Pennsylvania / Geisinger Medical Center
CMS certification 390006 · Danville, PA · 3 entries in CMS's price-transparency list
Geisinger Medical Center: charges and Medicare payments
Geisinger Medical Center reported 4,806 Medicare inpatient stays across 155 DRGs in 2024. Across them it charged 7.16 times what it was paid — among the higher ratios in Pennsylvania, number 15 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: 522 stays at an average charge of $143,518, 59% above the national average. It also billed 6,252 outpatient services, charging 16.32 times what Medicare paid.
- 1Medicare inpatient stays 4,806
- 2Charge ÷ paid, inpatient 7.16×
- 3Rank in PA (highest ratio = 1) 15 of 117
- 4CMS price-transparency actions 3
Inpatient stays
For the 155 DRGs that can be compared with the national average, Geisinger Medical Center charged more than the national average in 153 (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 | 522 | $143,518 | +59% | $20,353 |
| 291 Heart Failure and Shock with MCC | 195 | $95,248 | +69% | $14,194 |
| 189 Pulmonary Edema and Respiratory Failure | 130 | $104,717 | +82% | $13,665 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 111 | $412,204 | +80% | $63,280 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 99 | $82,243 | +68% | $11,580 |
| 177 Respiratory Infections and Inflammations with MCC | 93 | $99,691 | +41% | $17,616 |
| 683 Renal Failure with CC | 87 | $65,034 | +60% | $10,300 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 78 | $121,108 | +65% | $17,941 |
| 330 Major Small and Large Bowel Procedures with CC | 77 | $169,370 | +42% | $24,359 |
| 378 Gastrointestinal Hemorrhage with CC | 72 | $71,012 | +46% | $10,988 |
| 481 Hip and Femur Procedures except Major Joint with CC | 69 | $222,157 | +120% | $22,256 |
| 193 Simple Pneumonia and Pleurisy with MCC | 65 | $93,855 | +57% | $14,259 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 65 | $166,035 | +45% | $19,549 |
| 682 Renal Failure with MCC | 61 | $90,481 | +37% | $15,333 |
| 690 Kidney and Urinary Tract Infections without MCC | 58 | $60,045 | +59% | $9,010 |
| 377 Gastrointestinal Hemorrhage with MCC | 52 | $144,780 | +70% | $19,299 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 50 | $84,638 | +52% | $11,488 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 50 | $53,937 | +34% | $9,212 |
| 552 Medical Back Problems without MCC | 48 | $72,944 | +49% | $11,177 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 46 | $309,176 | +40% | $45,086 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 45 | $143,738 | +44% | $21,592 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 44 | $155,436 | +38% | $22,462 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 43 | $91,363 | +20% | $16,323 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 41 | $68,730 | +45% | $11,904 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 40 | $339,997 | +47% | $43,149 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 40 | $57,399 | +59% | $8,491 |
| 329 Major Small and Large Bowel Procedures with MCC | 40 | $310,556 | +44% | $42,610 |
| 314 Other Circulatory System Diagnoses with MCC | 39 | $142,099 | +50% | $23,033 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 39 | $99,100 | +64% | $14,103 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 39 | $60,061 | +62% | $9,308 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 37 | $89,982 | +41% | $13,607 |
| 312 Syncope and Collapse | 36 | $72,827 | +60% | $10,274 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 36 | $241,835 | +48% | $29,459 |
| 689 Kidney and Urinary Tract Infections with MCC | 36 | $81,266 | +58% | $13,090 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 34 | $281,229 | +103% | $31,009 |
| 394 Other Digestive System Diagnoses with CC | 33 | $74,323 | +58% | $10,778 |
| 432 Cirrhosis and Alcoholic Hepatitis with MCC | 33 | $140,776 | +47% | $22,678 |
| 393 Other Digestive System Diagnoses with MCC | 32 | $101,040 | +32% | $17,156 |
| 220 Cardiac Valve and Other Major Cardiothoracic Procedures... | 31 | $409,500 | +48% | $60,240 |
| 847 Chemotherapy without Acute Leukemia As Secondary Diagnosis... | 31 | $80,186 | +18% | $15,718 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 30 | $403,893 | +44% | $70,032 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 30 | $74,169 | +47% | $10,247 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 30 | $140,714 | +64% | $17,216 |
| 603 Cellulitis without MCC | 30 | $61,638 | +65% | $9,591 |
| 101 Seizures without MCC | 29 | $79,076 | +62% | $10,085 |
| 184 Major Chest Trauma with CC | 29 | $84,327 | +52% | $11,407 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 28 | $95,498 | +56% | $14,634 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 28 | $171,688 | +75% | $32,858 |
| 057 Degenerative Nervous System Disorders without MCC | 27 | $102,590 | +81% | $13,968 |
| 082 Traumatic Stupor and Coma >1 Hour with MCC | 27 | $209,930 | +82% | $24,341 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 27 | $380,224 | +33% | $57,450 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 26 | $95,886 | +47% | $14,532 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 26 | $181,191 | +16% | $30,718 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 26 | $73,013 | +29% | $12,704 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 26 | $516,824 | +60% | $66,399 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 26 | $297,845 | +38% | $51,595 |
| 086 Traumatic Stupor and Coma <1 Hour with CC | 25 | $114,441 | +68% | $14,217 |
| 270 Other Major Cardiovascular Procedures with MCC | 25 | $367,807 | +42% | $52,477 |
| 460 Spinal Fusion except Cervical without MCC | 25 | $292,368 | +72% | $36,054 |
| 543 Pathological Fractures and Musculoskeletal and Connective... | 25 | $96,218 | +96% | $13,144 |
Showing the 60 most frequent of 155 DRGs.
Outpatient services
Against the Pennsylvania average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Geisinger Medical Center charged $143,518 on average, 63% more than the Pennsylvania average of $88,167, and was paid $20,353 against a state average of $16,881. For Heart Failure and Shock with MCC (DRG 291), Geisinger Medical Center charged $95,248 on average, 66% more than the Pennsylvania average of $57,362, and was paid $14,194 against a state average of $11,112. For Pulmonary Edema and Respiratory Failure (DRG 189), Geisinger Medical Center charged $104,717 on average, 60% more than the Pennsylvania average of $65,329, and was paid $13,665 against a state average of $11,268. For Infectious and Parasitic Diseases with O.R. Procedures with MCC (DRG 853), Geisinger Medical Center charged $412,204 on average, 77% more than the Pennsylvania average of $232,291, and was paid $63,280 against a state average of $44,314. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $6,565 was 50% above the state average of $4,364. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $44,758 was 211% above the state average of $14,403. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $23,397 was 71% above the state average of $13,651. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $16,447 was 1% below the state average of $16,557.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Geisinger Medical Center in Danville, PA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-09-29 (CMS case 1025)
- Closure Notice — 2022-06-29 (CMS case 1025)
- Met Requirements — 2025-03-24 (CMS case 3364)
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.