Wellspan Ephrata Community Hospital
WellSpan Ephrata Community Hospital in Ephrata, PA charges 6.4x the Medicare reimbursement rate across 32 analyzed procedures at this nonprofit facility.
Ephrata, PA 17522 · 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
6.43x
Charge / Medicare rate
Max markup
13.18x
Worst procedure
Procedures analyzed
32
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 |
|---|---|---|---|---|---|
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $62,009 | $31,004 | — | 13.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $41,350 | $20,675 | — | 10.1x |
| DIABETES WITH CC | 638 | $40,671 | $20,336 | — | 8.5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $97,306 | $48,653 | — | 7.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $44,857 | $22,429 | — | 7.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $30,290 | $15,145 | — | 7.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $32,271 | $16,136 | — | 7.1x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $91,899 | $45,949 | — | 6.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $106,683 | $53,341 | — | 6.8x |
| RENAL FAILURE WITH CC | 683 | $33,453 | $16,727 | — | 6.8x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $73,245 | $36,623 | — | 6.6x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $38,457 | $19,228 | — | 6.5x |
| CELLULITIS WITHOUT MCC | 603 | $32,012 | $16,006 | — | 6.4x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $28,891 | $14,445 | — | 6.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $33,581 | $16,790 | — | 6.2x |
| RENAL FAILURE WITH MCC | 682 | $58,785 | $29,393 | — | 6.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $38,812 | $19,406 | — | 6.1x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $73,943 | $36,971 | — | 5.9x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $54,214 | $27,107 | — | 5.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $40,893 | $20,447 | — | 5.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $52,055 | $26,028 | — | 5.7x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $37,017 | $18,508 | — | 5.7x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $129,975 | $64,988 | — | 5.6x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $42,528 | $21,264 | — | 5.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $61,118 | $30,559 | — | 5.4x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $160,691 | $80,346 | — | 5.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $41,657 | $20,828 | — | 5.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $58,940 | $29,470 | — | 5.2x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $42,595 | $21,297 | — | 5.1x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $146,697 | $73,348 | — | 5x |
| COAGULATION DISORDERS | 813 | $45,043 | $22,522 | — | 4.6x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $46,530 | $23,265 | — | 4.3x |
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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