Geisinger Health System · Wilkes Barre, PA
32
In-network payers
205
Disclosed rate categories
266
Beds
4
Care quality
Geisinger Wyoming Valley Medical Center is a 266-bed voluntary non-profit - private hospital in Wilkes Barre, PA, affiliated with Geisinger Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 205 disclosed rate categories.
CCN (Medicare provider number)
390270
NPI
1275620585
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
266
Care Quality
4
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Geisinger Wyoming Valley Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 807
$9,610 - $19,577
from 4 insurers · median $13,230
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
CT imaging
CPT 74177
$1,608 - $3,553
from 2 insurers · median $2,580
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 788
$15,039 - $27,842
from 4 insurers · median $19,766
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Cardiology and vascular testing
CPT 93306
$2,026 - $3,466
from 2 insurers · median $2,746
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$709 - $1,283
from 2 insurers · median $996
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$1,432 - $3,086
from 2 insurers · median $2,259
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$4,631 - $10,287
from 2 insurers · median $7,459
20 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 460
$71,102 - $80,601
from 2 insurers · median $75,852
20 Medicare discharges for this DRG in CMS hospital data
MRI imaging
CPT 70553
$2,083 - $6,164
from 2 insurers · median $4,124
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$2,821 - $4,656
from 2 insurers · median $3,739
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$1,279 - $3,145
from 2 insurers · median $2,212
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$9,784 - $17,327
from 2 insurers · median $13,555
90 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Nuclear imaging
CPT 78815
$3,948 - $9,749
from 2 insurers · median $6,849
Common here, based on CMS Medicare volume
MRI imaging
CPT 74183
$2,915 - $6,899
from 2 insurers · median $4,907
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$8,809 - $27,357
from 2 insurers · median $18,083
90 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Mammography
CPT 77067
$169 - $394
from 2 insurers · median $282
Common here, based on CMS Medicare volume
Urology
CPT 52000
$1,483 - $2,683
from 2 insurers · median $2,083
1124 Medicare claims in Level 2 Urology and Related Services (CMS 2024)
Medicine & Surgery
CPT 66984
$3,682 - $9,403
from 2 insurers · median $6,542
452 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Ear, nose and throat
CPT 69436
$3,681 - $7,806
from 2 insurers · median $5,744
18 Medicare claims in Level 3 ENT Procedures (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 216
$134,751 - $284,073
from 4 insurers · median $204,767
Hospital reports cardiac thoracic surgery services to CMS
Nuclear imaging
CPT 78452
$2,849 - $5,134
from 2 insurers · median $3,992
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,141 - $2,580
from 2 insurers · median $1,860
Common here, based on CMS Medicare volume
MRI imaging
CPT 72197
$4,139 - $7,015
from 2 insurers · median $5,577
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$161 - $349
from 2 insurers · median $255
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 504% | 18 | 1 |
| Insurer B* | 24 | 231% | 10 | 10 |
| Insurer C* | 3 | - | 1 | 0 |
| Insurer D* | 3 | - | 1 | 0 |
How we chose these services: 7 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 3 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Geisinger Wyoming Valley Medical Center.
1000 East Mountain Boulevard, Wilkes Barre, PA 18711
(570) 826-7300
The nearest hospitals of similar type and size. Their rates are compared with Geisinger Wyoming Valley Medical Center for the same insurers and services above.
Wilkes-Barre General Hospital
▼ Rates typically 28% lower than Geisinger Wyoming Valley Medical Center (22 services)
Moses Taylor Hospital
▼ Rates typically 40% lower than Geisinger Wyoming Valley Medical Center (22 services)
Regional Hospital Of Scranton
▼ Rates typically 40% lower than Geisinger Wyoming Valley Medical Center (22 services)
Lehigh Valley Hospital - Hazleton
Rates about the same as Geisinger Wyoming Valley Medical Center (21 services)
St Lukes Lehighton Campus
▼ Rates typically 24% lower than Geisinger Wyoming Valley Medical Center (22 services)
Lehigh Valley Hospital – Pocono
▼ Rates typically 11% lower than Geisinger Wyoming Valley Medical Center (22 services)
Geisinger South Wilkes Barre
Geisinger Medical Center Muncy
Geisinger Shamokin Area Community Hospital
Geisinger Medical Center
About Geisinger Wyoming Valley Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Geisinger Wyoming Valley Medical Center range from $2,083 to $6,164 across 2 insurers. Aetna's rate is $6,164. The median at nearby comparable hospitals is $1,428. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Geisinger Wyoming Valley Medical Center range from $1,608 to $3,553 across 2 insurers. Aetna's rate is $3,553. The median at nearby comparable hospitals is $1,502. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Geisinger Wyoming Valley Medical Center range from $2,821 to $4,656 across 2 insurers. Blue Cross Blue Shield's rate is $2,821. The median at nearby comparable hospitals is $2,880. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Geisinger Wyoming Valley Medical Center range from $9,610 to $19,577 across 4 insurers. Cigna's rate is $19,577. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Geisinger Wyoming Valley Medical Center range from $169 to $394 across 2 insurers. Blue Cross Blue Shield's rate is $169. The median at nearby comparable hospitals is $297. What a patient pays depends on their plan's deductible, coinsurance and network status.
Geisinger Wyoming Valley Medical Center has 266 beds. Facility type: Short Term Acute Care Hospital.
Geisinger Wyoming Valley Medical Center is located at 1000 East Mountain Boulevard, Wilkes Barre, PA 18711. Its main phone number is (570) 826-7300.
Geisinger Wyoming Valley Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 390270.
The National Provider Identifier (NPI) on file for Geisinger Wyoming Valley Medical Center is 1275620585.
Geisinger Wyoming Valley Medical Center is affiliated with Geisinger Health System.
Geisinger Wyoming Valley Medical Center lists 32 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
205 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers