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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Wayne Memorial Hospital

Honesdale, PA

601 Park Street, Honesdale, PA 18431(570) 253-8100

35

In-network payers

225

Disclosed rate categories

95

Beds

4

Care quality

About this hospital

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 Accepted

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.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

Prices for common services

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

CT abdomen and pelvis with contrast

CPT 74177

$3,202 - $5,585

from 4 insurers · median $5,439

Blue Cross$3,202
Insurer A*est.$5,439
Insurer B*est.$5,439
Insurer C*$5,585
Medicare $357Nearby hospitals $662722% above nearby hospitals

Common here, based on CMS Medicare volume

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$4,253 - $9,829

from 4 insurers · median $7,343

Cigna$9,829
Insurer A*$4,253
Insurer B*$5,398
Insurer C*$9,288

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

Hysteroscopy with sampling of the uterine lining

CPT 58558

$3,233 - $6,154

from 4 insurers · median $5,547

Blue Cross$3,233
Insurer A*$4,940
Insurer B*est.$6,154
Insurer C*est.$6,154
Medicare $3,311Nearby hospitals $5,722In line with nearby hospitals

21 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$5,671 - $14,051

from 4 insurers · median $10,683

Cigna$13,796
Insurer A*$5,671
Insurer B*$7,571
Insurer C*$14,051

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

CT of the abdomen and pelvis, without contrast

CPT 74176

$2,688 - $4,703

from 3 insurers · median $4,703

Blue Cross$2,688
Insurer A*est.$4,703
Insurer B*est.$4,703
Medicare $244Nearby hospitals $433987% above nearby hospitals

Common here, based on CMS Medicare volume

CT imaging

CT of the chest, with contrast

CPT 71260

$2,350 - $2,822

from 2 insurers · median $2,586

Blue Cross$2,350
Insurer A*$2,822
Medicare $179Nearby hospitals $1,32096% above nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$12,427 - $43,325

from 4 insurers · median $22,378

Aetna$15,880
Insurer A*$12,427
Insurer B*$28,875
Insurer C*$43,325
Medicare $13,712Nearby hospitals $43,08248% below nearby hospitals

13 Medicare discharges for this DRG in CMS hospital data

MRI imaging

MRI brain before and after contrast

CPT 70553

$1,976 - $3,925

from 4 insurers · median $3,663

Aetna$3,925
Insurer A*$1,976
Insurer B*est.$3,663
Insurer C*est.$3,663
Medicare $357Nearby hospitals $763380% above nearby hospitals

Common here, based on CMS Medicare volume

CT imaging

CT of the chest, without contrast

CPT 71250

$1,680 - $2,038

from 2 insurers · median $1,859

Blue Cross$2,038
Insurer A*$1,680
Medicare $107Nearby hospitals $1,07273% above nearby hospitals

Common here, based on CMS Medicare volume

Mammography

Screening mammography, bilateral

CPT 77067

$174 - $335

from 4 insurers · median $328

Aetna$335
Insurer A*$174
Insurer B*est.$328
Insurer C*est.$328
Medicare $93Nearby hospitals $3048% above nearby hospitals

Common here, based on CMS Medicare volume

Nuclear imaging

PET/CT tumor imaging from skull base to thigh

CPT 78815

$3,691 - $7,053

from 4 insurers · median $6,744

Blue Cross$3,691
Insurer A*est.$6,744
Insurer B*est.$6,744
Insurer C*$7,053
Medicare $1,463Nearby hospitals $2,261198% above nearby hospitals

Common here, based on CMS Medicare volume

Gynecology

Laparoscopic hysterectomy with tube or ovary removal, uterus up to 250 g

CPT 58571

$11,970 - $17,744

from 4 insurers · median $16,148

Blue Cross$11,970
Insurer A*$14,552
Insurer B*est.$17,744
Insurer C*est.$17,744
Medicare $10,873Nearby hospitals $11,07446% above nearby hospitals

Typical for a hospital with this service line

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$3,660 - $13,076

from 4 insurers · median $8,645

Aetna$4,214
Insurer A*$3,660
Insurer B*est.$13,076
Insurer C*est.$13,076
Medicare $6,184Nearby hospitals $9,89613% below nearby hospitals

25 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)

Urology

Diagnostic examination of the bladder with a scope

CPT 52000

$905 - $1,770

from 4 insurers · median $1,225

UnitedHealthcareest.$1,225
Insurer A*$905
Insurer B*est.$1,225
Insurer C*$1,770
Medicare $713Nearby hospitals $2,38249% below nearby hospitals

375 Medicare claims in Level 2 Urology and Related Services (CMS 2024)

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$506 - $950

from 4 insurers · median $936

Aetna$923
Insurer A*$506
Insurer B*est.$950
Insurer C*est.$950
Medicare $559Nearby hospitals $1,84949% below nearby hospitals

