Covid-19 administration immunization im inj 1st/only component at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$58.40
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.
$73.00
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.
$12.85 with Blue_Cross_BlueJourney_Medicare vs $183.89 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 | $12.85 | ↓ -78% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $31.14 | ↓ -47% |
| Blue_Cross | Capital_Cares_4_kids | $32.90 | ↓ -44% |
| Health_Partners_Medicaid | All_Other_Plans | $40.10 | ↓ -31% |
| Highmark_Medicare | All_Plans | $40.50 | ↓ -31% |
| Aetna_Medicare | All_Plans | $41.30 | ↓ -29% |
| Aetna_Advantra_Medicare | All_Plans | $41.30 | ↓ -29% |
| Devoted_Medicare | All_Plans | $42.11 | ↓ -28% |
| Geisinger_Gold_Medicare | All_Plans | $42.11 | ↓ -28% |
| United_Medicare | ISNP_DSNP_Plans | $42.11 | ↓ -28% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $42.11 | ↓ -28% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $42.11 | ↓ -28% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $42.29 | ↓ -28% |
| Amerihealth_Medicare | All_Plans | $42.31 | ↓ -28% |
| PA_Health_&_Wellness_Medicare | All_Plans | $43.31 | ↓ -26% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $43.31 | ↓ -26% |
| Cigna | All_Plans | $44.44 | ↓ -24% |
| WellSpan_Capital_Blue_Cross | All_Plans | $46.72 | ↓ -20% |
| Blue_Cross | Capital_Blue_Performance_PPO | $47.00 | ↓ -20% |
| Blue_Cross | All_Other_Plans | $47.00 | ↓ -20% |
| Tower Health | All_Plans | $47.45 | ↓ -19% |
| UPMC | Employees_And_Dependents | $47.45 | ↓ -19% |
| UPMC | UPMC_For_Kids | $47.45 | ↓ -19% |
| Geisinger | All_Plans | $47.45 | ↓ -19% |
| Independence_Blue_Cross | All_Plans | $47.45 | ↓ -19% |
| PHC | All_Plans | $51.10 | ↓ -13% |
| Aetna | All_Plans | $56.50 | ↓ -3% |
| First_Health_Network | All_Plans | $62.12 | ↑ +6% |
| Highmark | Higmark_Healthy_Kids | $62.26 | ↑ +7% |
| Health_Partners_Medicaid | Kidz_Partners | $66.17 | ↑ +13% |
| United_Healthcare | All_Plans | $68.84 | ↑ +18% |
| United_Medicaid | Community_Plan_For_Kids | $70.18 | ↑ +20% |
| Highmark | My_Direct_Blue | $147.11 | ↑ +152% |
| Highmark | My_Priority_Blue_Flex | $147.11 | ↑ +152% |
| Highmark | Performance_Blue | $152.62 | ↑ +161% |
| Highmark | Choice_Blue_PPO | $152.62 | ↑ +161% |
| Highmark | Blue_Cross_High_Performance_Network | $152.62 | ↑ +161% |
| Highmark | All_Other_Plans | $183.89 | ↑ +215% |
Visitor-reported prices
Comments
Covid-19 administration immunization im inj 1st/only component at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $24.00 | $14.00 – $84.17 |
| UPMC Bedford | Everett | $24.00 | $14.00 – $42.75 |
| UPMC Carlisle | Carlisle | $24.00 | $5.48 – $63.55 |
| UPMC Community Osteopathic | Harrisburg | $24.00 | $8.00 – $44.11 |
| UPMC East | Monroeville | $24.00 | $13.20 – $84.97 |
| UPMC Hamot | Erie | $24.00 | $45.28 – $49.35 |
| UPMC Northwest | Seneca | $24.00 | $35.90 – $42.75 |
| UPMC Hanover | Hanover | $24.00 | $39.26 – $63.46 |