How many shoppable procedure prices are published for Wayne Memorial Hospital?

Wayne Memorial Hospital in Honesdale, PA currently has 102 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Wayne Memorial Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Wayne Memorial Hospital's median negotiated commercial rate is 0.8× the regionally adjusted fair BaseRate benchmark.

What is Wayne Memorial Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Wayne Memorial Hospital 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 58 Beds · rural Updated: 2026-03-11

Wayne Memorial Hospital

601 Park Street, Honesdale, PA 18431 · 102 Priced Procedures · 61% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Good Deal · Below Fair Market

0.84×vs. Fair Market Price

Typical commercial prices here are 16% below the fair benchmark (0.84×) after accounting for local nurse/doctor wages and patient complexity.

78/100 · Corroborated

78/100Self-Pay Cash Beats Insurance 8% of the Time

File Completeness73

Price Logic100

Peer Alignment97

Clean Billing13

Real Cash Discount100

Regional Benchmark Tier

3-Star CMS clinical quality rating paired with 0.84× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Wayne Memorial Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (1.2× Medicare, p50 0.84× Fair BaseRate) and emergency/ancillary services (1.2× Medicare, p75 0.85× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#20 of 134 in PA · 14th State Percentile#404 of 3,385 in U.S. · 11th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 16% below peer Fair BaseRate (0.84×)
Self-pay cash beats commercial insurance on 8% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 61% patient recommendation (59/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (18.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.84× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 0.84× Fair BaseRate (1.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (0.84× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Unnegotiated chargemaster list prices average 7.3× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.2× Medicare

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

Back-Door Captive & ER1.00× Divergence

1.2× Medicare

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

Quantile Tail Spread+1% Upper Tail

Q25 0.81× · Q50 0.84× · Q75 0.85×

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

1.2× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.9× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.9× MedicareGood

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

0.5× MedicareGood

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

8% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 59/100Elevated

Procedure Prices at Wayne Memorial Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 102 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Total hip replacement CPT Code: `27130`	$22,183	$22,183	$13,413	1.7×
Total knee replacement CPT Code: `27447`	$19,403	$19,403	$13,523	1.4×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$26,958	$16,594	$19,087	0.9×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$71,028	$16,478	$19,432	0.8×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$127,598	$15,061	$17,936	0.8×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$13,076	$13,076	$6,109	2.1×
Inguinal hernia repair CPT Code: `49505`	$9,416	$9,416	$3,629	2.6×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$7,871	$7,871	$3,372	2.3×
Cataract surgery with lens implant CPT Code: `66984`	$7,247	$7,247	$2,540	2.9×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$20,041	$6,660	$8,223	0.8×
Breast lump removal CPT Code: `19120`	$6,601	$6,601	$3,875	1.7×
Bunion correction surgery CPT Code: `28296`	$5,593	$5,593	$3,446	1.6×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$5,439	$5,439	$448	12.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$4,703	$4,703	$303	15.5×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,663	$3,663	$511	7.2×
CT scan, chest (no contrast) CPT Code: `71250`	$3,293	$3,293	$167	19.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$3,293	$3,293	$168	19.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$3,293	$3,293	$169	19.5×
CT scan, head (with and without contrast) CPT Code: `70470`	$3,207	$3,207	$258	12.4×
CT scan, pelvis CPT Code: `72192`	$3,136	$3,136	$163	19.2×
Trauma team activation HCPCS Code: `G0390`	$3,105	$3,105	$1,453	2.1×
MRI, lower back (no contrast) CPT Code: `72148`	$2,892	$2,892	$338	8.6×
MRI, brain (no contrast) CPT Code: `70551`	$2,892	$2,892	$343	8.4×
MRI, knee or other leg joint CPT Code: `73721`	$2,892	$2,892	$369	7.8×
CT scan, sinuses CPT Code: `70486`	$2,820	$2,820	$166	17.0×
CT scan, head (with contrast) CPT Code: `70460`	$2,825	$2,825	$242	11.7×
CT scan, head (no contrast) CPT Code: `70450`	$2,696	$2,696	$160	16.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,320	$2,320	$1,021	2.3×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,624	$1,624	$981	1.7×
Colonoscopy with biopsy CPT Code: `45380`	$1,435	$1,435	$1,256	1.1×
Upper endoscopy with biopsy CPT Code: `43239`	$1,378	$1,378	$987	1.4×
Ultrasound, pelvis CPT Code: `76856`	$1,260	$1,260	$130	9.7×
Injection procedure for pain management HCPCS Code: `G0260`	$1,273	$1,273	$855	1.5×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,137	$1,137	$134	8.5×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$992	$992	$272	3.6×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$950	$950	$583	1.6×
Blood transfusion CPT Code: `36430`	$751	$751	$498	1.5×
Ultrasound, thyroid and neck CPT Code: `76536`	$688	$688	$132	5.2×
X-ray, lower back CPT Code: `72110`	$627	$627	$112	5.6×
Ultrasound, abdomen (limited) CPT Code: `76705`	$566	$566	$126	4.5×
X-ray, shoulder CPT Code: `73030`	$352	$352	$92	3.8×
X-ray, hip CPT Code: `73502`	$347	$347	$93	3.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$369	$369	$201	1.8×
X-ray, neck (cervical spine) CPT Code: `72040`	$316	$316	$93	3.4×
X-ray, ankle CPT Code: `73610`	$305	$305	$93	3.3×
Screening mammogram (both breasts) CPT Code: `77067`	$328	$328	$123	2.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$328	$328	$148	2.2×
X-ray, chest (two views) CPT Code: `71046`	$302	$302	$93	3.2×
X-ray, foot CPT Code: `73630`	$293	$293	$92	3.2×
X-ray, chest (single view) CPT Code: `71045`	$277	$277	$92	3.0×
X-ray, hand CPT Code: `73130`	$268	$268	$93	2.9×
X-ray, pelvis CPT Code: `72170`	$293	$293	$110	2.7×
Office visit, established patient (30-39 min) CPT Code: `99214`	$160	$160	$123	1.3×
Office visit, established patient (20-29 min) CPT Code: `99213`	$129	$129	$87	1.5×
Physical therapy (gait training) CPT Code: `97116`	$81	$81	$33	2.5×
Physical therapy (manual therapy) CPT Code: `97140`	$81	$81	$34	2.4×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$81	$81	$35	2.3×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$81	$81	$38	2.1×
Occupational therapy (self-care training) CPT Code: `97535`	$81	$81	$38	2.1×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$81	$81	$40	2.0×
Speech therapy (language evaluation) CPT Code: `92507`	$92	$92	$86	1.1×
Typhoid vaccine HCPCS Code: `90675`	$913	$913	$347	2.6×
Drug screening test HCPCS Code: `G0480`	$284	$284	$116	2.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$221	$221	$11	20.1×
Hepatitis C antibody test CPT Code: `86803`	$200	$200	$15	13.3×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$198	$198	$27	7.3×
Blood test, vitamin D CPT Code: `82306`	$204	$204	$31	6.6×
Pneumococcal vaccine HCPCS Code: `90732`	$205	$205	$140	1.5×
Culture, bacterial CPT Code: `87070`	$160	$160	$9	17.8×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$163	$163	$14	11.6×
Blood test, basic metabolic panel CPT Code: `80048`	$135	$135	$9	15.0×
Culture, blood CPT Code: `87040`	$137	$137	$11	12.5×
Blood test, ferritin (iron stores) CPT Code: `82728`	$157	$157	$14	11.2×
Blood test, liver function panel CPT Code: `80076`	$130	$130	$9	14.4×
Blood test, thyroid (TSH) CPT Code: `84443`	$149	$149	$18	8.3×
Blood antibody screen CPT Code: `86850`	$132	$132	$46	2.9×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$95	$95	$10	9.5×
Electrical stimulation therapy HCPCS Code: `G0283`	$77	$77	$14	5.5×
Blood test, vitamin B12 CPT Code: `82607`	$84	$84	$16	5.3×
Blood test, PSA (prostate screen) CPT Code: `84153`	$81	$81	$19	4.3×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$81	$81	$20	4.0×
Hepatitis B vaccine HCPCS Code: `90744`	$70	$70	$37	1.9×
Flu vaccine injection HCPCS Code: `G0008`	$82	$82	$48	1.7×
Blood test, hemoglobin CPT Code: `85018`	$39	$39	$3	13.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$57	$57	$6	9.5×
Pneumonia vaccine injection HCPCS Code: `G0009`	$82	$82	$49	1.7×
Orthotic fitting and training CPT Code: `97760`	$77	$77	$51	1.5×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$41	$41	$3	13.7×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$40	$40	$5	8.0×
Blood test, calcium CPT Code: `82310`	$39	$39	$5	7.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$39	$39	$5	7.8×
Blood test, amylase CPT Code: `82150`	$53	$53	$7	7.6×
Blood test, lipase CPT Code: `83690`	$53	$53	$7	7.6×
Blood test, sodium CPT Code: `84295`	$37	$37	$5	7.4×
Blood test, complete blood count (CBC) CPT Code: `85025`	$57	$57	$8	7.1×
Blood test, glucose (blood sugar) CPT Code: `82947`	$29	$29	$4	7.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$29	$29	$4	7.3×
Blood test, magnesium CPT Code: `83735`	$49	$49	$7	7.0×
Blood test, potassium CPT Code: `84132`	$35	$35	$5	7.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$57	$57	$64	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$39	$39	$56	0.7×
Hospital observation (per hour) HCPCS Code: `G0378`	$49	$49	$86	0.6×

