Clearance of airways at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$456.80
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.
$571.00
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.
$41.25 with UPMC_Medicaid vs $900.77 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 |
|---|---|---|---|
| UPMC_Medicaid | All_Plans | $41.25 | ↓ -91% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $41.25 | ↓ -91% |
| Health_Partners_Medicaid | All_Other_Plans | $41.25 | ↓ -91% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $41.25 | ↓ -91% |
| Geisinger_Medicaid | All_Plans | $41.25 | ↓ -91% |
| Amerihealth_Caritas_Medicaid | All_Plans | $46.86 | ↓ -90% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $100.50 | ↓ -78% |
| Aetna_Better_Health_Kids | All_Plans | $112.20 | ↓ -75% |
| Highmark_Medicare | All_Plans | $198.39 | ↓ -57% |
| Aetna_Advantra_Medicare | All_Plans | $202.32 | ↓ -56% |
| Aetna_Medicare | All_Plans | $202.32 | ↓ -56% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $206.25 | ↓ -55% |
| Devoted_Medicare | All_Plans | $206.25 | ↓ -55% |
| Geisinger_Gold_Medicare | All_Plans | $206.25 | ↓ -55% |
| United_Medicare | ISNP_DSNP_Plans | $206.25 | ↓ -55% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $206.25 | ↓ -55% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $207.14 | ↓ -55% |
| Amerihealth_Medicare | All_Plans | $207.23 | ↓ -55% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $212.14 | ↓ -54% |
| PA_Health_&_Wellness_Medicare | All_Plans | $212.14 | ↓ -54% |
| Blue_Cross | Capital_Cares_4_kids | $257.33 | ↓ -44% |
| Highmark | Higmark_Healthy_Kids | $304.96 | ↓ -33% |
| Health_Partners_Medicaid | Kidz_Partners | $324.11 | ↓ -29% |
| United_Medicaid | Community_Plan_For_Kids | $343.75 | ↓ -25% |
| Cigna | All_Plans | $347.62 | ↓ -24% |
| WellSpan_Capital_Blue_Cross | All_Plans | $365.44 | ↓ -20% |
| Blue_Cross | Capital_Blue_Performance_PPO | $367.61 | ↓ -20% |
| Blue_Cross | All_Other_Plans | $367.61 | ↓ -20% |
| Tower Health | All_Plans | $371.15 | ↓ -19% |
| UPMC | Employees_And_Dependents | $371.15 | ↓ -19% |
| UPMC | UPMC_For_Kids | $371.15 | ↓ -19% |
| Geisinger | All_Plans | $371.15 | ↓ -19% |
| Independence_Blue_Cross | All_Plans | $371.15 | ↓ -19% |
| PHC | All_Plans | $399.70 | ↓ -13% |
| Aetna | All_Plans | $441.95 | ↓ -3% |
| First_Health_Network | All_Plans | $485.92 | ↑ +6% |
| United_Healthcare | All_Plans | $538.45 | ↑ +18% |
| Highmark | My_Direct_Blue | $720.62 | ↑ +58% |
| Highmark | My_Priority_Blue_Flex | $720.62 | ↑ +58% |
| Highmark | Blue_Cross_High_Performance_Network | $747.63 | ↑ +64% |
| Highmark | Choice_Blue_PPO | $747.63 | ↑ +64% |
| Highmark | Performance_Blue | $747.63 | ↑ +64% |
| Highmark | All_Other_Plans | $900.77 | ↑ +97% |
Visitor-reported prices
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Clearance of airways at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $1,011.60 | $34.65 – $1,348.80 |
| UPMC Hanover | Hanover | $325.80 | $41.91 – $310.88 |
| UPMC Kane | Kane | $154.20 | $36.30 – $205.23 |
| UPMC Memorial | York | $325.80 | $41.91 – $444.23 |
| WellSpan Chambersburg Hospital | Chambersburg | $248.00 | $41.25 – $935.39 |
| WellSpan Surgery & Rehabilitation Hospital | York PA 17403 | $295.20 | $41.25 – $344.58 |
| Uniontown Hospital | Uniontown | $311.50 | not published |
| WellSpan Waynesboro Hospital | Waynesboro | $248.00 | $34.65 – $737.29 |