Common here, based on CMS Medicare volume

Digestive procedures

Laparoscopic repair of an initial inguinal hernia

CPT 49650

$5,212 - $14,641

from 4 insurers · median $11,583

Blue Cross$5,212
Insurer A*$8,525
Insurer B*est.$14,641
Insurer C*est.$14,641
Medicare $6,184Nearby hospitals $11,074In line with nearby hospitals

25 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)

X-ray and bone density

Chest X-ray, two views

CPT 71046

$164 - $302

from 4 insurers · median $297

Cignaest.$302
Insurer A*$164
Insurer B*$293
Insurer C*est.$302
Medicare $89Nearby hospitals $132125% above nearby hospitals

Common here, based on CMS Medicare volume

MRI imaging

MRI of the brain, without contrast

CPT 70551

$1,653 - $3,025

from 4 insurers · median $2,892

Aetna$3,025
Insurer A*$1,653
Insurer B*est.$2,892
Insurer C*est.$2,892
Medicare $244Nearby hospitals $571407% above nearby hospitals

Common here, based on CMS Medicare volume

MRI imaging

MRI of the abdomen, before and after contrast

CPT 74183

$1,927 - $3,831

from 4 insurers · median $3,663

Aetna$3,831
Insurer A*$1,927
Insurer B*est.$3,663
Insurer C*est.$3,663
Medicare $357Nearby hospitals $773374% above nearby hospitals

Common here, based on CMS Medicare volume

MRI imaging

MRI of the pelvis, before and after contrast

CPT 72197

$3,024 - $5,338

from 4 insurers · median $5,291

Aetna$5,338
Insurer A*$3,024
Insurer B*est.$5,291
Insurer C*est.$5,291
Medicare $357Nearby hospitals $773585% above nearby hospitals

Common here, based on CMS Medicare volume

Ultrasound

Transvaginal pelvic ultrasound

CPT 76830

$571 - $1,021

from 4 insurers · median $1,000

UnitedHealthcareest.$1,000
Insurer A*$571
Insurer B*est.$1,000
Insurer C*$1,021
Medicare $107Nearby hospitals $236323% above nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery

Prostate needle biopsy

CPT 55700

$2,086 - $3,911

from 4 insurers · median $3,650

Aetnaest.$3,911
Insurer A*est.$2,086
Insurer B*est.$3,650
Insurer C*est.$3,650
Nearby hospitals $3,8646% below nearby hospitals

139 Medicare claims in Level 3 Urology and Related Services (CMS 2024)

Medicine & Surgery

Cataract removal with lens insertion

CPT 66984

$1,699 - $7,764

from 4 insurers · median $7,247

Aetnaest.$7,764
Insurer A*$1,699
Insurer B*est.$7,247
Insurer C*est.$7,247
Medicare $2,361Nearby hospitals $4,91547% above nearby hospitals

60 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)

Childbirth · Inpatient

Vaginal birth after prior cesarean, hospital stay

MS-DRG 807

$4,253 - $9,829

from 4 insurers · median $7,343

Cigna$9,829
Insurer A*$4,253
Insurer B*$5,398
Insurer C*$9,288

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

How the insurers pay at Wayne Memorial Hospital

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.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*23
422%
164
Insurer B*22
355%
102
Insurer C*22
355%
144
Insurer D*24
253%
515

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.

Location

601 Park Street, Honesdale, PA 18431

(570) 253-8100

Get directions

Frequently asked questions

About Wayne Memorial Hospital's rates and hospital price transparency.

How much does an MRI cost at Wayne Memorial Hospital?

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.

How much does a CT scan cost at Wayne Memorial Hospital?

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.

How much does giving birth cost at Wayne Memorial Hospital?

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.

How much does a mammogram cost at Wayne Memorial Hospital?

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.

How much does hip or knee replacement cost at Wayne Memorial Hospital?

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.

How many beds does Wayne Memorial Hospital have?

Wayne Memorial Hospital has 95 beds. Facility type: Short Term Acute Care Hospital.

Where is Wayne Memorial Hospital and what is its phone number?

Wayne Memorial Hospital is located at 601 Park Street, Honesdale, PA 18431. Its main phone number is (570) 253-8100.

What is Wayne Memorial Hospital's CCN (Medicare provider number)?

Wayne Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 390125.

What is Wayne Memorial Hospital's NPI number?

The National Provider Identifier (NPI) on file for Wayne Memorial Hospital is 1124026182.

Which insurance plans are in network at Wayne Memorial Hospital?

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.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

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.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "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
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Get your chargemaster right for billing and payer contracts

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.

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CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
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