Pennsylvania / Wayne Memorial Hospital
CMS certification 390125 · Honesdale, PA · 3 entries in CMS's price-transparency list
Wayne Memorial Hospital: charges and Medicare payments
Wayne Memorial Hospital reported 657 Medicare inpatient stays across 26 DRGs in 2024. Across them it charged 3.75 times what it was paid — mid-range in Pennsylvania, number 77 of 117 hospitals with at least 100 stays (state median 4.27×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 67 stays at an average charge of $34,318, 39% below the national average. It also billed 1,039 outpatient services, charging 6.46 times what Medicare paid.
- 1Medicare inpatient stays 657
- 2Charge ÷ paid, inpatient 3.75×
- 3Rank in PA (highest ratio = 1) 77 of 117
- 4CMS price-transparency actions 3
Inpatient stays
For the 26 DRGs that can be compared with the national average, Wayne Memorial Hospital charged more than the national average in 1 (4%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 291 Heart Failure and Shock with MCC | 67 | $34,318 | -39% | $10,902 |
| 193 Simple Pneumonia and Pleurisy with MCC | 65 | $40,154 | -33% | $11,491 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 54 | $44,627 | -51% | $16,759 |
| 177 Respiratory Infections and Inflammations with MCC | 41 | $46,600 | -34% | $14,242 |
| 194 Simple Pneumonia and Pleurisy with CC | 37 | $33,211 | -13% | $7,060 |
| 683 Renal Failure with CC | 36 | $32,890 | -19% | $7,649 |
| 690 Kidney and Urinary Tract Infections without MCC | 31 | $31,277 | -17% | $7,021 |
| 378 Gastrointestinal Hemorrhage with CC | 28 | $35,263 | -27% | $8,336 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 25 | $37,085 | -33% | $8,633 |
| 682 Renal Failure with MCC | 23 | $44,537 | -32% | $12,813 |
| 189 Pulmonary Edema and Respiratory Failure | 22 | $35,783 | -38% | $10,544 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 20 | $36,148 | -51% | $14,063 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 20 | $37,505 | -24% | $8,728 |
| 178 Respiratory Infections and Inflammations with CC | 19 | $36,660 | -19% | $8,390 |
| 603 Cellulitis without MCC | 18 | $33,570 | -10% | $7,549 |
| 689 Kidney and Urinary Tract Infections with MCC | 18 | $39,151 | -24% | $9,965 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 17 | $30,836 | -23% | $6,715 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 16 | $73,075 | -22% | $15,957 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 15 | $32,850 | -11% | $6,673 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 13 | $24,103 | -33% | $6,344 |
| 389 Gastrointestinal Obstruction with CC | 13 | $27,496 | -29% | $6,784 |
| 066 Intracranial Hemorrhage or Cerebral Infarction without... | 12 | $33,777 | -20% | $5,860 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 12 | $38,918 | -31% | $10,334 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 12 | $175,619 | +53% | $32,444 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 12 | $33,707 | -29% | $8,622 |
| 638 Diabetes with CC | 11 | $29,484 | -29% | $7,676 |
Outpatient services
Against the Pennsylvania average
For Heart Failure and Shock with MCC (DRG 291), Wayne Memorial Hospital charged $34,318 on average, 40% less than the Pennsylvania average of $57,362, and was paid $10,902 against a state average of $11,112. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Wayne Memorial Hospital charged $40,154 on average, 32% less than the Pennsylvania average of $59,404, and was paid $11,491 against a state average of $11,319. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Wayne Memorial Hospital charged $44,627 on average, 49% less than the Pennsylvania average of $88,167, and was paid $16,759 against a state average of $16,881. For Respiratory Infections and Inflammations with MCC (DRG 177), Wayne Memorial Hospital charged $46,600 on average, 35% less than the Pennsylvania average of $72,025, and was paid $14,242 against a state average of $14,034. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $2,572 was 41% below the state average of $4,364. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $14,665 was 11% below the state average of $16,557. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $13,306 was 48% below the state average of $25,570. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $22,960 was 6% above the state average of $21,732.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Wayne Memorial Hospital in Honesdale, PA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-03-03 (CMS case 32)
- CAP Request — 2023-06-15 (CMS case 32)
- Closure Notice — 2023-11-29 (CMS case 32)
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.