Pennsylvania / Wellspan Evangelical Community Hospital
CMS certification 390013 · Lewisburg, PA
Wellspan Evangelical Community Hospital: charges and Medicare payments
Wellspan Evangelical Community Hospital reported 759 Medicare inpatient stays across 31 DRGs in 2024. Across them it charged 6.19 times what it was paid — among the higher ratios in Pennsylvania, number 28 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: 80 stays at an average charge of $80,480, 11% below the national average. It also billed 1,813 outpatient services, charging 8.55 times what Medicare paid.
- 1Medicare inpatient stays 759
- 2Charge ÷ paid, inpatient 6.19×
- 3Rank in PA (highest ratio = 1) 28 of 117
- 4CMS price-transparency actions 0
Inpatient stays
For the 31 DRGs that can be compared with the national average, Wellspan Evangelical Community Hospital charged more than the national average in 11 (35%). 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 | 80 | $80,480 | -11% | $13,589 |
| 291 Heart Failure and Shock with MCC | 79 | $46,838 | -17% | $8,443 |
| 690 Kidney and Urinary Tract Infections without MCC | 47 | $44,547 | +18% | $5,636 |
| 177 Respiratory Infections and Inflammations with MCC | 45 | $68,835 | -2% | $11,129 |
| 689 Kidney and Urinary Tract Infections with MCC | 43 | $46,557 | -9% | $7,714 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 29 | $42,129 | +5% | $5,401 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 27 | $49,412 | -11% | $6,860 |
| 603 Cellulitis without MCC | 27 | $43,821 | +18% | $5,893 |
| 193 Simple Pneumonia and Pleurisy with MCC | 26 | $60,165 | +1% | $9,528 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 23 | $46,036 | -9% | $7,538 |
| 378 Gastrointestinal Hemorrhage with CC | 23 | $57,440 | +18% | $6,736 |
| 683 Renal Failure with CC | 23 | $35,216 | -13% | $6,439 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 22 | $31,882 | -12% | $5,359 |
| 194 Simple Pneumonia and Pleurisy with CC | 21 | $45,483 | +19% | $5,670 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 21 | $97,501 | -15% | $13,821 |
| 682 Renal Failure with MCC | 21 | $58,797 | -11% | $9,637 |
| 312 Syncope and Collapse | 20 | $40,764 | -10% | $5,951 |
| 178 Respiratory Infections and Inflammations with CC | 16 | $62,349 | +38% | $6,764 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 16 | $112,377 | -51% | $35,656 |
| 552 Medical Back Problems without MCC | 15 | $42,370 | -13% | $6,500 |
| 189 Pulmonary Edema and Respiratory Failure | 13 | $55,475 | -4% | $8,361 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 13 | $42,659 | -16% | $6,507 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 13 | $106,353 | -35% | $19,082 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 13 | $59,178 | -19% | $10,534 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 13 | $53,230 | +9% | $6,784 |
| 176 Pulmonary Embolism without MCC | 12 | $38,181 | -8% | $5,523 |
| 179 Respiratory Infections and Inflammations without CC/MCC | 12 | $41,518 | +18% | $5,286 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 12 | $42,426 | -34% | $8,522 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $35,399 | -4% | $5,284 |
| 149 Dysequilibrium | 11 | $45,070 | +2% | $5,180 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 11 | $41,572 | +5% | $5,727 |
Outpatient services
Against the Pennsylvania average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Wellspan Evangelical Community Hospital charged $80,480 on average, 9% less than the Pennsylvania average of $88,167, and was paid $13,589 against a state average of $16,881. For Heart Failure and Shock with MCC (DRG 291), Wellspan Evangelical Community Hospital charged $46,838 on average, 18% less than the Pennsylvania average of $57,362, and was paid $8,443 against a state average of $11,112. For Kidney and Urinary Tract Infections without MCC (DRG 690), Wellspan Evangelical Community Hospital charged $44,547 on average, 22% more than the Pennsylvania average of $36,664, and was paid $5,636 against a state average of $7,034. For Respiratory Infections and Inflammations with MCC (DRG 177), Wellspan Evangelical Community Hospital charged $68,835 on average, 4% less than the Pennsylvania average of $72,025, and was paid $11,129 against a state average of $14,034. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $27,438 was 26% above the state average of $21,732. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $64,890 was 2% above the state average of $63,627. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $45,542 was 4% below the state average of $47,486. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $15,304 was 21% above the state average of $12,623.
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.