Pennsylvania / Geisinger Community Medical Center

CMS certification 390001 · Scranton, PA · 2 entries in CMS's price-transparency list

Geisinger Community Medical Center: charges and Medicare payments

Geisinger Community Medical Center reported 3,861 Medicare inpatient stays across 107 DRGs in 2024. Across them it charged 8.82 times what it was paid — among the higher ratios in Pennsylvania, number 5 of 117 hospitals with at least 100 stays (state median 4.27×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 556 stays at an average charge of $131,956, 46% above the national average. It also billed 2,259 outpatient services, charging 13.94 times what Medicare paid.

1Medicare inpatient stays 3,861
2Charge ÷ paid, inpatient 8.82×
3Rank in PA (highest ratio = 1) 5 of 117
4CMS price-transparency actions 2

Average charge per stay at Geisinger Community Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 107 DRGs that can be compared with the national average, Geisinger Community Medical Center charged more than the national average in 106 (99%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	556	$131,956	+46%	$15,337
291 Heart Failure and Shock with MCC	187	$75,317	+34%	$9,991
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	142	$72,725	+48%	$8,646
177 Respiratory Infections and Inflammations with MCC	126	$127,721	+81%	$13,134
189 Pulmonary Edema and Respiratory Failure	113	$97,935	+70%	$9,757
853 Infectious and Parasitic Diseases with O.R. Procedures with...	104	$295,336	+29%	$39,659
481 Hip and Femur Procedures except Major Joint with CC	74	$171,494	+70%	$15,970
683 Renal Failure with CC	69	$71,878	+77%	$7,270
378 Gastrointestinal Hemorrhage with CC	66	$80,340	+65%	$8,110
698 Other Kidney and Urinary Tract Diagnoses with MCC	66	$111,007	+51%	$12,581
193 Simple Pneumonia and Pleurisy with MCC	64	$88,248	+48%	$10,286
682 Renal Failure with MCC	62	$108,031	+64%	$11,925
689 Kidney and Urinary Tract Infections with MCC	58	$74,199	+45%	$9,608
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	57	$77,275	+39%	$8,828
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	57	$71,992	+19%	$12,849
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	57	$58,575	+58%	$6,305
690 Kidney and Urinary Tract Infections without MCC	54	$54,677	+45%	$6,421
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	52	$61,412	+53%	$6,314
377 Gastrointestinal Hemorrhage with MCC	48	$131,543	+54%	$15,262
552 Medical Back Problems without MCC	48	$77,163	+58%	$7,531
309 Cardiac Arrhythmia and Conduction Disorders with CC	47	$60,319	+67%	$6,175
286 Circulatory Disorders except AMI, with Cardiac...	43	$148,971	+33%	$17,491
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	42	$157,062	+57%	$16,076
543 Pathological Fractures and Musculoskeletal and Connective...	42	$89,951	+83%	$9,436
854 Infectious and Parasitic Diseases with O.R. Procedures with...	38	$142,426	+45%	$16,053
308 Cardiac Arrhythmia and Conduction Disorders with MCC	37	$88,758	+57%	$9,426
603 Cellulitis without MCC	37	$59,433	+59%	$7,670
813 Coagulation Disorders	37	$483,043	+503%	$41,195
190 Chronic Obstructive Pulmonary Disease with MCC	35	$79,766	+58%	$8,490
287 Circulatory Disorders except AMI, with Cardiac...	35	$104,644	+64%	$8,639
312 Syncope and Collapse	35	$65,589	+44%	$6,935
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	33	$192,436	+88%	$17,554
194 Simple Pneumonia and Pleurisy with CC	29	$60,502	+58%	$6,787
057 Degenerative Nervous System Disorders without MCC	27	$81,877	+45%	$10,326
178 Respiratory Infections and Inflammations with CC	26	$96,753	+114%	$8,727
184 Major Chest Trauma with CC	26	$97,412	+76%	$16,835
322 Percutaneous Cardiovascular Procedures with Intraluminal...	26	$159,015	+39%	$14,733
330 Major Small and Large Bowel Procedures with CC	26	$189,096	+59%	$19,091
394 Other Digestive System Diagnoses with CC	26	$71,739	+52%	$7,952
180 Respiratory Neoplasms with MCC	25	$124,191	+41%	$13,575
480 Hip and Femur Procedures except Major Joint with MCC	25	$254,675	+84%	$25,339
101 Seizures without MCC	24	$69,791	+43%	$7,084
329 Major Small and Large Bowel Procedures with MCC	24	$328,912	+53%	$35,389
389 Gastrointestinal Obstruction with CC	24	$50,462	+30%	$6,579
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	24	$94,203	+40%	$10,453
208 Respiratory System Diagnosis with Ventilator Support <=96...	23	$205,361	+51%	$21,966
242 Permanent Cardiac Pacemaker Implant with MCC	23	$220,727	+37%	$26,161
266 Endovascular Cardiac Valve Replacement and Supplement...	23	$348,591	+22%	$46,218
372 Major Gastrointestinal Disorders and Peritoneal Infections...	23	$76,617	+61%	$8,304
812 Red Blood Cell Disorders without MCC	23	$71,544	+61%	$7,034
493 Lower Extremity and Humerus Procedures except Hip, Foot and...	22	$223,288	+88%	$19,326
811 Red Blood Cell Disorders with MCC	22	$139,388	+104%	$13,157
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	21	$64,467	+6%	$10,582
393 Other Digestive System Diagnoses with MCC	21	$112,536	+47%	$12,881
638 Diabetes with CC	21	$54,268	+30%	$6,855
699 Other Kidney and Urinary Tract Diagnoses with CC	21	$57,653	+21%	$8,192
870 Septicemia or Severe Sepsis with MV >96 Hours	21	$519,317	+61%	$63,036
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	20	$106,572	+64%	$12,148
267 Endovascular Cardiac Valve Replacement and Supplement...	20	$331,292	+50%	$41,803
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	20	$49,854	+74%	$5,055

