Geisinger St. Luke's Hospital
GEISINGER ST. LUKE'S HOSPITAL in Orwigsburg, PA charges 7.5x the Medicare reimbursement rate across 26 analyzed procedures, reflecting typical pricing patterns for nonprofit hospitals in Pennsylvania.
Orwigsburg, PA 17961 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Pricing grade
D
High
Avg markup vs Medicare
7.55x
Charge / Medicare rate
Max markup
10.68x
Worst procedure
Procedures analyzed
26
With pricing data
Outlier procedures
0%
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 |
|---|---|---|---|---|---|
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $37,118 | $18,559 | — | 10.7x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $38,237 | $19,119 | — | 9.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $51,822 | $25,911 | — | 9.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $121,101 | $60,550 | — | 9.7x |
| RENAL FAILURE WITH CC | 683 | $46,261 | $23,131 | — | 9.5x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $50,163 | $25,082 | — | 9.4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $33,385 | $16,692 | — | 9.3x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $35,307 | $17,654 | — | 8.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $30,861 | $15,431 | — | 8.3x |
| CELLULITIS WITHOUT MCC | 603 | $35,186 | $17,593 | — | 7.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $42,149 | $21,075 | — | 7.8x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $79,795 | $39,897 | — | 7.6x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $35,485 | $17,742 | — | 7.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $64,215 | $32,108 | — | 7.3x |
| RENAL FAILURE WITH MCC | 682 | $53,025 | $26,512 | — | 7.1x |
| CELLULITIS WITH MCC | 602 | $51,492 | $25,746 | — | 6.6x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $44,787 | $22,394 | — | 6.4x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $59,334 | $29,667 | — | 6.3x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $44,653 | $22,326 | — | 6.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $41,484 | $20,742 | — | 6.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $65,735 | $32,867 | — | 6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $38,201 | $19,101 | — | 6x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $63,344 | $31,672 | — | 5.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $42,579 | $21,289 | — | 5.7x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $30,854 | $15,427 | — | 5.5x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $168,873 | $84,436 | — | 5.2x |
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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