Aminophylline 25 mg/ml intravenous solution (wrapper) at WellSpan Ephrata Community Hospital

169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 17, 2026

$109.40

Cash price

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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.

$136.75

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$17.22 with UPMC_Medicaid vs $95.73 with PHC — 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 →

Payer
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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
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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
UPMC_Medicaid All_Plans $17.22 ↓ -84%
Amerihealth_Caritas_Medicaid All_Plans $20.68 ↓ -81%
Geisinger_Medicaid All_Plans $20.68 ↓ -81%
Highmark_Wholecare_Gateway_Medicaid All_Plans $20.68 ↓ -81%
Health_Partners_Medicaid All_Other_Plans $20.68 ↓ -81%
Aetna_Better_Health_Kids All_Plans $21.92 ↓ -80%
Blue_Cross_BlueJourney_Medicare All_Plans $24.07 ↓ -78%
United_Healthcare All_Plans $53.12 ↓ -51%
Blue_Cross Capital_Cares_4_kids $61.63 ↓ -44%
Aetna All_Plans $62.87 ↓ -43%
First_Health_Network All_Plans $69.16 ↓ -37%
Cigna All_Plans $77.35 ↓ -29%
WellSpan_Capital_Blue_Cross All_Plans $87.52 ↓ -20%
Blue_Cross Capital_Blue_Performance_PPO $88.04 ↓ -20%
Blue_Cross All_Other_Plans $88.04 ↓ -20%
Tower Health All_Plans $88.89 ↓ -19%
Geisinger All_Plans $88.89 ↓ -19%
UPMC UPMC_For_Kids $88.89 ↓ -19%
UPMC Employees_And_Dependents $88.89 ↓ -19%
Independence_Blue_Cross All_Plans $88.89 ↓ -19%
PHC All_Plans $95.73 ↓ -12%

Visitor-reported prices

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Aminophylline 25 mg/ml intravenous solution (wrapper) at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $10.60 $2.04 – $15.51
UPMC Bedford Everett $7.80 $2.00 – $10.34
UPMC Carlisle Carlisle $7.80 $0.14 – $10.55
UPMC Cole Coudersport $16.80 $5.96 – $22.40
UPMC Community Osteopathic Harrisburg $7.80 $0.20 – $12.72
UPMC East Monroeville $12.20 $1.79 – $12.00
UPMC Hamot Erie $106.40 $2.04 – $13.96
UPMC Northwest Seneca $58.40 $5.31 – $10.34

All Pennsylvania hospitals for this procedure →