Wellspan York Hospital: charges and Medicare payments

Wellspan York Hospital reported 6,098 Medicare inpatient stays across 159 DRGs in 2024. Across them it charged 4.05 times what it was paid — mid-range in Pennsylvania, number 68 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: 711 stays at an average charge of $68,009, 25% below the national average. It also billed 4,640 outpatient services, charging 8 times what Medicare paid.

1Medicare inpatient stays 6,098
2Charge ÷ paid, inpatient 4.05×
3Rank in PA (highest ratio = 1) 68 of 117
4CMS price-transparency actions 0

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

Inpatient stays

For the 159 DRGs that can be compared with the national average, Wellspan York Hospital charged more than the national average in 28 (18%). 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	711	$68,009	-25%	$18,404
291 Heart Failure and Shock with MCC	304	$46,689	-17%	$11,521
274 Percutaneous and Other Intracardiac Procedures without MCC	173	$122,502	-22%	$26,900
853 Infectious and Parasitic Diseases with O.R. Procedures with...	145	$189,582	-17%	$50,292
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	145	$36,350	-26%	$9,578
267 Endovascular Cardiac Valve Replacement and Supplement...	137	$151,357	-32%	$39,730
378 Gastrointestinal Hemorrhage with CC	100	$36,849	-24%	$11,988
481 Hip and Femur Procedures except Major Joint with CC	86	$118,237	+17%	$17,028
177 Respiratory Infections and Inflammations with MCC	85	$52,200	-26%	$16,146
193 Simple Pneumonia and Pleurisy with MCC	85	$43,227	-28%	$12,940
682 Renal Failure with MCC	82	$50,209	-24%	$13,322
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	81	$51,219	-8%	$9,451
683 Renal Failure with CC	81	$29,640	-27%	$8,426
698 Other Kidney and Urinary Tract Diagnoses with MCC	79	$49,725	-32%	$14,885
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	77	$90,421	-9%	$19,373
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	74	$25,185	-37%	$7,492
689 Kidney and Urinary Tract Infections with MCC	74	$36,725	-28%	$10,773
690 Kidney and Urinary Tract Infections without MCC	73	$28,183	-25%	$7,467
377 Gastrointestinal Hemorrhage with MCC	67	$65,461	-23%	$16,353
552 Medical Back Problems without MCC	60	$33,240	-32%	$10,401
309 Cardiac Arrhythmia and Conduction Disorders with CC	59	$31,904	-12%	$7,012
322 Percutaneous Cardiovascular Procedures with Intraluminal...	59	$140,568	+23%	$21,198
603 Cellulitis without MCC	57	$26,923	-28%	$8,702
813 Coagulation Disorders	56	$52,066	-35%	$13,366
286 Circulatory Disorders except AMI, with Cardiac...	55	$103,431	-8%	$24,663
312 Syncope and Collapse	55	$35,414	-22%	$8,609
189 Pulmonary Edema and Respiratory Failure	53	$46,324	-20%	$10,920
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	48	$47,686	-21%	$13,401
330 Major Small and Large Bowel Procedures with CC	47	$103,678	-13%	$26,614
812 Red Blood Cell Disorders without MCC	47	$35,621	-20%	$8,461
287 Circulatory Disorders except AMI, with Cardiac...	44	$62,986	-1%	$12,348
321 Percutaneous Cardiovascular Procedures with Intraluminal...	42	$173,587	+6%	$37,476
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	42	$28,771	-22%	$8,517
184 Major Chest Trauma with CC	41	$40,239	-27%	$9,394
280 Acute Myocardial Infarction, Discharged Alive with MCC	41	$73,047	-4%	$15,213
314 Other Circulatory System Diagnoses with MCC	41	$65,141	-31%	$20,283
389 Gastrointestinal Obstruction with CC	39	$22,239	-43%	$7,434
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	39	$30,046	-29%	$9,163
243 Permanent Cardiac Pacemaker Implant with CC	38	$85,526	-23%	$19,163
023 Craniotomy with Major Device Implant or Acute Complex Cns...	37	$219,198	-22%	$50,846
190 Chronic Obstructive Pulmonary Disease with MCC	37	$35,833	-29%	$9,687
194 Simple Pneumonia and Pleurisy with CC	37	$27,445	-28%	$7,790
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	37	$50,452	-17%	$12,992
394 Other Digestive System Diagnoses with CC	37	$35,335	-25%	$8,388
308 Cardiac Arrhythmia and Conduction Disorders with MCC	36	$50,582	-11%	$13,973
811 Red Blood Cell Disorders with MCC	36	$44,184	-35%	$12,923
164 Major Chest Procedures with CC	35	$95,129	-25%	$24,917
057 Degenerative Nervous System Disorders without MCC	34	$41,148	-27%	$11,631
323 Coronary Intravascular Lithotripsy with Intraluminal Device...	33	$247,390	+7%	$47,616
699 Other Kidney and Urinary Tract Diagnoses with CC	33	$23,294	-51%	$9,598
854 Infectious and Parasitic Diseases with O.R. Procedures with...	33	$84,471	-14%	$22,520
025 Craniotomy and Endovascular Intracranial Procedures with MCC	32	$171,408	-26%	$42,268
083 Traumatic Stupor and Coma >1 Hour with CC	32	$56,245	-23%	$11,925
163 Major Chest Procedures with MCC	32	$142,535	-32%	$38,606
178 Respiratory Infections and Inflammations with CC	32	$36,279	-20%	$8,443
236 Coronary Bypass without Cardiac Catheterization without MCC	32	$256,298	+22%	$55,856
242 Permanent Cardiac Pacemaker Implant with MCC	31	$121,451	-24%	$28,918
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	29	$56,620	-13%	$13,126
266 Endovascular Cardiac Valve Replacement and Supplement...	29	$220,144	-23%	$50,938
299 Peripheral Vascular Disorders with MCC	29	$54,933	-27%	$15,028

