Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$36.00
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.
$65.00
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.
$11.44 with Blue_Cross_BlueJourney_Medicare vs $82.77 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 | $11.44 | ↓ -68% |
| Amerihealth_Caritas_Medicaid | All_Plans | $18.22 | ↓ -49% |
| Highmark_Medicare | All_Plans | $18.23 | ↓ -49% |
| Aetna_Medicare | All_Plans | $18.59 | ↓ -48% |
| Aetna_Advantra_Medicare | All_Plans | $18.59 | ↓ -48% |
| United_Medicare | ISNP_DSNP_Plans | $18.95 | ↓ -47% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $18.95 | ↓ -47% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $18.95 | ↓ -47% |
| Devoted_Medicare | All_Plans | $18.95 | ↓ -47% |
| Geisinger_Gold_Medicare | All_Plans | $18.95 | ↓ -47% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $19.03 | ↓ -47% |
| Amerihealth_Medicare | All_Plans | $19.04 | ↓ -47% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $19.49 | ↓ -46% |
| PA_Health_&_Wellness_Medicare | All_Plans | $19.49 | ↓ -46% |
| UPMC_Medicaid | All_Plans | $22.77 | ↓ -37% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $22.78 | ↓ -37% |
| Geisinger_Medicaid | All_Plans | $22.78 | ↓ -37% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $22.78 | ↓ -37% |
| Health_Partners_Medicaid | All_Other_Plans | $22.78 | ↓ -37% |
| PHC | All_Plans | $26.00 | ↓ -28% |
| Highmark | Higmark_Healthy_Kids | $28.02 | ↓ -22% |
| Blue_Cross | Capital_Cares_4_kids | $29.29 | ↓ -19% |
| Health_Partners_Medicaid | Kidz_Partners | $29.78 | ↓ -17% |
| United_Medicaid | Community_Plan_For_Kids | $31.59 | ↓ -12% |
| Cigna | All_Plans | $41.48 | ↑ +15% |
| WellSpan_Capital_Blue_Cross | All_Plans | $41.60 | ↑ +16% |
| Blue_Cross | Capital_Blue_Performance_PPO | $41.85 | ↑ +16% |
| Blue_Cross | All_Other_Plans | $41.85 | ↑ +16% |
| Tower Health | All_Plans | $42.25 | ↑ +17% |
| UPMC | Employees_And_Dependents | $42.25 | ↑ +17% |
| UPMC | UPMC_For_Kids | $42.25 | ↑ +17% |
| Geisinger | All_Plans | $42.25 | ↑ +17% |
| Independence_Blue_Cross | All_Plans | $42.25 | ↑ +17% |
| United_Healthcare | All_Plans | $47.76 | ↑ +33% |
| Aetna_Better_Health_Kids | All_Plans | $61.95 | ↑ +72% |
| Aetna | All_Plans | $65.75 | ↑ +83% |
| Highmark | My_Priority_Blue_Flex | $66.22 | ↑ +84% |
| Highmark | My_Direct_Blue | $66.22 | ↑ +84% |
| Highmark | Choice_Blue_PPO | $68.70 | ↑ +91% |
| Highmark | Performance_Blue | $68.70 | ↑ +91% |
| Highmark | Blue_Cross_High_Performance_Network | $68.70 | ↑ +91% |
| First_Health_Network | All_Plans | $72.28 | ↑ +101% |
| Highmark | All_Other_Plans | $82.77 | ↑ +130% |
Visitor-reported prices
Comments
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $28.20 | $2.80 – $37.60 |
| UPMC Bedford | Everett | $22.20 | $2.80 – $33.30 |
| UPMC Cole | Coudersport | $74.40 | $2.94 – $99.20 |
| UPMC East | Monroeville | $22.20 | $2.80 – $29.60 |
| UPMC Northwest | Seneca | $30.60 | $3.08 – $16.72 |
| UPMC Horizon-Greenville | Greenville | $22.20 | $2.80 – $17.19 |
| UPMC Jameson | New Castle | $42.00 | $3.08 – $17.19 |
| UPMC Kane | Kane | $58.20 | $3.08 – $68.71 |