Blood split unit at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$861.60
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.
$1,077.00
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.
$106.35 with Highmark_Wholecare_Gateway_Medicaid vs $816.96 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 →
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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 |
|---|---|---|---|
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $106.35 | ↓ -88% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $134.99 | ↓ -84% |
| Health_Partners_Medicaid | All_Other_Plans | $141.80 | ↓ -84% |
| United_Medicaid | Community_Plan_For_Kids | $141.80 | ↓ -84% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $141.80 | ↓ -84% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $141.80 | ↓ -84% |
| Highmark_Medicare | All_Plans | $143.22 | ↓ -83% |
| Aetna_Advantra_Medicare | All_Plans | $146.05 | ↓ -83% |
| Aetna_Medicare | All_Plans | $146.05 | ↓ -83% |
| Geisinger_Gold_Medicare | All_Plans | $148.89 | ↓ -83% |
| United_Medicare | ISNP_DSNP_Plans | $148.89 | ↓ -83% |
| Devoted_Medicare | All_Plans | $148.89 | ↓ -83% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $149.53 | ↓ -83% |
| Amerihealth_Medicare | All_Plans | $149.60 | ↓ -83% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $153.14 | ↓ -82% |
| PA_Health_&_Wellness_Medicare | All_Plans | $153.14 | ↓ -82% |
| Highmark | Higmark_Healthy_Kids | $220.14 | ↓ -74% |
| Health_Partners_Medicaid | Kidz_Partners | $233.97 | ↓ -73% |
| PHC | All_Plans | $306.80 | ↓ -64% |
| Blue_Cross | Capital_Cares_4_kids | $345.66 | ↓ -60% |
| Cigna | All_Plans | $466.95 | ↓ -46% |
| WellSpan_Capital_Blue_Cross | All_Plans | $490.88 | ↓ -43% |
| Blue_Cross | Capital_Blue_Performance_PPO | $493.79 | ↓ -43% |
| Blue_Cross | All_Other_Plans | $493.79 | ↓ -43% |
| Tower Health | All_Plans | $498.55 | ↓ -42% |
| UPMC | Employees_And_Dependents | $498.55 | ↓ -42% |
| UPMC | UPMC_For_Kids | $498.55 | ↓ -42% |
| Geisinger | All_Plans | $498.55 | ↓ -42% |
| Independence_Blue_Cross | All_Plans | $498.55 | ↓ -42% |
| Highmark | My_Direct_Blue | $520.21 | ↓ -40% |
| Highmark | My_Priority_Blue_Flex | $520.21 | ↓ -40% |
| Highmark | Performance_Blue | $539.70 | ↓ -37% |
| Highmark | Choice_Blue_PPO | $539.70 | ↓ -37% |
| Highmark | Blue_Cross_High_Performance_Network | $539.70 | ↓ -37% |
| Aetna | All_Plans | $593.66 | ↓ -31% |
| Highmark | All_Other_Plans | $650.25 | ↓ -25% |
| United_Healthcare | All_Plans | $723.28 | ↓ -16% |
| First_Health_Network | All_Plans | $816.96 | ↓ -5% |
Visitor-reported prices
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Blood split unit at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $247.80 | $50.19 – $330.40 |
| UPMC Bedford | Everett | $315.00 | $48.78 – $472.50 |
| UPMC Carlisle | Carlisle | $192.60 | $43.98 – $272.85 |
| UPMC Community Osteopathic | Harrisburg | $192.60 | $64.20 – $525.22 |
| UPMC East | Monroeville | $173.40 | $50.67 – $231.20 |
| UPMC Hamot | Erie | $275.40 | $50.19 – $168.51 |
| UPMC Northwest | Seneca | $300.60 | $69.44 – $146.01 |
| UPMC Hanover | Hanover | $192.60 | $72.67 – $525.22 |