Brace wrist classic lft sm at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$136.80
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.
$171.00
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.
$5.98 with Blue_Cross_BlueJourney_Medicare vs $340.08 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 |
|---|---|---|---|
| Blue_Cross_BlueJourney_Medicare | All_Plans | $5.98 | ↓ -96% |
| Blue_Cross | Capital_Cares_4_kids | $15.32 | ↓ -89% |
| Cigna | All_Plans | $20.70 | ↓ -85% |
| WellSpan_Capital_Blue_Cross | All_Plans | $21.76 | ↓ -84% |
| Blue_Cross | Capital_Blue_Performance_PPO | $21.89 | ↓ -84% |
| Blue_Cross | All_Other_Plans | $21.89 | ↓ -84% |
| Tower Health | All_Plans | $22.10 | ↓ -84% |
| UPMC | Employees_And_Dependents | $22.10 | ↓ -84% |
| UPMC | UPMC_For_Kids | $22.10 | ↓ -84% |
| Geisinger | All_Plans | $22.10 | ↓ -84% |
| Independence_Blue_Cross | All_Plans | $22.10 | ↓ -84% |
| PHC | All_Plans | $23.80 | ↓ -83% |
| Aetna | All_Plans | $26.32 | ↓ -81% |
| United_Healthcare | All_Plans | $32.06 | ↓ -77% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $61.95 | ↓ -55% |
| Health_Partners_Medicaid | All_Other_Plans | $74.16 | ↓ -46% |
| Highmark_Medicare | All_Plans | $74.90 | ↓ -45% |
| Aetna_Medicare | All_Plans | $76.38 | ↓ -44% |
| Aetna_Advantra_Medicare | All_Plans | $76.38 | ↓ -44% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $77.87 | ↓ -43% |
| United_Medicare | ISNP_DSNP_Plans | $77.87 | ↓ -43% |
| Devoted_Medicare | All_Plans | $77.87 | ↓ -43% |
| Geisinger_Gold_Medicare | All_Plans | $77.87 | ↓ -43% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $77.87 | ↓ -43% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $78.20 | ↓ -43% |
| Amerihealth_Medicare | All_Plans | $78.24 | ↓ -43% |
| PA_Health_&_Wellness_Medicare | All_Plans | $80.09 | ↓ -41% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $80.09 | ↓ -41% |
| Highmark | Higmark_Healthy_Kids | $115.13 | ↓ -16% |
| Health_Partners_Medicaid | Kidz_Partners | $122.36 | ↓ -11% |
| United_Medicaid | Community_Plan_For_Kids | $129.78 | ↓ -5% |
| First_Health_Network | All_Plans | $145.52 | ↑ +6% |
| Aetna_Better_Health_Kids | All_Plans | $168.50 | ↑ +23% |
| Highmark | My_Priority_Blue_Flex | $272.06 | ↑ +99% |
| Highmark | My_Direct_Blue | $272.06 | ↑ +99% |
| Highmark | Blue_Cross_High_Performance_Network | $282.26 | ↑ +106% |
| Highmark | Choice_Blue_PPO | $282.26 | ↑ +106% |
| Highmark | Performance_Blue | $282.26 | ↑ +106% |
| Highmark | All_Other_Plans | $340.08 | ↑ +149% |
Visitor-reported prices
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Brace wrist classic lft sm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $132.60 | $41.99 – $296.97 |
| UPMC Bedford | Everett | $223.20 | $70.68 – $334.80 |
| UPMC Carlisle | Carlisle | $75.00 | $17.12 – $119.12 |
| UPMC Cole | Coudersport | $283.80 | $89.87 – $378.40 |
| UPMC Community Osteopathic | Harrisburg | $75.00 | $25.00 – $419.75 |
| UPMC East | Monroeville | $51.00 | $9.12 – $296.97 |
| UPMC Hamot | Erie | $167.40 | $79.74 – $113.83 |
| UPMC Northwest | Seneca | $522.60 | $113.83 – $359.36 |