Pennsylvania / Geisinger St. Luke's Hospital
CMS certification 390332 · Orwigsburg, PA
Geisinger St. Luke's Hospital: charges and Medicare payments
Geisinger St. Luke's Hospital reported 806 Medicare inpatient stays across 24 DRGs in 2024. Across them it charged 5.36 times what it was paid — among the higher ratios in Pennsylvania, number 39 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: 181 stays at an average charge of $63,733, 29% below the national average. It also billed 461 outpatient services, charging 11.44 times what Medicare paid.
- 1Medicare inpatient stays 806
- 2Charge ÷ paid, inpatient 5.36×
- 3Rank in PA (highest ratio = 1) 39 of 117
- 4CMS price-transparency actions 0
Inpatient stays
For the 24 DRGs that can be compared with the national average, Geisinger St. Luke's Hospital charged more than the national average in 2 (8%). 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 | 181 | $63,733 | -29% | $13,700 |
| 291 Heart Failure and Shock with MCC | 121 | $45,722 | -19% | $9,581 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 48 | $48,333 | -1% | $7,102 |
| 682 Renal Failure with MCC | 42 | $55,152 | -16% | $10,112 |
| 177 Respiratory Infections and Inflammations with MCC | 39 | $67,779 | -4% | $10,688 |
| 193 Simple Pneumonia and Pleurisy with MCC | 39 | $53,877 | -10% | $9,129 |
| 683 Renal Failure with CC | 39 | $38,000 | -7% | $6,147 |
| 189 Pulmonary Edema and Respiratory Failure | 32 | $57,724 | 0% | $9,641 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 28 | $59,807 | -19% | $11,325 |
| 689 Kidney and Urinary Tract Infections with MCC | 22 | $37,047 | -28% | $7,770 |
| 690 Kidney and Urinary Tract Infections without MCC | 22 | $34,099 | -10% | $5,637 |
| 552 Medical Back Problems without MCC | 21 | $32,575 | -33% | $6,462 |
| 603 Cellulitis without MCC | 19 | $37,730 | +1% | $6,594 |
| 378 Gastrointestinal Hemorrhage with CC | 18 | $63,622 | +31% | $6,774 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 17 | $36,217 | -10% | $5,359 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 16 | $45,687 | -24% | $9,078 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 15 | $50,130 | -10% | $7,798 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 14 | $36,306 | -2% | $5,488 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 14 | $147,992 | -35% | $30,112 |
| 377 Gastrointestinal Hemorrhage with MCC | 13 | $85,430 | 0% | $12,972 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 12 | $77,978 | -22% | $12,739 |
| 389 Gastrointestinal Obstruction with CC | 12 | $33,825 | -13% | $6,574 |
| 092 Other Disorders of Nervous System with CC | 11 | $35,051 | -32% | $6,743 |
| 637 Diabetes with MCC | 11 | $56,553 | -15% | $10,146 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 102 | $19,740 | $2,483 |
| Level 3 Urology and Related Services | 78 | $22,581 | $1,858 |
| Level 1 Nerve Procedures | 56 | $14,879 | $1,754 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 49 | $13,100 | $1,439 |
| Level 4 Urology and Related Services | 31 | $33,922 | $3,212 |
| Level 5 Urology and Related Services | 30 | $41,817 | $4,767 |
| Level 3 Vascular Procedures | 28 | $13,153 | $2,853 |
| Level 1 Laparoscopy and Related Services | 28 | $50,331 | $5,165 |
| Level 3 ENT Procedures | 18 | $11,862 | $1,405 |
| Level 2 Upper GI Procedures | 16 | $20,406 | $1,753 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 14 | $30,153 | $3,006 |
| Level 2 Musculoskeletal Procedures | 11 | $7,914 | $1,374 |
Against the Pennsylvania average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Geisinger St. Luke's Hospital charged $63,733 on average, 28% less than the Pennsylvania average of $88,167, and was paid $13,700 against a state average of $16,881. For Heart Failure and Shock with MCC (DRG 291), Geisinger St. Luke's Hospital charged $45,722 on average, 20% less than the Pennsylvania average of $57,362, and was paid $9,581 against a state average of $11,112. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Geisinger St. Luke's Hospital charged $48,333 on average, 3% less than the Pennsylvania average of $49,758, and was paid $7,102 against a state average of $9,077. For Renal Failure with MCC (DRG 682), Geisinger St. Luke's Hospital charged $55,152 on average, 20% less than the Pennsylvania average of $68,711, and was paid $10,112 against a state average of $12,876. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $19,740 was 9% below the state average of $21,732. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $22,581 was 36% above the state average of $16,557. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $14,879 was 18% above the state average of $12,623. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $13,100 was 4% below the state average of $13,651.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
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.