Showing the 60 most frequent of 107 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	367	$28,900	$2,416
Level 5 Musculoskeletal Procedures	277	$111,320	$11,630
Level 2 Excision/ Biopsy/ Incision and Drainage	230	$17,954	$1,429
Level 1 Endovascular Procedures	138	$51,270	$2,900
Level 3 Vascular Procedures	100	$33,965	$2,833
Level 2 Upper GI Procedures	87	$23,150	$1,700
Level 3 Urology and Related Services	86	$15,414	$1,819
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	84	$46,700	$2,978
Level 1 Laparoscopy and Related Services	81	$72,086	$5,052
Level 5 Urology and Related Services	76	$62,957	$4,622
Level 3 Excision/ Biopsy/ Incision and Drainage	62	$32,451	$2,513
Level 4 Urology and Related Services	52	$41,810	$3,114
Level 3 Musculoskeletal Procedures	50	$52,603	$2,891
Level 4 Musculoskeletal Procedures	50	$92,026	$6,288
Level 6 Musculoskeletal Procedures	45	$148,808	$16,610
Level 2 Vascular Procedures	43	$14,633	$1,430
Level 3 Electrophysiologic Procedures	43	$219,945	$20,705
Level 3 Endovascular Procedures	42	$111,550	$9,390
Level 4 Airway Endoscopy	38	$29,495	$3,345
Level 2 Breast/Lymphatic Surgery and Related Procedures	33	$92,470	$5,824
Level 1 Breast/Lymphatic Surgery and Related Procedures	27	$54,484	$3,304
Level 3 Lower GI Procedures	26	$45,243	$2,508
Level 2 Endovascular Procedures	25	$57,578	$5,105
Level 3 Pacemaker and Similar Procedures	25	$71,951	$9,531
Level 2 Laparoscopy and Related Services	24	$115,172	$9,189

Against the Pennsylvania average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Geisinger Community Medical Center charged $131,956 on average, 50% more than the Pennsylvania average of $88,167, and was paid $15,337 against a state average of $16,881. For Heart Failure and Shock with MCC (DRG 291), Geisinger Community Medical Center charged $75,317 on average, 31% more than the Pennsylvania average of $57,362, and was paid $9,991 against a state average of $11,112. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Geisinger Community Medical Center charged $72,725 on average, 46% more than the Pennsylvania average of $49,758, and was paid $8,646 against a state average of $9,077. For Respiratory Infections and Inflammations with MCC (DRG 177), Geisinger Community Medical Center charged $127,721 on average, 77% more than the Pennsylvania average of $72,025, and was paid $13,134 against a state average of $14,034. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $28,900 was 33% above the state average of $21,732. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $111,320 was 75% above the state average of $63,627. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $17,954 was 32% above the state average of $13,651. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $51,270 was 80% above the state average of $28,496.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Geisinger Community Medical Center in Scranton, PA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

Met Requirements — 2023-07-27 (CMS case 1244)
Met Requirements — 2025-04-04 (CMS case 3594)

A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.

Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.

Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.