Chest CT scan (with contrast) at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$470.00
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.
$2,362.00
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.
$109.38 with UPMC_Medicaid vs $1,653.40 with PHC — 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 |
|---|---|---|---|
| UPMC_Medicaid | All_Plans | $109.38 | ↓ -77% |
| Highmark_Medicare | All_Plans | $173.65 | ↓ -63% |
| Aetna_Advantra_Medicare | All_Plans | $177.09 | ↓ -62% |
| Aetna_Medicare | All_Plans | $177.09 | ↓ -62% |
| Geisinger_Gold_Medicare | All_Plans | $180.53 | ↓ -62% |
| United_Medicare | ISNP_DSNP_Plans | $180.53 | ↓ -62% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $180.53 | ↓ -62% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $180.53 | ↓ -62% |
| Devoted_Medicare | All_Plans | $180.53 | ↓ -62% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $181.30 | ↓ -61% |
| Amerihealth_Medicare | All_Plans | $181.39 | ↓ -61% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $181.44 | ↓ -61% |
| Geisinger_Medicaid | All_Plans | $181.44 | ↓ -61% |
| Health_Partners_Medicaid | All_Other_Plans | $181.44 | ↓ -61% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $181.44 | ↓ -61% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $185.68 | ↓ -60% |
| PA_Health_&_Wellness_Medicare | All_Plans | $185.68 | ↓ -60% |
| Amerihealth_Caritas_Medicaid | All_Plans | $206.11 | ↓ -56% |
| Highmark | Higmark_Healthy_Kids | $266.92 | ↓ -43% |
| Health_Partners_Medicaid | Kidz_Partners | $283.68 | ↓ -40% |
| United_Medicaid | Community_Plan_For_Kids | $300.88 | ↓ -36% |
| Blue_Cross | Capital_Blue_Performance_PPO | $407.00 | ↓ -13% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $415.71 | ↓ -12% |
| WellSpan_Capital_Blue_Cross | All_Plans | $436.00 | ↓ -7% |
| Aetna_Better_Health_Kids | All_Plans | $493.51 | ↑ +5% |
| Highmark | My_Direct_Blue | $630.74 | ↑ +34% |
| Highmark | My_Priority_Blue_Flex | $630.74 | ↑ +34% |
| Highmark | Choice_Blue_PPO | $654.38 | ↑ +39% |
| Highmark | Blue_Cross_High_Performance_Network | $654.38 | ↑ +39% |
| Highmark | Performance_Blue | $654.38 | ↑ +39% |
| Highmark | All_Other_Plans | $788.42 | ↑ +68% |
| Aetna | All_Plans | $957.00 | ↑ +104% |
| United_Healthcare | All_Plans | $1,006.60 | ↑ +114% |
| First_Health_Network | All_Plans | $1,052.00 | ↑ +124% |
| Blue_Cross | Capital_Cares_4_kids | $1,064.46 | ↑ +126% |
| Cigna | All_Plans | $1,275.48 | ↑ +171% |
| Blue_Cross | All_Other_Plans | $1,520.66 | ↑ +224% |
| UPMC | Employees_And_Dependents | $1,535.30 | ↑ +227% |
| Independence_Blue_Cross | All_Plans | $1,535.30 | ↑ +227% |
| Tower Health | All_Plans | $1,535.30 | ↑ +227% |
| Geisinger | All_Plans | $1,535.30 | ↑ +227% |
| UPMC | UPMC_For_Kids | $1,535.30 | ↑ +227% |
| PHC | All_Plans | $1,653.40 | ↑ +252% |
Visitor-reported prices
Comments
Chest CT scan (with contrast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,413.60 | $87.50 – $1,884.80 |
| UPMC Bedford | Everett | $957.60 | $61.23 – $1,436.40 |
| UPMC Carlisle | Carlisle | $1,424.40 | $114.62 – $2,017.90 |
| UPMC Cole | Coudersport | $1,725.00 | $152.41 – $2,300.00 |
| UPMC Community Osteopathic | Harrisburg | $1,424.40 | $93.40 – $1,183.22 |
| UPMC East | Monroeville | $2,917.20 | $159.66 – $3,889.60 |
| UPMC Hamot | Erie | $3,283.80 | $134.85 – $818.40 |
| UPMC Northwest | Seneca | $1,368.00 | $153.92 – $759.48 |