15/100
#2,303 nationally
Wilkes-Barre General Hospital
575 North River Street, Wilkes-Barre, PA 18764 · (570) 829-8111
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Wilkes-Barre General Hospital billed $8.81 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
- 8.8x
- volume-weighted across all its priced work
- Procedures priced
- 101
- inpatient and outpatient combined
- Rank in PA
- #108
- lower markup ranks higher
- CMS quality stars
- 2/5
- 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 12% of U.S. hospitals.
Better than 13% of U.S. hospitals.
Better than 19% of U.S. hospitals.
Better than 20% 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 |
|---|---|---|---|---|
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
424 | $27,538 | $2,895 | +9% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
193 | $21,564 | $1,415 | +114% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
175 | $62,107 | $9,328 | +43% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
173 | $20,436 | $1,692 | +74% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
167 | $30,239 | $1,819 | +134% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
153 | $40,976 | $3,098 | +98% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
152 | $128,913 | $11,673 | +106% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
139 | $93,629 | $14,688 | +44% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
123 | $110,845 | $9,568 | +64% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
123 | $49,548 | $5,154 | +41% |
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 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
$108,101 | $7,588 | +186% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
$539,336 | $54,303 | +185% |
|
Level 6 Urology and Related Services
APC 5376 · Hospital outpatient visit |
$119,146 | $8,227 | +168% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
$397,715 | $29,297 | +168% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
$315,341 | $23,712 | +153% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$125,215 | $9,531 | +143% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$20,521 | $1,430 | +139% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$30,239 | $1,819 | +134% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Traumatic Stupor and Coma <1 Hour with Complications
MS-DRG 086 · Inpatient stay |
$50,783 | $9,657 | -10% |
|
Other Disorders of Nervous System with Complications
MS-DRG 092 · Inpatient stay |
$41,976 | $7,573 | -7% |
|
Bone Diseases and Arthropathies without Major Complications
MS-DRG 554 · Inpatient stay |
$30,865 | $6,206 | -4% |
|
Bronchitis and Asthma with Complications/mcc
MS-DRG 202 · Inpatient stay |
$39,812 | $7,899 | about average |
|
Dysequilibrium
MS-DRG 149 · Inpatient stay |
$39,727 | $5,594 | about average |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
$79,908 | $14,505 | about average |
|
Sepsis
MS-DRG 870 · Inpatient stay |
$275,259 | $46,772 | about average |
|
Transient Ischemia without Thrombolytic
MS-DRG 069 · Inpatient stay |
$43,065 | $5,983 | +4% |
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.