CT Angiogram of Abdomen and Pelvis at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$517.50
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.
$3,682.00
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.
$348.37 with Highmark_Medicare vs $2,577.40 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 |
|---|---|---|---|
| Highmark_Medicare | All_Plans | $348.37 | ↓ -33% |
| Aetna_Medicare | All_Plans | $355.27 | ↓ -31% |
| Aetna_Advantra_Medicare | All_Plans | $355.27 | ↓ -31% |
| Devoted_Medicare | All_Plans | $362.17 | ↓ -30% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $362.17 | ↓ -30% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $362.17 | ↓ -30% |
| United_Medicare | ISNP_DSNP_Plans | $362.17 | ↓ -30% |
| Geisinger_Gold_Medicare | All_Plans | $362.17 | ↓ -30% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $363.72 | ↓ -30% |
| Amerihealth_Medicare | All_Plans | $363.89 | ↓ -30% |
| PA_Health_&_Wellness_Medicare | All_Plans | $372.51 | ↓ -28% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $372.51 | ↓ -28% |
| UPMC_Medicaid | All_Plans | $417.13 | ↓ -19% |
| WellSpan_Capital_Blue_Cross | All_Plans | $477.00 | ↓ -8% |
| Blue_Cross | Capital_Blue_Performance_PPO | $491.00 | ↓ -5% |
| Health_Partners_Medicaid | All_Other_Plans | $520.98 | ↑ +1% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $520.98 | ↑ +1% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $520.98 | ↑ +1% |
| Geisinger_Medicaid | All_Plans | $520.98 | ↑ +1% |
| Highmark | Higmark_Healthy_Kids | $535.49 | ↑ +3% |
| Health_Partners_Medicaid | Kidz_Partners | $569.12 | ↑ +10% |
| Amerihealth_Caritas_Medicaid | All_Plans | $591.83 | ↑ +14% |
| United_Medicaid | Community_Plan_For_Kids | $603.61 | ↑ +17% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $648.03 | ↑ +25% |
| Aetna | All_Plans | $957.00 | ↑ +85% |
| First_Health_Network | All_Plans | $1,052.00 | ↑ +103% |
| Highmark | My_Priority_Blue_Flex | $1,265.37 | ↑ +145% |
| Highmark | My_Direct_Blue | $1,265.37 | ↑ +145% |
| Highmark | Blue_Cross_High_Performance_Network | $1,312.80 | ↑ +154% |
| Highmark | Performance_Blue | $1,312.80 | ↑ +154% |
| Highmark | Choice_Blue_PPO | $1,312.80 | ↑ +154% |
| Aetna_Better_Health_Kids | All_Plans | $1,417.05 | ↑ +174% |
| Highmark | All_Other_Plans | $1,581.70 | ↑ +206% |
| Blue_Cross | Capital_Cares_4_kids | $1,659.33 | ↑ +221% |
| Cigna | All_Plans | $1,988.28 | ↑ +284% |
| United_Healthcare | All_Plans | $2,106.92 | ↑ +307% |
| Blue_Cross | All_Other_Plans | $2,370.47 | ↑ +358% |
| UPMC | Employees_And_Dependents | $2,393.30 | ↑ +362% |
| Independence_Blue_Cross | All_Plans | $2,393.30 | ↑ +362% |
| Tower Health | All_Plans | $2,393.30 | ↑ +362% |
| Geisinger | All_Plans | $2,393.30 | ↑ +362% |
| UPMC | UPMC_For_Kids | $2,393.30 | ↑ +362% |
| PHC | All_Plans | $2,577.40 | ↑ +398% |
Visitor-reported prices
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CT Angiogram of Abdomen and Pelvis at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,415.60 | $333.70 – $3,220.80 |
| UPMC Bedford | Everett | $4,089.60 | $122.85 – $6,134.40 |
| UPMC Carlisle | Carlisle | $2,985.60 | $280.00 – $4,229.60 |
| UPMC Cole | Coudersport | $1,027.20 | $406.23 – $1,369.60 |
| UPMC Community Osteopathic | Harrisburg | $2,985.60 | $125.00 – $3,859.74 |
| UPMC East | Monroeville | $5,632.80 | $341.40 – $7,510.40 |
| UPMC Hamot | Erie | $5,274.00 | $252.25 – $768.10 |
| UPMC Northwest | Seneca | $3,063.00 | $308.78 – $768.10 |