Wellspan Ephrata Community Hospital

169 Martin Avenue · Ephrata, PA 17522

🤖AI Overview

⚠️ This hospital charges 6.1x what Medicare pays — significantly above the national average of 5.5x.

Total Charges

$97.0M

Medicare Payments

$16.0M

Discharges

1,523

Avg Length of Stay

4.5 days

Markup Ratio

6.1x

Risk Score

1.92

Fairness Grade: F

Failing — charges more than 5x what Medicare pays

Wellspan Ephrata Community Hospital charges an average of $63,680 per discharge, but Medicare only pays $10,504 — a markup of 6.1x. Grades are based on this ratio: A (under 2x), B (2–3x), C (3–4x), D (4–5x), F (over 5x).

How This Hospital Compares

Markup Ratio

This Hospital

6.1x

State Avg

6.7x

National Avg

5.3x

Avg Charge per Discharge

This Hospital

$63,680

State Avg

$93,705

National Avg

$69,838

Avg Length of Stay

This Hospital

4.5 days

State Avg

5.2 days

National Avg

4.8 days

Patient Demographics

Age Distribution

Under 65

9.6%

65–74

31.9%

75–84

30.3%

85+

28.2%

Gender

53.2%

Female

46.8%

Male

Dual Eligibility

12.7%

Dual Eligible

87.3%

Non-Dual

Race & Ethnicity

White

95.1%

Hispanic

1.8%

Other

2.2%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension

75.0%

High Cholesterol

75.0%

Arthritis

54.4%

Ischemic Heart Disease

53.1%

Chronic Kidney Disease

45.4%

Mood Disorders

45.0%

Anxiety

44.8%

Heart Failure

44.7%

Depression

42.3%

Diabetes

41.5%

Atrial Fibrillation

38.5%

COPD

32.1%

Alzheimer's/Dementia

21.4%

Osteoporosis

21.1%

Cancer

19.5%

Stroke/TIA

17.1%

Asthma

15.4%

Tobacco Use

13.4%

Substance Use

11.3%

Bipolar Disorder

6.3%

Parkinson's

5.2%

Schizophrenia/Psychosis

5.0%

PTSD

2.6%

ADHD/Conduct Disorders

1.4%

Personality Disorders

1.2%

Related from TheDataProject.ai

🔍 See Medicare provider data on OpenMedicare

⚠️ Important: Data reflects Medicare inpatient claims. Charges represent what hospitals bill — not what patients typically pay. Medicare payment amounts reflect negotiated rates. Individual patient costs depend on insurance coverage and specific services.