Pennsylvania / Geisinger Wyoming Valley Medical Center
CMS certification 390270 · Wilkes Barre, PA · 1 entry in CMS's price-transparency list
Geisinger Wyoming Valley Medical Center: charges and Medicare payments
Geisinger Wyoming Valley Medical Center reported 4,094 Medicare inpatient stays across 121 DRGs in 2024. Across them it charged 8.28 times what it was paid — among the higher ratios in Pennsylvania, number 7 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: 543 stays at an average charge of $133,564, 48% above the national average. It also billed 5,195 outpatient services, charging 15.71 times what Medicare paid.
- 1Medicare inpatient stays 4,094
- 2Charge ÷ paid, inpatient 8.28×
- 3Rank in PA (highest ratio = 1) 7 of 117
- 4CMS price-transparency actions 1
Inpatient stays
For the 121 DRGs that can be compared with the national average, Geisinger Wyoming Valley Medical Center charged more than the national average in 121 (100%). 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 | 543 | $133,564 | +48% | $16,101 |
| 291 Heart Failure and Shock with MCC | 211 | $83,916 | +49% | $11,282 |
| 189 Pulmonary Edema and Respiratory Failure | 128 | $101,285 | +76% | $11,097 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 127 | $83,094 | +69% | $9,169 |
| 177 Respiratory Infections and Inflammations with MCC | 124 | $105,908 | +50% | $13,640 |
| 683 Renal Failure with CC | 98 | $65,358 | +61% | $8,055 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 88 | $344,263 | +50% | $42,476 |
| 193 Simple Pneumonia and Pleurisy with MCC | 78 | $80,632 | +35% | $11,525 |
| 481 Hip and Femur Procedures except Major Joint with CC | 72 | $192,645 | +91% | $17,613 |
| 682 Renal Failure with MCC | 67 | $98,189 | +49% | $12,345 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 67 | $106,999 | +46% | $14,335 |
| 689 Kidney and Urinary Tract Infections with MCC | 64 | $81,991 | +60% | $9,982 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 63 | $84,208 | +51% | $9,144 |
| 690 Kidney and Urinary Tract Infections without MCC | 62 | $60,026 | +59% | $6,971 |
| 378 Gastrointestinal Hemorrhage with CC | 56 | $77,299 | +59% | $9,029 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 56 | $61,424 | +53% | $7,276 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 56 | $60,419 | +63% | $6,949 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 51 | $83,735 | +39% | $11,250 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 50 | $185,384 | +86% | $18,321 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 47 | $308,850 | +40% | $40,444 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 44 | $89,776 | +59% | $10,710 |
| 312 Syncope and Collapse | 44 | $65,556 | +44% | $7,583 |
| 552 Medical Back Problems without MCC | 44 | $80,687 | +65% | $8,347 |
| 603 Cellulitis without MCC | 44 | $51,311 | +38% | $7,534 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 42 | $54,063 | +50% | $6,888 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 38 | $313,360 | +35% | $35,640 |
| 377 Gastrointestinal Hemorrhage with MCC | 38 | $140,077 | +64% | $15,027 |
| 812 Red Blood Cell Disorders without MCC | 35 | $79,872 | +80% | $8,061 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 33 | $151,825 | +33% | $18,613 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 32 | $83,294 | +65% | $10,094 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 32 | $108,361 | +61% | $11,922 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 31 | $355,803 | +25% | $52,828 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 31 | $65,065 | +37% | $9,005 |
| 638 Diabetes with CC | 30 | $58,917 | +41% | $8,468 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 30 | $132,515 | +35% | $16,387 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 29 | $131,340 | +17% | $19,322 |
| 305 Hypertension without MCC | 29 | $59,946 | +49% | $6,909 |
| 178 Respiratory Infections and Inflammations with CC | 27 | $77,005 | +70% | $8,657 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 26 | $363,435 | +29% | $49,090 |
| 163 Major Chest Procedures with MCC | 26 | $247,338 | +17% | $35,299 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 26 | $89,272 | +46% | $11,587 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 25 | $170,718 | +67% | $17,416 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 23 | $128,852 | +98% | $14,611 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 23 | $298,110 | +115% | $24,725 |
| 176 Pulmonary Embolism without MCC | 22 | $69,405 | +67% | $7,812 |
| 194 Simple Pneumonia and Pleurisy with CC | 22 | $71,043 | +85% | $7,394 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 22 | $94,662 | +122% | $8,327 |
| 057 Degenerative Nervous System Disorders without MCC | 21 | $104,081 | +84% | $15,710 |
| 242 Permanent Cardiac Pacemaker Implant with MCC | 21 | $173,615 | +8% | $26,562 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 21 | $114,599 | +3% | $19,025 |
| 329 Major Small and Large Bowel Procedures with MCC | 21 | $355,523 | +65% | $44,676 |
| 389 Gastrointestinal Obstruction with CC | 21 | $62,487 | +61% | $7,381 |
| 811 Red Blood Cell Disorders with MCC | 21 | $132,164 | +94% | $12,001 |
| 184 Major Chest Trauma with CC | 20 | $83,242 | +50% | $9,744 |
| 202 Bronchitis and Asthma with CC/MCC | 20 | $64,642 | +40% | $8,201 |
| 314 Other Circulatory System Diagnoses with MCC | 20 | $118,204 | +25% | $17,636 |
| 330 Major Small and Large Bowel Procedures with CC | 20 | $210,384 | +77% | $23,552 |
| 637 Diabetes with MCC | 20 | $76,053 | +14% | $12,232 |
| 069 Transient Ischemia without Thrombolytic | 19 | $67,407 | +34% | $7,347 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 19 | $138,247 | +82% | $12,788 |
Showing the 60 most frequent of 121 DRGs.
Outpatient services
Against the Pennsylvania average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Geisinger Wyoming Valley Medical Center charged $133,564 on average, 51% more than the Pennsylvania average of $88,167, and was paid $16,101 against a state average of $16,881. For Heart Failure and Shock with MCC (DRG 291), Geisinger Wyoming Valley Medical Center charged $83,916 on average, 46% more than the Pennsylvania average of $57,362, and was paid $11,282 against a state average of $11,112. For Pulmonary Edema and Respiratory Failure (DRG 189), Geisinger Wyoming Valley Medical Center charged $101,285 on average, 55% more than the Pennsylvania average of $65,329, and was paid $11,097 against a state average of $11,268. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Geisinger Wyoming Valley Medical Center charged $83,094 on average, 67% more than the Pennsylvania average of $49,758, and was paid $9,169 against a state average of $9,077. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $5,572 was 28% above the state average of $4,364. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $44,167 was 207% above the state average of $14,403. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $16,187 was 2% below the state average of $16,557. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $113,596 was 79% above the state average of $63,627.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Geisinger Wyoming Valley Medical Center in Wilkes Barre, PA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-15 (CMS case 3593)
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.