Wellspan Chambersburg Hospital: charges and Medicare payments

Wellspan Chambersburg Hospital reported 3,240 Medicare inpatient stays across 84 DRGs in 2024. Across them it charged 3.37 times what it was paid — among the lower ratios in Pennsylvania, number 94 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: 535 stays at an average charge of $49,592, 45% below the national average. It also billed 2,582 outpatient services, charging 5.59 times what Medicare paid.

1Medicare inpatient stays 3,240
2Charge ÷ paid, inpatient 3.37×
3Rank in PA (highest ratio = 1) 94 of 117
4CMS price-transparency actions 0

Average charge per stay at Wellspan Chambersburg Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 84 DRGs that can be compared with the national average, Wellspan Chambersburg Hospital charged more than the national average in 0 (0%). 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	535	$49,592	-45%	$15,658
291 Heart Failure and Shock with MCC	257	$35,314	-37%	$10,289
189 Pulmonary Edema and Respiratory Failure	96	$34,598	-40%	$9,883
177 Respiratory Infections and Inflammations with MCC	86	$41,340	-41%	$12,897
193 Simple Pneumonia and Pleurisy with MCC	86	$33,634	-44%	$10,419
689 Kidney and Urinary Tract Infections with MCC	79	$28,068	-45%	$9,275
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	75	$29,578	-40%	$8,323
280 Acute Myocardial Infarction, Discharged Alive with MCC	73	$42,267	-44%	$12,852
853 Infectious and Parasitic Diseases with O.R. Procedures with...	73	$100,184	-56%	$34,953
690 Kidney and Urinary Tract Infections without MCC	67	$22,461	-41%	$6,939
683 Renal Failure with CC	64	$22,745	-44%	$7,523
682 Renal Failure with MCC	63	$35,076	-47%	$11,677
698 Other Kidney and Urinary Tract Diagnoses with MCC	62	$35,027	-52%	$12,479
309 Cardiac Arrhythmia and Conduction Disorders with CC	53	$30,150	-17%	$7,751
378 Gastrointestinal Hemorrhage with CC	53	$33,419	-31%	$8,317
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	46	$23,467	-42%	$6,465
312 Syncope and Collapse	45	$25,402	-44%	$6,990
308 Cardiac Arrhythmia and Conduction Disorders with MCC	44	$49,815	-12%	$9,572
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	42	$29,844	-51%	$10,626
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	39	$32,661	-41%	$8,221
603 Cellulitis without MCC	38	$24,192	-35%	$7,363
322 Percutaneous Cardiovascular Procedures with Intraluminal...	37	$71,906	-37%	$15,142
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	37	$23,996	-35%	$6,664
281 Acute Myocardial Infarction, Discharged Alive with CC	35	$33,168	-34%	$7,882
481 Hip and Femur Procedures except Major Joint with CC	35	$58,268	-42%	$15,922
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	34	$54,160	-46%	$16,786
389 Gastrointestinal Obstruction with CC	34	$25,387	-35%	$7,426
377 Gastrointestinal Hemorrhage with MCC	32	$50,672	-41%	$13,475
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	32	$63,410	-38%	$17,260
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	31	$26,340	-38%	$7,395
552 Medical Back Problems without MCC	30	$29,263	-40%	$8,064
243 Permanent Cardiac Pacemaker Implant with CC	29	$99,645	-10%	$22,044
314 Other Circulatory System Diagnoses with MCC	29	$46,561	-51%	$17,900
813 Coagulation Disorders	29	$37,399	-53%	$13,462
194 Simple Pneumonia and Pleurisy with CC	27	$19,293	-50%	$7,338
854 Infectious and Parasitic Diseases with O.R. Procedures with...	27	$52,752	-46%	$17,194
242 Permanent Cardiac Pacemaker Implant with MCC	26	$114,041	-29%	$28,429
638 Diabetes with CC	25	$23,088	-45%	$7,456
812 Red Blood Cell Disorders without MCC	25	$31,302	-29%	$7,393
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	23	$49,961	-26%	$14,181
811 Red Blood Cell Disorders with MCC	23	$42,884	-37%	$12,219
394 Other Digestive System Diagnoses with CC	22	$23,138	-51%	$9,106
460 Spinal Fusion except Cervical without MCC	22	$97,078	-43%	$29,527
178 Respiratory Infections and Inflammations with CC	21	$25,309	-44%	$7,863
208 Respiratory System Diagnosis with Ventilator Support <=96...	21	$74,629	-45%	$19,755
388 Gastrointestinal Obstruction with MCC	21	$46,656	-32%	$13,341
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	21	$29,232	-52%	$9,955
057 Degenerative Nervous System Disorders without MCC	20	$31,092	-45%	$12,524
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	19	$32,479	-50%	$10,694
190 Chronic Obstructive Pulmonary Disease with MCC	19	$24,725	-51%	$8,904
521 Hip Replacement with Principal Diagnosis of Hip Fracture...	19	$79,196	-41%	$19,561
699 Other Kidney and Urinary Tract Diagnoses with CC	19	$22,516	-53%	$7,912
069 Transient Ischemia without Thrombolytic	18	$30,477	-40%	$6,605
321 Percutaneous Cardiovascular Procedures with Intraluminal...	18	$99,211	-39%	$26,586
282 Acute Myocardial Infarction, Discharged Alive without CC/MCC	17	$29,572	-32%	$7,006
287 Circulatory Disorders except AMI, with Cardiac...	17	$43,558	-32%	$9,857
305 Hypertension without MCC	17	$29,284	-27%	$6,242
870 Septicemia or Severe Sepsis with MV >96 Hours	17	$199,942	-38%	$52,041
372 Major Gastrointestinal Disorders and Peritoneal Infections...	15	$30,718	-35%	$8,072
480 Hip and Femur Procedures except Major Joint with MCC	15	$70,803	-49%	$21,276

