How many shoppable procedure prices are published for Geisinger-Community Medical Center?

Geisinger-Community Medical Center in Scranton, PA currently has 76 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Geisinger-Community Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Geisinger-Community Medical Center's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

What is Geisinger-Community Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Geisinger-Community Medical Center an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 262 Beds · rural Updated: 7/1/2026

Geisinger-Community Medical Center

1822 Mulberry Street, Scranton, PA 18510 · 76 Priced Procedures · 62% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Good Deal · Below Fair Market

0.90×vs. Fair Market Price

Typical commercial prices here are 10% below the fair benchmark (0.90×) after accounting for local nurse/doctor wages and patient complexity.

84/100 · Corroborated

84/100Self-Pay Cash Beats Insurance 60% of the Time

File Completeness90

Price Logic81

Peer Alignment80

Clean Billing69

Real Cash Discount100

High-Markup Tier

3-Star CMS clinical quality rating paired with 0.90× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Geisinger-Community Medical Center prices routine shoppable procedures near 1.0× Medicare (p50 0.89×) while skewing captive emergency, lab, and upper-quartile codes to 1.8× Medicare (p75 0.97×, +9% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#32 of 134 in PA · 23rd State Percentile#668 of 3,385 in U.S. · 19th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 10% below peer Fair BaseRate (0.90×)
Self-pay cash beats commercial insurance on 60% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 62% patient recommendation (61/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (25.6% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.2× markup over Medicare rates
Captive ER (1.4×) & laboratory (1.3×) services average 1.80× higher multiples than routine shoppable care (1.0×)
Specialty infusion drugs (J-codes) average 1.2× Medicare — verify per-unit billing on itemized statements
Consolidated metro market (HHI 2,360) limits in-network hospital competition (Moderately Concentrated (1,500–2,500))

Front-Door ShoppableElective / Imaging

1.0× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.80× Divergence

1.8× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+9% Upper Tail

Q25 0.80× · Q50 0.89× · Q75 0.97×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.2× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.5× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.4× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.3× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.2× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

60% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 61/100Elevated

Procedure Prices at Geisinger-Community Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 76 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	$126,963	$42,041	$30,775	1.4×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$89,753	$28,388	$17,936	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$72,955	$27,524	$19,087	1.4×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$81,132	$24,962	$19,432	1.3×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$33,741	$10,439	$8,223	1.3×
Trauma team activation HCPCS Code: `G0390`	$12,523	$1,382	$1,453	1.0×
Colonoscopy with biopsy CPT Code: `45380`	$2,521	$1,235	$1,256	1.0×
Colonoscopy (diagnostic) CPT Code: `45378`	$2,336	$960	$981	1.0×
Upper endoscopy with biopsy CPT Code: `43239`	$2,523	$936	$987	0.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,829	$882	$1,021	0.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$4,151	$805	$583	unverified
Injection procedure for pain management HCPCS Code: `G0260`	$1,692	$725	$855	0.8×
Blood transfusion CPT Code: `36430`	$935	$453	$498	0.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,988	$362	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$4,335	$362	$511	0.7×
Rabies immune globulin HCPCS Code: `90375`	$1,829	$280	$322	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$300	$300	$86	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$258	$225	$201	1.1×
Neurobehavioral status check CPT Code: `96116`	$270	$222	$231	1.0×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$2,484	$245	$272	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,767	$247	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$2,387	$247	$338	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$2,892	$247	$343	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$2,389	$247	$369	0.7×
CT scan, head (with contrast) CPT Code: `70460`	$1,527	$182	$242	0.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,019	$182	$258	0.7×
Hepatitis B immune globulin HCPCS Code: `90371`	$475	$142	$151	0.9×
New patient office visit (30-44 min) CPT Code: `99203`	$255	$135	$110	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$255	$135	$87	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$268	$135	$123	unverified
X-ray, neck (cervical spine) CPT Code: `72040`	$411	$89	$93	1.0×
X-ray, hand CPT Code: `73130`	$393	$89	$93	1.0×
X-ray, hip CPT Code: `73502`	$479	$89	$93	1.0×
X-ray, lower back CPT Code: `72110`	$562	$107	$112	1.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$747	$107	$126	0.8×
Ultrasound, pelvis CPT Code: `76856`	$1,121	$107	$130	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$819	$107	$132	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$933	$107	$134	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$517	$106	$148	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	$405	$87	$123	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$1,418	$108	$160	0.7×
CT scan, pelvis CPT Code: `72192`	$1,575	$108	$163	0.7×
CT scan, sinuses CPT Code: `70486`	$2,667	$108	$166	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$2,760	$108	$167	0.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,532	$108	$168	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,684	$108	$169	0.6×
X-ray, chest (single view) CPT Code: `71045`	$259	$89	$92	unverified
X-ray, chest (two views) CPT Code: `71046`	$379	$89	$93	unverified
X-ray, pelvis CPT Code: `72170`	$320	$107	$110	unverified
X-ray, shoulder CPT Code: `73030`	$442	$89	$92	unverified
X-ray, ankle CPT Code: `73610`	$407	$89	$93	unverified
X-ray, foot CPT Code: `73630`	$367	$89	$92	unverified
Typhoid vaccine HCPCS Code: `90675`	$343	$320	$347	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$155	$155	$203	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$123	$123	$140	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$227	$61	$64	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	$371	$77	$86	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$88	$88	$111	0.8×
Flu vaccine injection HCPCS Code: `G0008`	$50	$48	$48	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$50	$48	$49	1.0×
Colorectal cancer screening HCPCS Code: `G0010`	$50	$48	$49	1.0×
Prosthetic fitting and training CPT Code: `97761`	$59	$41	$45	0.9×
Orthotic fitting and training CPT Code: `97760`	$214	$46	$51	0.9×
Speech therapy (group session) CPT Code: `92508`	$58	$24	$27	0.9×
Physical therapy (gait training) CPT Code: `97116`	$99	$29	$33	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$212	$35	$40	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$118	$33	$38	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$243	$33	$38	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$196	$32	$38	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$108	$29	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$207	$28	$34	0.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$38	$41	$56	0.7×
Electrical stimulation therapy HCPCS Code: `G0283`	$83	$12	$14	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$68	$13	$25	0.5×
Diagnostic procedure preparation HCPCS Code: `G0279`	$106	$12	$35	0.3×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$23	$23	$39	unverified

Showing top 25 high-impact procedures of 76 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 25.6%

Audit a Bill or Quote at Geisinger-Community Medical Center (Zero PHI Required)

CMS CCN: 390001

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $126,963

Insurer Median $42,041

1. Amount on Your Bill or Quote ($) Pre-filled with Geisinger-Community Medical Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $65,132 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $65,132

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (25.6% of gross = $65,132).

Step 2 · Cash vs. Insurance Arbitrage Save $126,964 Paying Cash

Self-Pay Cash Rate ($126,963) Beats Your Bill

Geisinger-Community Medical Center's published 45 CFR § 180 self-pay cash rate is $126,963 (vs. $42,041 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$223,152 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($253,927) is $223,152 above the denoised Fair BaseRate ($30,775) and 10.8× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 240862246

Filing Period: 196403

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (25.6% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite61/100

Would Recommend62%

Rated 9 or 10 (HCAHPS)61%

Median ER Wait204 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionworse

Hip/Knee Complication Rate3.3%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Geisinger-Community Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-04-04·administrative_or_closure
Met Requirements
Recorded
2023-07-27·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (1,410 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Above-Benchmark Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Geisinger-Community Medical Center.

Price Index: 1.53× regional baseline

Quality: 51/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Prison Health Services

-50.9%

Geisinger

-46.3%

Blue Cross Blue Shield

+187.7%

Median Household Income$64,691U.S. Census ACS

Local Uninsured Share4.7%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 84/100 · Corroborated CMS CCN 390001 EIN 240862246

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 390001) ↗ Verify IRS Form 990 (EIN 240862246) ↗ CMS HCRIS Cost Reports ↗

Published MRF File24-0862246_Geisinger-Community-Medical-Center_standardcharges

Publication / Vintage7/1/2026 · 210.96 MB

Validated Rate Rows2,905 (CMS v3.0.0)

File Integrity Digest4f82d7394da7c980b143…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy