Wayne Memorial Hospital prices. From its own published file.

Wayne Memorial Hospital in Honesdale, PA publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

3,973prices published

Sep 2026file last updated

$5,873cash price for knee arthroscopy (list $8,390)

Common services

Service	Cash price	List price	Insurers pay
Emergency visit, moderate (level 3) `99283`	$155	$471	$88.40–$577
Emergency visit, high (level 4) `99284`	$260	$751	$148–$905
Emergency visit, highest (level 5) `99285`	$378	$1,082	$216–$1,299
Comprehensive metabolic panel `80053`	$232	$331	$10.56–$265
Basic metabolic panel `80048`	$142	$203	$8.46–$162
Complete blood count (CBC) `85025`	$60.20	$86.00	$7.77–$68.80
Blood draw (venipuncture) `36415`	$14.00	$20.00	$8.00–$17.28
Urinalysis `81001`	$43.40	$62.00	$3.17–$49.60
Troponin (heart test) `84484`	$97.30	$139	$12.47–$111
EKG tracing `93005`	$60.20	$86.00	$23.43–$262
Chest X-ray, 2 views `71046`	$317	$453	$92.53–$362
CT head without contrast `70450`	$2,831	$4,044	$111–$3,235
CT abdomen and pelvis with contrast `74177`	$5,711	$8,159	$371–$6,527
MRI lower back without contrast `72148`	$3,037	$4,339	$254–$3,471
Ultrasound, abdomen `76700`	$1,194	$1,706	$111–$1,365
IV push, single drug `96374`	$197	$550	$112–$440
IV fluids, first hour `96360`	$330	$550	$188–$496
Ketorolac injection, 15 mg `J1885`	$5.01	$14.98	$2.86–$18.24
Ondansetron injection `J2405`	$8.79	$20.38	$5.02–$22.56
Colonoscopy, diagnostic `45378`	$1,705	$2,436	$974–$1,949
Upper GI endoscopy with biopsy `43239`	$1,447	$2,247	$827–$1,941
Knee arthroscopy `29881`	$5,873	$8,390	$3,356–$6,712

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: Wayne Memorial Hospital price transparency page.

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Common billing problems to look for

Billed above the posted cash priceIf you're paying yourself, ask the hospital to apply its published cash price.
Panels billed inside panelsA basic metabolic panel (80048) billed with a comprehensive one (80053) on the same day.
Duplicate linesThe same service billed twice without explanation.
No itemized billYou can ask for every line with its code, date and amount.