Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$500.80
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.
$626.00
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.
$110.18 with Blue_Cross_BlueJourney_Medicare vs $1,995.19 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 | $110.18 | ↓ -78% |
| Blue_Cross | Capital_Cares_4_kids | $282.11 | ↓ -44% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $337.88 | ↓ -33% |
| Cigna | All_Plans | $381.11 | ↓ -24% |
| WellSpan_Capital_Blue_Cross | All_Plans | $400.64 | ↓ -20% |
| Blue_Cross | Capital_Blue_Performance_PPO | $403.02 | ↓ -20% |
| Blue_Cross | All_Other_Plans | $403.02 | ↓ -20% |
| UPMC | Employees_And_Dependents | $406.90 | ↓ -19% |
| Geisinger | All_Plans | $406.90 | ↓ -19% |
| Tower Health | All_Plans | $406.90 | ↓ -19% |
| Independence_Blue_Cross | All_Plans | $406.90 | ↓ -19% |
| UPMC | UPMC_For_Kids | $406.90 | ↓ -19% |
| Health_Partners_Medicaid | All_Other_Plans | $435.09 | ↓ -13% |
| PHC | All_Plans | $438.20 | ↓ -13% |
| Highmark_Medicare | All_Plans | $439.44 | ↓ -12% |
| Aetna_Advantra_Medicare | All_Plans | $448.14 | ↓ -11% |
| Aetna_Medicare | All_Plans | $448.14 | ↓ -11% |
| UPMC_Medicaid | All_Plans | $450.00 | ↓ -10% |
| Devoted_Medicare | All_Plans | $456.84 | ↓ -9% |
| Geisinger_Gold_Medicare | All_Plans | $456.84 | ↓ -9% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $456.84 | ↓ -9% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $456.84 | ↓ -9% |
| United_Medicare | ISNP_DSNP_Plans | $456.84 | ↓ -9% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $458.80 | ↓ -8% |
| Amerihealth_Medicare | All_Plans | $459.02 | ↓ -8% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $469.90 | ↓ -6% |
| PA_Health_&_Wellness_Medicare | All_Plans | $469.90 | ↓ -6% |
| Aetna | All_Plans | $484.52 | ↓ -3% |
| First_Health_Network | All_Plans | $532.73 | ↑ +6% |
| United_Healthcare | All_Plans | $590.32 | ↑ +18% |
| Highmark | Higmark_Healthy_Kids | $675.48 | ↑ +35% |
| Health_Partners_Medicaid | Kidz_Partners | $717.90 | ↑ +43% |
| United_Medicaid | Community_Plan_For_Kids | $761.41 | ↑ +52% |
| Highmark | My_Direct_Blue | $1,596.17 | ↑ +219% |
| Highmark | My_Priority_Blue_Flex | $1,596.17 | ↑ +219% |
| Highmark | Blue_Cross_High_Performance_Network | $1,656.00 | ↑ +231% |
| Highmark | Performance_Blue | $1,656.00 | ↑ +231% |
| Highmark | Choice_Blue_PPO | $1,656.00 | ↑ +231% |
| Highmark | All_Other_Plans | $1,995.19 | ↑ +298% |
Visitor-reported prices
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Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,020.00 | $438.00 – $1,360.00 |
| UPMC Bedford | Everett | $1,020.00 | $154.96 – $1,530.00 |
| UPMC Hamot | Erie | $1,020.00 | $460.81 – $535.35 |
| UPMC Magee | Pittsburgh | $1,020.00 | $401.97 – $472.45 |
| UPMC Passavant-McCandless | Pittsburgh | $1,020.00 | $399.13 – $535.83 |
| UPMC Wellsboro | Wellsboro | $1,360.00 | $351.76 – $460.81 |
| UPMC Williamsport | Williamsport | $1,020.00 | $351.76 – $509.04 |
| WellSpan Chambersburg Hospital | Chambersburg | $500.80 | $337.88 – $2,071.88 |