Wilkes-Barre General Hospital

575 North River Street · Wilkes-Barre, PA 18764

🤖AI Overview

⚠️ This hospital charges 9.1x what Medicare pays — significantly above the national average of 5.5x.

Total Charges

$302.5M

Medicare Payments

$33.1M

Discharges

3,383

Avg Length of Stay

4.8 days

Markup Ratio

9.1x

Risk Score

1.90

Fairness Grade: F

Failing — charges more than 5x what Medicare pays

Wilkes-Barre General Hospital charges an average of $89,431 per discharge, but Medicare only pays $9,797 — a markup of 9.1x. 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

9.1x

State Avg

6.7x

National Avg

5.3x

Avg Charge per Discharge

This Hospital

$89,431

State Avg

$93,705

National Avg

$69,838

Avg Length of Stay

This Hospital

4.8 days

State Avg

5.2 days

National Avg

4.8 days

Patient Demographics

Age Distribution

Under 65

8.6%

65–74

30.7%

75–84

35.5%

85+

25.2%

Gender

55.5%

Female

44.5%

Male

Dual Eligibility

19.9%

Dual Eligible

80.1%

Non-Dual

Race & Ethnicity

White

95.5%

Black

1.2%

Hispanic

1.4%

Other

1.4%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension

75.0%

High Cholesterol

75.0%

Arthritis

69.1%

Ischemic Heart Disease

55.7%

Anxiety

43.9%

Diabetes

42.9%

Chronic Kidney Disease

42.1%

Heart Failure

40.3%

Atrial Fibrillation

40.3%

COPD

37.5%

Mood Disorders

35.5%

Depression

33.1%

Stroke/TIA

22.0%

Cancer

21.7%

Tobacco Use

21.3%

Alzheimer's/Dementia

19.5%

Osteoporosis

19.0%

Substance Use

11.8%

Asthma

9.7%

Bipolar Disorder

5.3%

Schizophrenia/Psychosis

4.3%

Parkinson's

4.2%

Personality Disorders

1.4%

PTSD

1.1%

ADHD/Conduct Disorders

1.0%

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.