Showing top 25 high-impact procedures of 102 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 18.0%

Audit a Bill or Quote at Wayne Memorial Hospital (Zero PHI Required)

CMS CCN: 390125

CPT 27130

Select Procedure to Audit:

Fair BaseRate™ $13,413

Medicare Rate $13,117

Self-Pay Cash $22,183

Insurer Median $22,183

1. Amount on Your Bill or Quote ($) Pre-filled with Wayne Memorial Hospital’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: $5,711 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $5,711

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (18.0% of gross = $5,711).

Step 2 · Cash vs. Insurance Arbitrage Save $9,507 Paying Cash

Self-Pay Cash Rate ($22,183) Beats Your Bill

Wayne Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $22,183 (vs. $22,183 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$18,277 Above Fair BaseRate

Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)

Your bill ($31,690) is $18,277 above the denoised Fair BaseRate ($13,413) and 2.4× the $13,117 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: 240798839

Filing Period: 194305

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 (18.0% 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 Composite59/100

Would Recommend61%

Rated 9 or 10 (HCAHPS)63%

Median ER Wait214 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate4.7%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Wayne Memorial Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2023-11-29·administrative_or_closure
Closure Notice
Recorded
2023-06-15·cap_corrective_action
CAP Request
Recorded
2023-03-03·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (374 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

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Wayne Memorial Hospital.

Price Index: 0.93× regional baseline

Quality: 52/100 CMS composite

Median Household Income$62,182U.S. Census ACS

Local Uninsured Share6.5%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 78/100 · Corroborated CMS CCN 390125 EIN 240798839

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 390125) ↗ Verify IRS Form 990 (EIN 240798839) ↗ CMS HCRIS Cost Reports ↗

Published MRF File240798839_wayne-memorial-hospital_standardcharges.csv

Publication / Vintage2026-03-11 · 10.29 MB

Validated Rate Rows80 (CMS v2.0.0)

File Integrity Digest9d7973b6c156ca0b9c8b…

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