Abd/low ext cath 2nd at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$2,519.20
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
?
What you pay up front if you don't use insurance.
$3,149.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
?
The hospital's undiscounted list price — almost no one pays this.
$317.61 with Highmark_Wholecare_Gateway_Medicaid vs $2,969.51 with United_Healthcare — same scan, same building. Share
Negotiated rates by payer
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $317.61 | ↓ -87% |
| UPMC_Medicaid | All_Plans | $317.61 | ↓ -87% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $317.61 | ↓ -87% |
| Health_Partners_Medicaid | All_Other_Plans | $317.61 | ↓ -87% |
| Geisinger_Medicaid | All_Plans | $317.61 | ↓ -87% |
| Amerihealth_Caritas_Medicaid | All_Plans | $360.81 | ↓ -86% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $554.22 | ↓ -78% |
| Aetna_Better_Health_Kids | All_Plans | $863.91 | ↓ -66% |
| Blue_Cross | Capital_Cares_4_kids | $1,419.13 | ↓ -44% |
| Cigna | All_Plans | $1,917.11 | ↓ -24% |
| WellSpan_Capital_Blue_Cross | All_Plans | $2,015.36 | ↓ -20% |
| Blue_Cross | Capital_Blue_Performance_PPO | $2,027.33 | ↓ -20% |
| Blue_Cross | All_Other_Plans | $2,027.33 | ↓ -20% |
| UPMC | UPMC_For_Kids | $2,046.85 | ↓ -19% |
| Independence_Blue_Cross | All_Plans | $2,046.85 | ↓ -19% |
| Geisinger | All_Plans | $2,046.85 | ↓ -19% |
| Tower Health | All_Plans | $2,046.85 | ↓ -19% |
| UPMC | Employees_And_Dependents | $2,046.85 | ↓ -19% |
| PHC | All_Plans | $2,204.30 | ↓ -13% |
| Aetna | All_Plans | $2,437.33 | ↓ -3% |
| First_Health_Network | All_Plans | $2,679.80 | ↑ +6% |
| United_Healthcare | All_Plans | $2,969.51 | ↑ +18% |
Visitor-reported prices
Comments
Abd/low ext cath 2nd at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,401.80 | $748.03 – $3,514.34 |
| UPMC Carlisle | Carlisle | $4,321.20 | $782.82 – $9,539.00 |
| UPMC Community Osteopathic | Harrisburg | $4,321.20 | $792.10 – $6,121.70 |
| UPMC East | Monroeville | $4,642.20 | $795.09 – $6,189.60 |
| UPMC Hamot | Erie | $4,738.80 | $795.09 – $4,363.17 |
| UPMC Northwest | Seneca | $6,644.40 | $756.89 – $2,877.12 |
| UPMC Hanover | Hanover | $4,321.20 | $792.10 – $3,514.34 |
| UPMC Jameson | New Castle | $1,581.00 | $268.17 – $3,514.34 |