#cf-97variants at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$739.20
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.
$924.00
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.
$162.62 with Blue_Cross_BlueJourney_Medicare vs $2,552.40 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 | $162.62 | ↓ -78% |
| Blue_Cross | Capital_Cares_4_kids | $416.41 | ↓ -44% |
| Amerihealth_Caritas_Medicaid | All_Plans | $445.28 | ↓ -40% |
| Health_Partners_Medicaid | All_Other_Plans | $556.60 | ↓ -25% |
| UPMC_Medicaid | All_Plans | $556.60 | ↓ -25% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $556.60 | ↓ -25% |
| Geisinger_Medicaid | All_Plans | $556.60 | ↓ -25% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $556.60 | ↓ -25% |
| Highmark_Medicare | All_Plans | $562.17 | ↓ -24% |
| Geisinger_Gold_Medicare | All_Plans | $584.43 | ↓ -21% |
| United_Medicare | ISNP_DSNP_Plans | $584.43 | ↓ -21% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $584.43 | ↓ -21% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $584.43 | ↓ -21% |
| Devoted_Medicare | All_Plans | $584.43 | ↓ -21% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $586.93 | ↓ -21% |
| Amerihealth_Medicare | All_Plans | $587.21 | ↓ -21% |
| Cigna | All_Plans | $589.70 | ↓ -20% |
| WellSpan_Capital_Blue_Cross | All_Plans | $591.36 | ↓ -20% |
| Blue_Cross | All_Other_Plans | $594.87 | ↓ -20% |
| Blue_Cross | Capital_Blue_Performance_PPO | $594.87 | ↓ -20% |
| Tower Health | All_Plans | $600.60 | ↓ -19% |
| UPMC | UPMC_For_Kids | $600.60 | ↓ -19% |
| Geisinger | All_Plans | $600.60 | ↓ -19% |
| Independence_Blue_Cross | All_Plans | $600.60 | ↓ -19% |
| UPMC | Employees_And_Dependents | $600.60 | ↓ -19% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $601.13 | ↓ -19% |
| PA_Health_&_Wellness_Medicare | All_Plans | $601.13 | ↓ -19% |
| PHC | All_Plans | $646.80 | ↓ -13% |
| Highmark | Higmark_Healthy_Kids | $864.12 | ↑ +17% |
| Health_Partners_Medicaid | Kidz_Partners | $918.39 | ↑ +24% |
| United_Medicaid | Community_Plan_For_Kids | $974.05 | ↑ +32% |
| Aetna_Better_Health_Kids | All_Plans | $1,513.95 | ↑ +105% |
| United_Healthcare | All_Plans | $1,669.80 | ↑ +126% |
| Highmark | My_Priority_Blue_Flex | $2,041.94 | ↑ +176% |
| Highmark | My_Direct_Blue | $2,041.94 | ↑ +176% |
| Highmark | Blue_Cross_High_Performance_Network | $2,118.48 | ↑ +187% |
| Highmark | Choice_Blue_PPO | $2,118.48 | ↑ +187% |
| Highmark | Performance_Blue | $2,118.48 | ↑ +187% |
| First_Health_Network | All_Plans | $2,526.96 | ↑ +242% |
| Highmark | All_Other_Plans | $2,552.40 | ↑ +245% |
Visitor-reported prices
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#cf-97variants at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $3,325.80 | $445.28 – $964.00 |
| UPMC Bedford | Everett | $3,357.60 | $200.82 – $1,095.30 |
| UPMC Carlisle | Carlisle | $3,216.00 | $445.28 – $4,556.00 |
| UPMC Cole | Coudersport | $1,763.40 | $53.00 – $2,351.20 |
| UPMC Community Osteopathic | Harrisburg | $3,216.00 | $445.28 – $4,556.00 |
| UPMC East | Monroeville | $3,357.60 | $255.41 – $973.60 |
| UPMC Hamot | Erie | $3,409.20 | $445.28 – $767.09 |
| UPMC Northwest | Seneca | $3,357.60 | $257.79 – $601.13 |