Cath plc art/grft/angio right hrt at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$11,061.60
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.
$13,827.00
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.
$2,412.31 with Highmark_Wholecare_Gateway_Medicaid vs $17,160.00 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 | $2,412.31 | ↓ -78% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $2,433.55 | ↓ -78% |
| Highmark_Medicare | All_Plans | $3,137.47 | ↓ -72% |
| Aetna_Medicare | All_Plans | $3,199.60 | ↓ -71% |
| Aetna_Advantra_Medicare | All_Plans | $3,199.60 | ↓ -71% |
| Health_Partners_Medicaid | All_Other_Plans | $3,216.41 | ↓ -71% |
| United_Medicare | ISNP_DSNP_Plans | $3,261.73 | ↓ -71% |
| Devoted_Medicare | All_Plans | $3,261.73 | ↓ -71% |
| Geisinger_Gold_Medicare | All_Plans | $3,261.73 | ↓ -71% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $3,261.73 | ↓ -71% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $3,261.73 | ↓ -71% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $3,275.71 | ↓ -70% |
| Amerihealth_Medicare | All_Plans | $3,277.26 | ↓ -70% |
| PA_Health_&_Wellness_Medicare | All_Plans | $3,354.92 | ↓ -70% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $3,354.92 | ↓ -70% |
| Highmark | Higmark_Healthy_Kids | $4,822.70 | ↓ -56% |
| Health_Partners_Medicaid | Kidz_Partners | $5,125.58 | ↓ -54% |
| United_Medicaid | Community_Plan_For_Kids | $5,436.22 | ↓ -51% |
| Blue_Cross | Capital_Cares_4_kids | $6,231.28 | ↓ -44% |
| Cigna | All_Plans | $8,417.88 | ↓ -24% |
| WellSpan_Capital_Blue_Cross | All_Plans | $8,849.28 | ↓ -20% |
| Blue_Cross | All_Other_Plans | $8,901.82 | ↓ -20% |
| Blue_Cross | Capital_Blue_Performance_PPO | $8,901.82 | ↓ -20% |
| Tower Health | All_Plans | $8,987.55 | ↓ -19% |
| UPMC | Employees_And_Dependents | $8,987.55 | ↓ -19% |
| UPMC | UPMC_For_Kids | $8,987.55 | ↓ -19% |
| Geisinger | All_Plans | $8,987.55 | ↓ -19% |
| Independence_Blue_Cross | All_Plans | $8,987.55 | ↓ -19% |
| PHC | All_Plans | $9,678.90 | ↓ -13% |
| Highmark | My_Direct_Blue | $11,396.18 | ↑ +3% |
| Highmark | My_Priority_Blue_Flex | $11,396.18 | ↑ +3% |
| Highmark | Performance_Blue | $11,823.31 | ↑ +7% |
| Highmark | Choice_Blue_PPO | $11,823.31 | ↑ +7% |
| Highmark | Blue_Cross_High_Performance_Network | $11,823.31 | ↑ +7% |
| United_Healthcare | All_Plans | $13,038.86 | ↑ +18% |
| Highmark | All_Other_Plans | $14,245.06 | ↑ +29% |
| Aetna | All_Plans | $15,600.00 | ↑ +41% |
| First_Health_Network | All_Plans | $17,160.00 | ↑ +55% |
Visitor-reported prices
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Cath plc art/grft/angio right hrt at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $14,680.20 | $1,537.73 – $19,573.60 |
| UPMC Carlisle | Carlisle | $6,685.80 | $1,016.56 – $9,471.55 |
| UPMC Community Osteopathic | Harrisburg | $6,685.80 | $1,016.56 – $9,471.55 |
| UPMC East | Monroeville | $7,956.60 | $1,552.37 – $10,608.80 |
| UPMC Hamot | Erie | $14,533.20 | $1,537.73 – $4,459.95 |
| UPMC Hanover | Hanover | $6,685.80 | $1,016.56 – $8,056.55 |
| UPMC Lititz | Lititz | $6,685.80 | $1,016.56 – $8,056.55 |
| UPMC Memorial | York | $6,685.80 | $1,016.56 – $8,056.55 |