Pennsylvania / Wellspan Waynesboro Hospital
CMS certification 390138 · Waynesboro, PA
Wellspan Waynesboro Hospital: charges and Medicare payments
Wellspan Waynesboro Hospital reported 465 Medicare inpatient stays across 17 DRGs in 2024. Across them it charged 2.59 times what it was paid — among the lower ratios in Pennsylvania, number 104 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: 109 stays at an average charge of $37,547, 58% below the national average. It also billed 350 outpatient services, charging 8.74 times what Medicare paid.
- 1Medicare inpatient stays 465
- 2Charge ÷ paid, inpatient 2.59×
- 3Rank in PA (highest ratio = 1) 104 of 117
- 4CMS price-transparency actions 0
Inpatient stays
For the 17 DRGs that can be compared with the national average, Wellspan Waynesboro 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 | 109 | $37,547 | -58% | $17,805 |
| 291 Heart Failure and Shock with MCC | 75 | $30,935 | -45% | $11,639 |
| 189 Pulmonary Edema and Respiratory Failure | 30 | $35,102 | -39% | $11,985 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 29 | $23,839 | -51% | $12,776 |
| 689 Kidney and Urinary Tract Infections with MCC | 25 | $27,985 | -45% | $10,056 |
| 177 Respiratory Infections and Inflammations with MCC | 24 | $42,071 | -40% | $14,505 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 21 | $44,064 | -22% | $10,395 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 21 | $21,463 | -47% | $7,302 |
| 690 Kidney and Urinary Tract Infections without MCC | 19 | $19,934 | -47% | $7,893 |
| 682 Renal Failure with MCC | 18 | $29,076 | -56% | $12,579 |
| 683 Renal Failure with CC | 17 | $28,061 | -31% | $7,778 |
| 193 Simple Pneumonia and Pleurisy with MCC | 16 | $35,805 | -40% | $11,734 |
| 312 Syncope and Collapse | 13 | $35,692 | -22% | $9,182 |
| 603 Cellulitis without MCC | 13 | $24,099 | -35% | $7,686 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 12 | $22,950 | -55% | $9,563 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $21,431 | -42% | $6,780 |
| 638 Diabetes with CC | 11 | $24,128 | -42% | $7,868 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 242 | $21,149 | $2,722 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 32 | $7,827 | $1,567 |
| Level 1 Intraocular Procedures | 26 | $10,538 | $2,325 |
| Level 1 Nerve Procedures | 21 | $9,014 | $1,926 |
| Level 1 Laparoscopy and Related Services | 16 | $31,862 | $5,757 |
| Level 2 Upper GI Procedures | 13 | $8,331 | $1,898 |
Against the Pennsylvania average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Wellspan Waynesboro Hospital charged $37,547 on average, 57% less than the Pennsylvania average of $88,167, and was paid $17,805 against a state average of $16,881. For Heart Failure and Shock with MCC (DRG 291), Wellspan Waynesboro Hospital charged $30,935 on average, 46% less than the Pennsylvania average of $57,362, and was paid $11,639 against a state average of $11,112. For Pulmonary Edema and Respiratory Failure (DRG 189), Wellspan Waynesboro Hospital charged $35,102 on average, 46% less than the Pennsylvania average of $65,329, and was paid $11,985 against a state average of $11,268. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Wellspan Waynesboro Hospital charged $23,839 on average, 52% less than the Pennsylvania average of $49,758, and was paid $12,776 against a state average of $9,077. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $21,149 was 3% below the state average of $21,732. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,827 was 43% below the state average of $13,651. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $10,538 was 27% below the state average of $14,403. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $9,014 was 29% below 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.