Showing the 60 most frequent of 84 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	812	$18,368	$2,731
Level 2 Excision/ Biopsy/ Incision and Drainage	203	$9,453	$1,618
Level 5 Musculoskeletal Procedures	165	$41,404	$12,834
Level 5 Urology and Related Services	157	$25,766	$5,163
Level 1 Endovascular Procedures	137	$15,510	$3,240
Level 4 Urology and Related Services	116	$19,661	$3,478
Level 4 Musculoskeletal Procedures	104	$34,738	$7,069
Level 3 Urology and Related Services	86	$10,536	$2,032
Level 1 Laparoscopy and Related Services	81	$29,899	$5,700
Level 3 Vascular Procedures	78	$15,884	$3,180
Level 3 Endovascular Procedures	56	$51,340	$10,798
Level 5 Neurostimulator and Related Procedures	54	$72,441	$30,889
Level 3 Excision/ Biopsy/ Incision and Drainage	52	$12,789	$2,835
Level 3 Pacemaker and Similar Procedures	52	$56,700	$10,644
Level 1 Nerve Procedures	45	$12,116	$1,927
Level 6 Musculoskeletal Procedures	38	$58,825	$18,393
Level 2 Pacemaker and Similar Procedures	38	$40,075	$8,475
Level 2 Laparoscopy and Related Services	29	$45,333	$9,964
Level 3 Musculoskeletal Procedures	27	$19,663	$3,134
Level 2 Vascular Procedures	27	$6,770	$1,568
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	26	$25,624	$3,452
Level 4 Airway Endoscopy	24	$23,408	$3,736
Level 5 Airway Endoscopy	23	$29,707	$6,829
Level 4 ENT Procedures	22	$18,697	$3,097
Level 2 ICD and Similar Procedures	22	$180,319	$32,724

Against the Pennsylvania average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Wellspan Chambersburg Hospital charged $49,592 on average, 44% less than the Pennsylvania average of $88,167, and was paid $15,658 against a state average of $16,881. For Heart Failure and Shock with MCC (DRG 291), Wellspan Chambersburg Hospital charged $35,314 on average, 38% less than the Pennsylvania average of $57,362, and was paid $10,289 against a state average of $11,112. For Pulmonary Edema and Respiratory Failure (DRG 189), Wellspan Chambersburg Hospital charged $34,598 on average, 47% less than the Pennsylvania average of $65,329, and was paid $9,883 against a state average of $11,268. For Respiratory Infections and Inflammations with MCC (DRG 177), Wellspan Chambersburg Hospital charged $41,340 on average, 43% less than the Pennsylvania average of $72,025, and was paid $12,897 against a state average of $14,034. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $18,368 was 15% below the state average of $21,732. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,453 was 31% below the state average of $13,651. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $41,404 was 35% below the state average of $63,627. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $25,766 was 29% below the state average of $36,329.

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.