Pennsylvania / Geisinger-Lewistown Hospital

CMS certification 390048 · Lewistown, PA · 1 entry in CMS's price-transparency list

Geisinger-Lewistown Hospital: charges and Medicare payments

Geisinger-Lewistown Hospital reported 823 Medicare inpatient stays across 29 DRGs in 2024. Across them it charged 3.91 times what it was paid — mid-range in Pennsylvania, number 72 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: 151 stays at an average charge of $60,094, 33% below the national average. It also billed 1,756 outpatient services, charging 9.91 times what Medicare paid.

1234
  1. 1Medicare inpatient stays 823
  2. 2Charge ÷ paid, inpatient 3.91×
  3. 3Rank in PA (highest ratio = 1) 72 of 117
  4. 4CMS price-transparency actions 1
DRG 871$60,094DRG 291$40,606DRG 885$24,253DRG 872$37,638DRG 189$53,329DRG 683$31,619DRG 177$50,311DRG 193$42,076DRG 698$53,286DRG 392$31,064
Average charge per stay at Geisinger-Lewistown Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 29 DRGs that can be compared with the national average, Geisinger-Lewistown Hospital charged more than the national average in 2 (7%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC151$60,094-33%$16,168
291 Heart Failure and Shock with MCC98$40,606-28%$10,868
885 Psychoses40$24,253-45%$11,378
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC39$37,638-23%$9,270
189 Pulmonary Edema and Respiratory Failure38$53,329-7%$10,223
683 Renal Failure with CC37$31,619-22%$7,460
177 Respiratory Infections and Inflammations with MCC35$50,311-29%$13,707
193 Simple Pneumonia and Pleurisy with MCC34$42,076-30%$11,203
698 Other Kidney and Urinary Tract Diagnoses with MCC30$53,286-27%$13,277
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...29$31,064-23%$6,647
682 Renal Failure with MCC23$43,751-34%$12,010
690 Kidney and Urinary Tract Infections without MCC22$28,277-25%$6,698
603 Cellulitis without MCC19$32,655-12%$7,448
194 Simple Pneumonia and Pleurisy with CC18$39,651+3%$7,812
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...17$47,249-22%$10,793
312 Syncope and Collapse16$40,833-10%$7,093
522 Hip Replacement with Principal Diagnosis of Hip Fracture...16$72,519-29%$16,392
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...16$37,343+1%$6,601
689 Kidney and Urinary Tract Infections with MCC16$37,301-27%$9,395
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...15$42,514-24%$8,230
853 Infectious and Parasitic Diseases with O.R. Procedures with...14$103,905-55%$40,833
190 Chronic Obstructive Pulmonary Disease with MCC13$44,708-12%$10,128
308 Cardiac Arrhythmia and Conduction Disorders with MCC13$46,457-18%$10,393
378 Gastrointestinal Hemorrhage with CC13$47,888-1%$8,161
481 Hip and Femur Procedures except Major Joint with CC13$74,016-27%$16,240
699 Other Kidney and Urinary Tract Diagnoses with CC13$26,096-45%$8,296
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...12$46,189-24%$10,364
638 Diabetes with CC12$27,992-33%$7,622
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC11$28,482-1%$4,975

Outpatient services

Against the Pennsylvania average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Geisinger-Lewistown Hospital charged $60,094 on average, 32% less than the Pennsylvania average of $88,167, and was paid $16,168 against a state average of $16,881. For Heart Failure and Shock with MCC (DRG 291), Geisinger-Lewistown Hospital charged $40,606 on average, 29% less than the Pennsylvania average of $57,362, and was paid $10,868 against a state average of $11,112. For Psychoses (DRG 885), Geisinger-Lewistown Hospital charged $24,253 on average, 62% less than the Pennsylvania average of $63,773, and was paid $11,378 against a state average of $13,207. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Geisinger-Lewistown Hospital charged $37,638 on average, 24% less than the Pennsylvania average of $49,758, and was paid $9,270 against a state average of $9,077. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $13,293 was 8% below the state average of $14,403. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $25,419 was 17% above the state average of $21,732. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $14,857 was 3% below the state average of $15,366. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $14,403 was 6% above the state average of $13,651.

Price-transparency record

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

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.