Geisinger Wyoming Valley Medical Center

Geisinger Wyoming Valley Medical Center in Wilkes Barre charges 10.6x the Medicare reimbursement rate across 111 analyzed procedures, with 18% showing particularly high markups.

Wilkes Barre, PA 18711 · Acute Care Hospitals · CMS Rating: 4/5

By David Park , Healthcare Cost Researcher · Published March 15, 2026 · Updated April 3, 2026

Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.

About the analyst

David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.

111 procedures analyzed

CMS price transparency data

Updated 2026-04-03

10.6x

Medicare markup ratio

PA lowestGeisinger Wyoming Vall...PA highest

10.6x

Avg markup ratio

10.4x

Median markup

111

Procedures

18%

Outlier procedures

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Pricing grade

Very high

Avg markup vs Medicare

10.58x

Charge / Medicare rate

Max markup

20.1x

Worst procedure

Procedures analyzed

111

With pricing data

Outlier procedures

18%

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
EXTRACRANIAL PROCEDURES WITHOUT CC/MCC	039	$143,869	$71,934	—	20.1x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC	066	$64,556	$32,278	—	15.8x
GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC	390	$49,914	$24,957	—	14.6x
PULMONARY EMBOLISM WITHOUT MCC	176	$77,154	$38,577	—	14.6x
LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC	493	$222,030	$111,015	—	14.4x
SYNCOPE AND COLLAPSE	312	$77,804	$38,902	—	14x
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC	025	$386,122	$193,061	—	13.4x
PNEUMOTHORAX WITH CC	200	$90,808	$45,404	—	13.2x
EXTRACRANIAL PROCEDURES WITH CC	038	$141,832	$70,916	—	13.1x
RENAL FAILURE WITHOUT CC/MCC	684	$47,601	$23,801	—	12.9x
NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC	070	$153,340	$76,670	—	12.8x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC	191	$70,287	$35,143	—	12.7x
PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE	175	$119,744	$59,872	—	12.7x
COMPLICATIONS OF TREATMENT WITH MCC	919	$128,286	$64,143	—	12.6x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC	522	$185,886	$92,943	—	12.6x
FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC	563	$70,381	$35,190	—	12.6x
TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC	069	$61,530	$30,765	—	12.4x
DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC	439	$68,201	$34,100	—	12.4x
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC	027	$192,920	$96,460	—	12.4x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC	481	$174,127	$87,063	—	12.4x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC	310	$40,476	$20,238	—	12.3x
MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC	372	$77,321	$38,660	—	12.3x
BRONCHITIS AND ASTHMA WITH CC/MCC	202	$72,026	$36,013	—	12.2x
HYPERTENSION WITHOUT MCC	305	$60,043	$30,022	—	12.1x
MAJOR CHEST TRAUMA WITH CC	184	$68,817	$34,408	—	12.1x
AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC	269	$314,027	$157,013	—	12x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC	480	$277,957	$138,978	—	11.9x
OTHER DISORDERS OF NERVOUS SYSTEM WITH CC	092	$82,962	$41,481	—	11.9x
SEIZURES WITHOUT MCC	101	$66,522	$33,261	—	11.9x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC	281	$60,432	$30,216	—	11.9x
PERIPHERAL VASCULAR DISORDERS WITH CC	300	$112,128	$56,064	—	11.6x
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC	564	$108,099	$54,049	—	11.6x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS	065	$76,697	$38,349	—	11.6x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC	392	$57,379	$28,689	—	11.5x
ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WIT	062	$153,396	$76,698	—	11.5x
PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC	543	$76,359	$38,180	—	11.5x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC	872	$76,804	$38,402	—	11.5x
MEDICAL BACK PROBLEMS WITHOUT MCC	552	$67,404	$33,702	—	11.5x
COAGULATION DISORDERS	813	$134,900	$67,450	—	11.5x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC	190	$76,554	$38,277	—	11.4x
OTHER VASCULAR PROCEDURES WITH CC	253	$172,817	$86,408	—	11.4x
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC	565	$75,870	$37,935	—	11.4x
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC	026	$266,737	$133,368	—	11.4x
EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC	981	$289,398	$144,699	—	11.3x
RED BLOOD CELL DISORDERS WITH MCC	811	$113,722	$56,861	—	11.1x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC	854	$141,064	$70,532	—	11x
PULMONARY EDEMA AND RESPIRATORY FAILURE	189	$87,317	$43,658	—	11x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC	287	$81,022	$40,511	—	11x
GASTROINTESTINAL HEMORRHAGE WITH CC	378	$72,782	$36,391	—	10.9x
NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC	071	$80,857	$40,428	—	10.9x

Showing 50 of 111 procedures

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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.

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

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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