Blink reflex test at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$189.60
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.
$237.00
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.
$15.63 with UPMC_Medicaid vs $263.08 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 |
|---|---|---|---|
| UPMC_Medicaid | All_Plans | $15.63 | ↓ -92% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $26.88 | ↓ -86% |
| Health_Partners_Medicaid | All_Other_Plans | $26.88 | ↓ -86% |
| Geisinger_Medicaid | All_Plans | $26.88 | ↓ -86% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $26.88 | ↓ -86% |
| Amerihealth_Caritas_Medicaid | All_Plans | $30.53 | ↓ -84% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $41.71 | ↓ -78% |
| Highmark_Medicare | All_Plans | $57.94 | ↓ -69% |
| Aetna_Medicare | All_Plans | $59.09 | ↓ -69% |
| Aetna_Advantra_Medicare | All_Plans | $59.09 | ↓ -69% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $60.24 | ↓ -68% |
| Devoted_Medicare | All_Plans | $60.24 | ↓ -68% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $60.24 | ↓ -68% |
| United_Medicare | ISNP_DSNP_Plans | $60.24 | ↓ -68% |
| Geisinger_Gold_Medicare | All_Plans | $60.24 | ↓ -68% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $60.50 | ↓ -68% |
| Amerihealth_Medicare | All_Plans | $60.53 | ↓ -68% |
| PA_Health_&_Wellness_Medicare | All_Plans | $61.96 | ↓ -67% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $61.96 | ↓ -67% |
| Aetna_Better_Health_Kids | All_Plans | $73.10 | ↓ -61% |
| Highmark | Higmark_Healthy_Kids | $89.07 | ↓ -53% |
| Health_Partners_Medicaid | Kidz_Partners | $94.66 | ↓ -50% |
| United_Medicaid | Community_Plan_For_Kids | $100.40 | ↓ -47% |
| Blue_Cross | Capital_Cares_4_kids | $106.81 | ↓ -44% |
| Cigna | All_Plans | $139.62 | ↓ -26% |
| WellSpan_Capital_Blue_Cross | All_Plans | $151.68 | ↓ -20% |
| Blue_Cross | All_Other_Plans | $152.58 | ↓ -20% |
| Blue_Cross | Capital_Blue_Performance_PPO | $152.58 | ↓ -20% |
| Tower Health | All_Plans | $154.05 | ↓ -19% |
| UPMC | Employees_And_Dependents | $154.05 | ↓ -19% |
| UPMC | UPMC_For_Kids | $154.05 | ↓ -19% |
| Geisinger | All_Plans | $154.05 | ↓ -19% |
| Independence_Blue_Cross | All_Plans | $154.05 | ↓ -19% |
| PHC | All_Plans | $165.90 | ↓ -13% |
| Aetna | All_Plans | $183.44 | ↓ -3% |
| First_Health_Network | All_Plans | $201.69 | ↑ +6% |
| Highmark | My_Priority_Blue_Flex | $210.47 | ↑ +11% |
| Highmark | My_Direct_Blue | $210.47 | ↑ +11% |
| Highmark | Blue_Cross_High_Performance_Network | $218.36 | ↑ +15% |
| Highmark | Choice_Blue_PPO | $218.36 | ↑ +15% |
| Highmark | Performance_Blue | $218.36 | ↑ +15% |
| United_Healthcare | All_Plans | $223.49 | ↑ +18% |
| Highmark | All_Other_Plans | $263.08 | ↑ +39% |
Visitor-reported prices
Comments
Blink reflex test at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $247.20 | $12.50 – $329.60 |
| UPMC Cole | Coudersport | $88.20 | $19.68 – $162.72 |
| UPMC Northwest | Seneca | $159.60 | $23.65 – $164.99 |
| UPMC Magee | Pittsburgh | $325.20 | $23.65 – $177.84 |
| UPMC Mercy | Pittsburgh | $310.20 | $23.65 – $178.25 |
| UPMC Presbyterian | Pittsburgh | $378.00 | $15.00 – $207.27 |
| WellSpan Chambersburg Hospital | Chambersburg | $192.80 | $15.63 – $273.17 |