Wellspan Evangelical Community Hospital
WellSpan Evangelical Community Hospital in Lewisburg, PA charges 7.5x the Medicare reimbursement rate across 38 analyzed procedures, according to recent healthcare pricing data.
Lewisburg, PA 17837 · Acute Care Hospitals · CMS Rating: 5/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
D
High
Avg markup vs Medicare
7.46x
Charge / Medicare rate
Max markup
11x
Worst procedure
Procedures analyzed
38
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 |
|---|---|---|---|---|---|
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $41,968 | $20,984 | — | 11x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $48,761 | $24,381 | — | 10.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $51,019 | $25,510 | — | 9.7x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $49,840 | $24,920 | — | 9.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $37,703 | $18,851 | — | 9.6x |
| CELLULITIS WITHOUT MCC | 603 | $42,446 | $21,223 | — | 9.2x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $36,584 | $18,292 | — | 9.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $60,708 | $30,354 | — | 9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $36,620 | $18,310 | — | 8.8x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $63,067 | $31,534 | — | 8.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $35,315 | $17,657 | — | 8.4x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $58,747 | $29,374 | — | 8.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $44,155 | $22,078 | — | 8.3x |
| RENAL FAILURE WITH CC | 683 | $39,838 | $19,919 | — | 8.3x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $44,679 | $22,340 | — | 8.2x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $45,347 | $22,673 | — | 7.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $28,724 | $14,362 | — | 7.8x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $39,484 | $19,742 | — | 7.7x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $85,166 | $42,583 | — | 7.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $53,567 | $26,784 | — | 7.6x |
| SYNCOPE AND COLLAPSE | 312 | $33,202 | $16,601 | — | 7.6x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $73,538 | $36,769 | — | 7.3x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $38,788 | $19,394 | — | 7.1x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $51,627 | $25,813 | — | 6.6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $74,917 | $37,459 | — | 6.4x |
| RENAL FAILURE WITH MCC | 682 | $51,496 | $25,748 | — | 6.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $40,235 | $20,118 | — | 6.3x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $70,146 | $35,073 | — | 6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $53,614 | $26,807 | — | 5.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $39,211 | $19,606 | — | 5.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $71,095 | $35,547 | — | 5.8x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $70,605 | $35,302 | — | 5.6x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $51,147 | $25,573 | — | 5.6x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $39,648 | $19,824 | — | 5.6x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $160,192 | $80,096 | — | 5.4x |
| CELLULITIS WITH MCC | 602 | $40,133 | $20,066 | — | 5.3x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $70,337 | $35,169 | — | 5.3x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $188,956 | $94,478 | — | 4.6x |
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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