Brace m arm board at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$152.80
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.
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What you pay up front if you don't use insurance.
$191.00
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.
$11.79 with Blue_Cross_BlueJourney_Medicare vs $1,227.23 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 | $11.79 | ↓ -92% |
| Blue_Cross | Capital_Cares_4_kids | $30.19 | ↓ -80% |
| Cigna | All_Plans | $40.79 | ↓ -73% |
| WellSpan_Capital_Blue_Cross | All_Plans | $42.88 | ↓ -72% |
| Blue_Cross | Capital_Blue_Performance_PPO | $43.13 | ↓ -72% |
| Blue_Cross | All_Other_Plans | $43.13 | ↓ -72% |
| Tower Health | All_Plans | $43.55 | ↓ -71% |
| UPMC | Employees_And_Dependents | $43.55 | ↓ -71% |
| UPMC | UPMC_For_Kids | $43.55 | ↓ -71% |
| Geisinger | All_Plans | $43.55 | ↓ -71% |
| Independence_Blue_Cross | All_Plans | $43.55 | ↓ -71% |
| PHC | All_Plans | $46.90 | ↓ -69% |
| Aetna | All_Plans | $51.86 | ↓ -66% |
| First_Health_Network | All_Plans | $57.02 | ↓ -63% |
| United_Healthcare | All_Plans | $63.18 | ↓ -59% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $209.46 | ↑ +37% |
| Health_Partners_Medicaid | All_Other_Plans | $267.62 | ↑ +75% |
| Highmark_Medicare | All_Plans | $270.30 | ↑ +77% |
| Aetna_Advantra_Medicare | All_Plans | $275.65 | ↑ +80% |
| Aetna_Medicare | All_Plans | $275.65 | ↑ +80% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $281.00 | ↑ +84% |
| United_Medicare | ISNP_DSNP_Plans | $281.00 | ↑ +84% |
| Devoted_Medicare | All_Plans | $281.00 | ↑ +84% |
| Geisinger_Gold_Medicare | All_Plans | $281.00 | ↑ +84% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $281.00 | ↑ +84% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $282.21 | ↑ +85% |
| Amerihealth_Medicare | All_Plans | $282.34 | ↑ +85% |
| PA_Health_&_Wellness_Medicare | All_Plans | $289.03 | ↑ +89% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $289.03 | ↑ +89% |
| Highmark | Higmark_Healthy_Kids | $415.48 | ↑ +172% |
| Health_Partners_Medicaid | Kidz_Partners | $441.57 | ↑ +189% |
| United_Medicaid | Community_Plan_For_Kids | $468.34 | ↑ +207% |
| Aetna_Better_Health_Kids | All_Plans | $569.74 | ↑ +273% |
| Highmark | My_Priority_Blue_Flex | $981.79 | ↑ +543% |
| Highmark | My_Direct_Blue | $981.79 | ↑ +543% |
| Highmark | Blue_Cross_High_Performance_Network | $1,018.59 | ↑ +567% |
| Highmark | Choice_Blue_PPO | $1,018.59 | ↑ +567% |
| Highmark | Performance_Blue | $1,018.59 | ↑ +567% |
| Highmark | All_Other_Plans | $1,227.23 | ↑ +703% |
Visitor-reported prices
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Brace m arm board at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| WellSpan Chambersburg Hospital | Chambersburg | $53.60 | $48.24 – $1,190.45 |