Showing the 60 most frequent of 159 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	704	$20,049	$2,553
Level 1 Endovascular Procedures	422	$24,419	$3,051
Level 2 Excision/ Biopsy/ Incision and Drainage	360	$6,221	$1,507
Level 3 Electrophysiologic Procedures	271	$159,737	$22,227
Level 3 Vascular Procedures	210	$16,428	$2,992
Level 2 Upper GI Procedures	207	$10,971	$1,784
Level 1 Nerve Procedures	181	$7,136	$1,793
Level 3 Urology and Related Services	165	$12,484	$1,750
Level 3 Endovascular Procedures	164	$96,523	$10,346
Level 1 Laparoscopy and Related Services	150	$50,504	$5,402
Level 5 Airway Endoscopy	132	$36,321	$6,442
Level 2 Urology and Related Services	129	$6,054	$529
Level 3 Excision/ Biopsy/ Incision and Drainage	121	$11,234	$2,661
Level 4 Vascular Procedures	119	$23,920	$5,129
Level 4 Endovascular Procedures	116	$139,267	$16,345
Level 5 Urology and Related Services	102	$33,348	$4,870
Level 3 Pacemaker and Similar Procedures	96	$41,112	$10,043
Level 2 Laparoscopy and Related Services	83	$79,829	$9,682
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	71	$20,534	$3,256
Level 3 Airway Endoscopy	68	$12,184	$1,560
Level 2 Vascular Procedures	60	$6,339	$1,430
Level 2 Endovascular Procedures	58	$44,927	$5,380
Level 2 Pacemaker and Similar Procedures	58	$30,017	$7,997
Level 4 Airway Endoscopy	54	$20,613	$3,525
Level 2 ICD and Similar Procedures	53	$98,961	$30,322

Against the Pennsylvania average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Wellspan York Hospital charged $68,009 on average, 23% less than the Pennsylvania average of $88,167, and was paid $18,404 against a state average of $16,881. For Heart Failure and Shock with MCC (DRG 291), Wellspan York Hospital charged $46,689 on average, 19% less than the Pennsylvania average of $57,362, and was paid $11,521 against a state average of $11,112. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Wellspan York Hospital charged $122,502 on average, 29% less than the Pennsylvania average of $171,962, and was paid $26,900 against a state average of $27,954. For Infectious and Parasitic Diseases with O.R. Procedures with MCC (DRG 853), Wellspan York Hospital charged $189,582 on average, 18% less than the Pennsylvania average of $232,291, and was paid $50,292 against a state average of $44,314. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $20,049 was 8% below the state average of $21,732. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $24,419 was 14% below the state average of $28,496. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $6,221 was 54% below the state average of $13,651. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $159,737 was 12% below the state average of $181,283.

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.