Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm 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

$2,868.00

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.

$3,585.00

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.

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

$86.41 with Highmark_Wholecare_Gateway_Medicaid vs $9,629.00 with First_Health_Network — 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
Highmark_Wholecare_Gateway_Medicaid All_Plans $86.41 ↓ -97%
Aetna_Better_Health_Kids All_Plans $235.04 ↓ -92%
Blue_Cross_BlueJourney_Medicare All_Plans $630.96 ↓ -78%
Blue_Cross Capital_Cares_4_kids $1,615.62 ↓ -44%
Health_Partners_Medicaid All_Other_Plans $1,766.67 ↓ -38%
Highmark_Medicare All_Plans $1,784.34 ↓ -38%
Aetna_Advantra_Medicare All_Plans $1,819.67 ↓ -37%
Aetna_Medicare All_Plans $1,819.67 ↓ -37%
Devoted_Medicare All_Plans $1,855.00 ↓ -35%
Geisinger_Gold_Medicare All_Plans $1,855.00 ↓ -35%
United_Medicare ISNP_DSNP_Plans $1,855.00 ↓ -35%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $1,855.00 ↓ -35%
UPMC_Medicare UPMC_for_Life_Complete_Care $1,855.00 ↓ -35%
Highmark_Wholecare_Gateway_Medicare All_Plans $1,862.95 ↓ -35%
Amerihealth_Medicare All_Plans $1,863.84 ↓ -35%
PA_Health_&_Wellness_Medicare All_Plans $1,908.00 ↓ -33%
Jefferson_Health_Medicare_Advantage All_Plans $1,908.00 ↓ -33%
Cigna All_Plans $2,182.55 ↓ -24%
WellSpan_Capital_Blue_Cross All_Plans $2,294.40 ↓ -20%
Blue_Cross Capital_Blue_Performance_PPO $2,308.02 ↓ -20%
Blue_Cross All_Other_Plans $2,308.02 ↓ -20%
Tower Health All_Plans $2,330.25 ↓ -19%
UPMC Employees_And_Dependents $2,330.25 ↓ -19%
UPMC UPMC_For_Kids $2,330.25 ↓ -19%
Geisinger All_Plans $2,330.25 ↓ -19%
Independence_Blue_Cross All_Plans $2,330.25 ↓ -19%
PHC All_Plans $2,509.50 ↓ -13%
Highmark Higmark_Healthy_Kids $2,742.76 ↓ -4%
Health_Partners_Medicaid Kidz_Partners $2,915.01 ↑ +2%
United_Medicaid Community_Plan_For_Kids $3,091.67 ↑ +8%
United_Healthcare All_Plans $3,380.66 ↑ +18%
Highmark My_Direct_Blue $6,481.21 ↑ +126%
Highmark My_Priority_Blue_Flex $6,481.21 ↑ +126%
Highmark Choice_Blue_PPO $6,724.12 ↑ +134%
Highmark Performance_Blue $6,724.12 ↑ +134%
Highmark Blue_Cross_High_Performance_Network $6,724.12 ↑ +134%
Highmark All_Other_Plans $8,101.42 ↑ +182%
Aetna All_Plans $8,754.00 ↑ +205%
First_Health_Network All_Plans $9,629.00 ↑ +236%

Visitor-reported prices

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Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $1,352.40 $203.45 – $1,883.47
UPMC Bedford Everett $3,551.40 $203.45 – $5,327.10
UPMC Carlisle Carlisle $2,460.00 $212.91 – $3,485.00
UPMC Cole Coudersport $449.40 $62.92 – $1,041.88
UPMC Hamot Erie $2,805.60 $203.45 – $2,536.45
UPMC Northwest Seneca $3,460.20 $203.45 – $1,401.85
UPMC Hanover Hanover $2,460.00 $212.91 – $2,795.94
UPMC Horizon-Greenville Greenville $1,325.40 $203.45 – $1,883.47

All Pennsylvania hospitals for this procedure →