Angioplasty fem/pop unilat 37224 at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$27,444.80
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.
$34,306.00
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.
$481.89 with PA_Health_&_Wellness_Medicaid vs $32,350.56 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 |
|---|---|---|---|
| PA_Health_&_Wellness_Medicaid | All_Plans | $481.89 | ↓ -98% |
| Health_Partners_Medicaid | All_Other_Plans | $481.89 | ↓ -98% |
| Geisinger_Medicaid | All_Plans | $481.89 | ↓ -98% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $481.89 | ↓ -98% |
| UPMC_Medicaid | All_Plans | $481.89 | ↓ -98% |
| Amerihealth_Caritas_Medicaid | All_Plans | $547.42 | ↓ -98% |
| Aetna_Better_Health_Kids | All_Plans | $1,310.73 | ↓ -95% |
| Highmark_Medicare | All_Plans | $5,561.60 | ↓ -80% |
| Aetna_Advantra_Medicare | All_Plans | $5,671.73 | ↓ -79% |
| Aetna_Medicare | All_Plans | $5,671.73 | ↓ -79% |
| Devoted_Medicare | All_Plans | $5,781.86 | ↓ -79% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $5,781.86 | ↓ -79% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $5,781.86 | ↓ -79% |
| United_Medicare | ISNP_DSNP_Plans | $5,781.86 | ↓ -79% |
| Geisinger_Gold_Medicare | All_Plans | $5,781.86 | ↓ -79% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $5,806.64 | ↓ -79% |
| Amerihealth_Medicare | All_Plans | $5,809.39 | ↓ -79% |
| PA_Health_&_Wellness_Medicare | All_Plans | $5,947.05 | ↓ -78% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $5,947.05 | ↓ -78% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $6,037.86 | ↓ -78% |
| Highmark | Higmark_Healthy_Kids | $8,548.89 | ↓ -69% |
| Health_Partners_Medicaid | Kidz_Partners | $9,085.77 | ↓ -67% |
| United_Medicaid | Community_Plan_For_Kids | $9,636.43 | ↓ -65% |
| Aetna | All_Plans | $12,504.00 | ↓ -54% |
| First_Health_Network | All_Plans | $13,754.00 | ↓ -50% |
| Blue_Cross | Capital_Cares_4_kids | $15,460.34 | ↓ -44% |
| Highmark | My_Priority_Blue_Flex | $20,201.26 | ↓ -26% |
| Highmark | My_Direct_Blue | $20,201.26 | ↓ -26% |
| Cigna | All_Plans | $20,885.49 | ↓ -24% |
| Highmark | Performance_Blue | $20,958.40 | ↓ -24% |
| Highmark | Choice_Blue_PPO | $20,958.40 | ↓ -24% |
| Highmark | Blue_Cross_High_Performance_Network | $20,958.40 | ↓ -24% |
| WellSpan_Capital_Blue_Cross | All_Plans | $21,955.84 | ↓ -20% |
| Blue_Cross | Capital_Blue_Performance_PPO | $22,086.20 | ↓ -20% |
| Blue_Cross | All_Other_Plans | $22,086.20 | ↓ -20% |
| Tower Health | All_Plans | $22,298.90 | ↓ -19% |
| Geisinger | All_Plans | $22,298.90 | ↓ -19% |
| UPMC | UPMC_For_Kids | $22,298.90 | ↓ -19% |
| UPMC | Employees_And_Dependents | $22,298.90 | ↓ -19% |
| Independence_Blue_Cross | All_Plans | $22,298.90 | ↓ -19% |
| PHC | All_Plans | $24,014.20 | ↓ -13% |
| Highmark | All_Other_Plans | $25,251.29 | ↓ -8% |
| United_Healthcare | All_Plans | $32,350.56 | ↑ +18% |
Visitor-reported prices
Comments
Angioplasty fem/pop unilat 37224 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $15,494.40 | $5,543.35 – $20,659.20 |
| UPMC Carlisle | Carlisle | $17,281.80 | $1,016.56 – $24,482.55 |
| UPMC Community Osteopathic | Harrisburg | $17,281.80 | $1,016.56 – $24,482.55 |
| UPMC East | Monroeville | $28,574.40 | $5,450.40 – $38,099.20 |
| UPMC Hamot | Erie | $14,400.60 | $424.06 – $7,905.86 |
| UPMC Northwest | Seneca | $21,742.80 | $4,929.65 – $5,870.58 |
| UPMC Hanover | Hanover | $17,281.80 | $1,016.56 – $12,178.60 |
| UPMC Jameson | New Castle | $8,013.00 | $892.40 – $7,338.22 |