5x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $114,127 | $57,063 | — | 14.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $83,895 | $41,947 | — | 14.3x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $70,058 | $35,029 | — | 14.1x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $204,765 | $102,382 | — | 13.7x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | 661 | $74,888 | $37,444 | — | 13.7x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $64,607 | $32,303 | — | 13.4x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $159,343 | $79,672 | — | 13.3x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $145,112 | $72,556 | — | 13x |
| MAJOR CHEST TRAUMA WITHOUT CC/MCC | 185 | $58,651 | $29,325 | — | 12.9x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $181,481 | $90,741 | — | 12.7x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $59,049 | $29,525 | — | 12.7x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $66,599 | $33,299 | — | 12.6x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $195,799 | $97,900 | — | 12.5x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $113,410 | $56,705 | — | 12.4x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $53,354 | $26,677 | — | 12.4x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $75,564 | $37,782 | — | 12.3x |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | 543 | $79,348 | $39,674 | — | 12.3x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $98,586 | $49,293 | — | 12.3x |
| RENAL FAILURE WITH MCC | 682 | $117,675 | $58,837 | — | 12x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $73,342 | $36,671 | — | 12x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $243,669 | $121,834 | — | 12x |
| SYNCOPE AND COLLAPSE | 312 | $61,705 | $30,853 | — | 12x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $34,977 | $17,489 | — | 11.8x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $62,303 | $31,152 | — | 11.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $242,661 | $121,331 | — | 11.7x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $215,718 | $107,859 | — | 11.7x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $139,894 | $69,947 | — | 11.6x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $53,747 | $26,873 | — | 11.5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $155,150 | $77,575 | — | 11.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $53,307 | $26,654 | — | 11.5x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $84,557 | $42,278 | — | 11.3x |
| HYPERTENSION WITHOUT MCC | 305 | $49,387 | $24,693 | — | 11.3x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $148,454 | $74,227 | — | 11.2x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $50,633 | $25,317 | — | 11x |
| SEIZURES WITHOUT MCC | 101 | $59,574 | $29,787 | — | 11x |
| RENAL FAILURE WITH CC | 683 | $59,390 | $29,695 | — | 10.9x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $69,349 | $34,674 | — | 10.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $87,220 | $43,610 | — | 10.9x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $181,625 | $90,813 | — | 10.8x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $227,104 | $113,552 | — | 10.8x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $166,525 | $83,263 | — | 10.8x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $93,823 | $46,912 | — | 10.7x |
| ENDOCRINE DISORDERS WITH CC | 644 | $69,364 | $34,682 | — | 10.7x |
Showing 50 of 111 procedures
How GEISINGER-COMMUNITY MEDICAL CENTER compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use