CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$3,202 - $5,585
from 4 insurers · median $5,439
Common here, based on CMS Medicare volume
Honesdale, PA
35
In-network payers
225
Disclosed rate categories
95
Beds
4
Care quality
Wayne Memorial Hospital is a 95-bed voluntary non-profit - private hospital in Honesdale, PA. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 225 disclosed rate categories.
CCN (Medicare provider number)
390125
NPI
1124026182
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
95
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 Wayne Memorial Hospital 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.
CT imaging
CPT 74177
$3,202 - $5,585
from 4 insurers · median $5,439
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$4,253 - $9,829
from 4 insurers · median $7,343
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
Gynecology
CPT 58558
$3,233 - $6,154
from 4 insurers · median $5,547
21 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Childbirth · Inpatient
MS-DRG 788
$5,671 - $14,051
from 4 insurers · median $10,683
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
CT imaging
CPT 74176
$2,688 - $4,703
from 3 insurers · median $4,703
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$2,350 - $2,822
from 2 insurers · median $2,586
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$12,427 - $43,325
from 4 insurers · median $22,378
13 Medicare discharges for this DRG in CMS hospital data
MRI imaging
CPT 70553
$1,976 - $3,925
from 4 insurers · median $3,663
Common here, based on CMS Medicare volume
CT imaging
CPT 71250
$1,680 - $2,038
from 2 insurers · median $1,859
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$174 - $335
from 4 insurers · median $328
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$3,691 - $7,053
from 4 insurers · median $6,744
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$11,970 - $17,744
from 4 insurers · median $16,148
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$3,660 - $13,076
from 4 insurers · median $8,645
25 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Urology
CPT 52000
$905 - $1,770
from 4 insurers · median $1,225
375 Medicare claims in Level 2 Urology and Related Services (CMS 2024)
Cardiology and vascular testing
CPT 93306
$506 - $950
from 4 insurers · median $936
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$5,212 - $14,641
from 4 insurers · median $11,583
25 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
X-ray and bone density
CPT 71046
$164 - $302
from 4 insurers · median $297
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$1,653 - $3,025
from 4 insurers · median $2,892
Common here, based on CMS Medicare volume
MRI imaging
CPT 74183
$1,927 - $3,831
from 4 insurers · median $3,663
Common here, based on CMS Medicare volume
MRI imaging
CPT 72197
$3,024 - $5,338
from 4 insurers · median $5,291
Common here, based on CMS Medicare volume
Ultrasound
CPT 76830
$571 - $1,021
from 4 insurers · median $1,000
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 55700
$2,086 - $3,911
from 4 insurers · median $3,650
139 Medicare claims in Level 3 Urology and Related Services (CMS 2024)
Medicine & Surgery
CPT 66984
$1,699 - $7,764
from 4 insurers · median $7,247
60 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$4,253 - $9,829
from 4 insurers · median $7,343
CMS lists this service as CPT 59610, 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
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* | 23 | 422% | 16 | 4 |
| Insurer B* | 22 | 355% | 10 | 2 |
| Insurer C* | 22 | 355% | 14 | 4 |
| Insurer D* | 24 | 253% | 5 | 15 |
How we chose these services: 7 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 4 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 Wayne Memorial Hospital.
601 Park Street, Honesdale, PA 18431
(570) 253-8100
About Wayne Memorial Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Wayne Memorial Hospital range from $1,976 to $3,925 across 4 insurers. Aetna's rate is $3,925. The median at nearby comparable hospitals is $763. 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 Wayne Memorial Hospital range from $3,202 to $5,585 across 4 insurers. Blue Cross Blue Shield's rate is $3,202. The median at nearby comparable hospitals is $662. 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 Wayne Memorial Hospital range from $4,253 to $9,829 across 4 insurers. Cigna's rate is $9,829. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Wayne Memorial Hospital range from $174 to $335 across 4 insurers. Aetna's rate is $335. The median at nearby comparable hospitals is $304. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Wayne Memorial Hospital range from $12,427 to $43,325 across 4 insurers. Aetna's rate is $15,880. The median at nearby comparable hospitals is $43,082. What a patient pays depends on their plan's deductible, coinsurance and network status.
Wayne Memorial Hospital has 95 beds. Facility type: Short Term Acute Care Hospital.
Wayne Memorial Hospital is located at 601 Park Street, Honesdale, PA 18431. Its main phone number is (570) 253-8100.
Wayne Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 390125.
The National Provider Identifier (NPI) on file for Wayne Memorial Hospital is 1124026182.
Wayne Memorial Hospital lists 35 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.
225 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