Ablate bone tumor(s) cryo perq 20983 at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$11,082.40
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.
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What you pay up front if you don't use insurance.
$13,853.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$2,438.13 with Blue_Cross_BlueJourney_Medicare vs $31,638.62 with Highmark — same scan, same building. Share
Negotiated rates by payer
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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 →
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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 |
|---|---|---|---|
| Blue_Cross_BlueJourney_Medicare | All_Plans | $2,438.13 | ↓ -78% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $5,357.80 | ↓ -52% |
| Blue_Cross | Capital_Cares_4_kids | $6,242.99 | ↓ -44% |
| Health_Partners_Medicaid | All_Other_Plans | $6,899.41 | ↓ -38% |
| Highmark_Medicare | All_Plans | $6,968.40 | ↓ -37% |
| Aetna_Medicare | All_Plans | $7,106.39 | ↓ -36% |
| Aetna_Advantra_Medicare | All_Plans | $7,106.39 | ↓ -36% |
| United_Medicare | ISNP_DSNP_Plans | $7,244.38 | ↓ -35% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $7,244.38 | ↓ -35% |
| Geisinger_Gold_Medicare | All_Plans | $7,244.38 | ↓ -35% |
| Devoted_Medicare | All_Plans | $7,244.38 | ↓ -35% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $7,244.38 | ↓ -35% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $7,275.43 | ↓ -34% |
| Amerihealth_Medicare | All_Plans | $7,278.88 | ↓ -34% |
| PA_Health_&_Wellness_Medicare | All_Plans | $7,451.36 | ↓ -33% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $7,451.36 | ↓ -33% |
| Cigna | All_Plans | $8,433.71 | ↓ -24% |
| Aetna | All_Plans | $8,754.00 | ↓ -21% |
| WellSpan_Capital_Blue_Cross | All_Plans | $8,865.92 | ↓ -20% |
| Blue_Cross | All_Other_Plans | $8,918.56 | ↓ -20% |
| Blue_Cross | Capital_Blue_Performance_PPO | $8,918.56 | ↓ -20% |
| Tower Health | All_Plans | $9,004.45 | ↓ -19% |
| Geisinger | All_Plans | $9,004.45 | ↓ -19% |
| UPMC | UPMC_For_Kids | $9,004.45 | ↓ -19% |
| UPMC | Employees_And_Dependents | $9,004.45 | ↓ -19% |
| Independence_Blue_Cross | All_Plans | $9,004.45 | ↓ -19% |
| First_Health_Network | All_Plans | $9,629.00 | ↓ -13% |
| PHC | All_Plans | $9,697.10 | ↓ -13% |
| Highmark | Higmark_Healthy_Kids | $10,711.33 | ↓ -3% |
| Health_Partners_Medicaid | Kidz_Partners | $11,384.03 | ↑ +3% |
| United_Medicaid | Community_Plan_For_Kids | $12,073.97 | ↑ +9% |
| United_Healthcare | All_Plans | $13,063.38 | ↑ +18% |
| Highmark | My_Priority_Blue_Flex | $25,311.18 | ↑ +128% |
| Highmark | My_Direct_Blue | $25,311.18 | ↑ +128% |
| Highmark | Choice_Blue_PPO | $26,259.84 | ↑ +137% |
| Highmark | Performance_Blue | $26,259.84 | ↑ +137% |
| Highmark | Blue_Cross_High_Performance_Network | $26,259.84 | ↑ +137% |
| Highmark | All_Other_Plans | $31,638.62 | ↑ +185% |
Visitor-reported prices
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Ablate bone tumor(s) cryo perq 20983 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $18,135.00 | $3,758.61 – $25,691.25 |
| UPMC Community Osteopathic | Harrisburg | $18,135.00 | $2,684.00 – $25,691.25 |
| UPMC East | Monroeville | $25,249.80 | $4,460.95 – $33,666.40 |
| UPMC Hanover | Hanover | $18,135.00 | $5,285.75 – $10,919.06 |
| UPMC Lititz | Lititz | $18,135.00 | $5,285.75 – $10,978.03 |
| UPMC Memorial | York | $18,135.00 | $3,601.56 – $10,960.19 |
| UPMC Presbyterian | Pittsburgh | $41,445.60 | $4,460.95 – $12,219.80 |
| UPMC Somerset | Somerset | $18,135.00 | $4,374.18 – $9,022.57 |