Regional Hospital of Scranton
Regional Hospital of Scranton, a for-profit facility in Scranton, PA, charges 8.5x the Medicare reimbursement rate across 60 analyzed procedures.
Scranton, PA 18501 · 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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Billing patterns — for-profit
For-profit hospitals in our dataset demonstrate distinct billing patterns, with 628 facilities showing an average markup of 7.8 times Medicare rates. These hospitals typically maintain higher charge structures across most service categories compared to non-profit and government facilities. Common patterns include substantial charges above benchmark rates for emergency services, surgical procedures, and diagnostic imaging. Patients should be aware that initial bills from for-profit hospitals often reflect chargemaster rates rather than negotiated insurance amounts. The billing structure frequently includes separate charges for facility fees, physician services, and ancillary services that may appear as multiple line items. Before receiving care, patients can request cost estimates and inquire about financial assistance programs, which are federally required at all hospital types. Understanding that insurance negotiations typically result in significantly lower actual payments than initial charges can help patients navigate the billing process more effectively when receiving care at for-profit facilities.
Pricing grade
F
Very high
Avg markup vs Medicare
8.52x
Charge / Medicare rate
Max markup
14.45x
Worst procedure
Procedures analyzed
60
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 |
|---|---|---|---|---|---|
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $164,411 | $82,205 | — | 14.5x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | 244 | $135,856 | $67,928 | — | 13x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $65,472 | $32,736 | — | 12.3x |
| AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | 617 | $103,855 | $51,927 | — | 11.7x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $52,709 | $26,355 | — | 11.4x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $42,546 | $21,273 | — | 11.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $138,854 | $69,427 | — | 11x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $225,315 | $112,657 | — | 10.6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $41,347 | $20,674 | — | 10.4x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $219,935 | $109,968 | — | 10.2x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $346,308 | $173,154 | — | 10.2x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $55,008 | $27,504 | — | 10.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $50,982 | $25,491 | — | 10.1x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $58,275 | $29,137 | — | 10x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $143,613 | $71,806 | — | 9.9x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $55,972 | $27,986 | — | 9.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $122,663 | $61,331 | — | 9.6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $69,477 | $34,739 | — | 9.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $21,289 | $10,644 | — | 9.4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $39,019 | $19,509 | — | 9.3x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | 266 | $425,408 | $212,704 | — | 9.2x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $77,112 | $38,556 | — | 9.1x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $62,399 | $31,200 | — | 9.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $64,117 | $32,059 | — | 9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $39,909 | $19,955 | — | 8.9x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $38,153 | $19,076 | — | 8.8x |
| SYNCOPE AND COLLAPSE | 312 | $38,892 | $19,446 | — | 8.6x |
| HYPERTENSION WITHOUT MCC | 305 | $32,407 | $16,204 | — | 8.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $33,386 | $16,693 | — | 8.4x |
| RENAL FAILURE WITH CC | 683 | $39,331 | $19,666 | — | 8.2x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $84,102 | $42,051 | — | 8.1x |
| CELLULITIS WITHOUT MCC | 603 | $35,702 | $17,851 | — | 8x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $42,368 | $21,184 | — | 7.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $30,849 | $15,424 | — | 7.9x |
| DIABETES WITH CC | 638 | $33,319 | $16,660 | — | 7.9x |
| SEIZURES WITHOUT MCC | 101 | $36,184 | $18,092 | — | 7.9x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $43,278 | $21,639 | — | 7.7x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $42,152 | $21,076 | — | 7.7x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $53,929 | $26,965 | — | 7.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $40,261 | $20,131 | — | 7.3x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $83,030 | $41,515 | — | 7.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $47,218 | $23,609 | — | 7.2x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $261,627 | $130,813 | — | 7.2x |
| RENAL FAILURE WITH MCC | 682 | $62,377 | $31,189 | — | 7.2x |
| DIABETES WITH MCC | 637 | $58,414 | $29,207 | — | 7.1x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $44,272 | $22,136 | — | 7.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $48,177 | $24,088 | — | 7.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $68,174 | $34,087 | — | 7.1x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $106,290 | $53,145 | — | 7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $83,153 | $41,577 | — | 7x |
Showing 50 of 60 procedures
How REGIONAL HOSPITAL OF SCRANTON 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