32/100
#1,834 nationally
Wellspan Ephrata Community Hospital
169 Martin Avenue, Ephrata, PA 17522 · (717) 733-0311
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Wellspan Ephrata Community Hospital billed $5.99 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 6.0x
- volume-weighted across all its priced work
- Procedures priced
- 53
- inpatient and outpatient combined
- Rank in PA
- #80
- lower markup ranks higher
- CMS quality stars
- 5/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 32% of U.S. hospitals.
Better than 29% of U.S. hospitals.
Better than 36% of U.S. hospitals.
Better than 28% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
258 | $59,119 | $13,698 | -9% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
171 | $23,479 | $2,461 | +21% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
149 | $86,095 | $11,915 | +38% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
110 | $43,276 | $9,148 | about average |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
99 | $33,901 | $2,955 | +34% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
85 | $15,731 | $1,470 | +56% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
60 | $73,245 | $6,437 | +84% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
59 | $109,168 | $16,957 | +31% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
57 | $20,713 | $2,546 | +17% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
50 | $46,159 | $8,030 | +18% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$7,305 | $623 | +133% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
$35,105 | $2,851 | +93% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$73,245 | $6,437 | +84% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$63,747 | $5,170 | +82% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
$37,599 | $3,415 | +66% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$37,868 | $3,105 | +63% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$15,731 | $1,470 | +56% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$30,404 | $2,951 | +49% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$34,128 | $10,172 | -36% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$50,200 | $13,416 | -34% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$35,678 | $9,730 | -31% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$5,948 | $1,461 | -31% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$13,593 | $2,906 | -29% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
$27,225 | $7,747 | -28% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$44,980 | $9,858 | -27% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
$110,611 | $22,254 | -23% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.