CT Angiogram of the Chest (for blood clot) at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$531.50
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.
$2,649.00
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.
$173.65 with Highmark_Medicare vs $1,854.30 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 | $173.65 | ↓ -67% |
| Aetna_Advantra_Medicare | All_Plans | $177.09 | ↓ -67% |
| Aetna_Medicare | All_Plans | $177.09 | ↓ -67% |
| Geisinger_Gold_Medicare | All_Plans | $180.53 | ↓ -66% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $180.53 | ↓ -66% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $180.53 | ↓ -66% |
| Devoted_Medicare | All_Plans | $180.53 | ↓ -66% |
| United_Medicare | ISNP_DSNP_Plans | $180.53 | ↓ -66% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $181.30 | ↓ -66% |
| Amerihealth_Medicare | All_Plans | $181.39 | ↓ -66% |
| PA_Health_&_Wellness_Medicare | All_Plans | $185.68 | ↓ -65% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $185.68 | ↓ -65% |
| Highmark | Higmark_Healthy_Kids | $266.92 | ↓ -50% |
| UPMC_Medicaid | All_Plans | $271.00 | ↓ -49% |
| Health_Partners_Medicaid | Kidz_Partners | $283.68 | ↓ -47% |
| United_Medicaid | Community_Plan_For_Kids | $300.88 | ↓ -43% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $382.46 | ↓ -28% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $382.46 | ↓ -28% |
| Geisinger_Medicaid | All_Plans | $382.46 | ↓ -28% |
| Health_Partners_Medicaid | All_Other_Plans | $382.46 | ↓ -28% |
| Amerihealth_Caritas_Medicaid | All_Plans | $434.48 | ↓ -18% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $466.22 | ↓ -12% |
| Blue_Cross | Capital_Blue_Performance_PPO | $491.00 | ↓ -8% |
| WellSpan_Capital_Blue_Cross | All_Plans | $496.00 | ↓ -7% |
| Highmark | My_Direct_Blue | $630.74 | ↑ +19% |
| Highmark | My_Priority_Blue_Flex | $630.74 | ↑ +19% |
| Highmark | Performance_Blue | $654.38 | ↑ +23% |
| Highmark | Choice_Blue_PPO | $654.38 | ↑ +23% |
| Highmark | Blue_Cross_High_Performance_Network | $654.38 | ↑ +23% |
| Highmark | All_Other_Plans | $788.42 | ↑ +48% |
| Aetna | All_Plans | $957.00 | ↑ +80% |
| United_Healthcare | All_Plans | $1,006.60 | ↑ +89% |
| Aetna_Better_Health_Kids | All_Plans | $1,040.30 | ↑ +96% |
| First_Health_Network | All_Plans | $1,052.00 | ↑ +98% |
| Blue_Cross | Capital_Cares_4_kids | $1,193.80 | ↑ +125% |
| Cigna | All_Plans | $1,430.46 | ↑ +169% |
| Blue_Cross | All_Other_Plans | $1,705.43 | ↑ +221% |
| Geisinger | All_Plans | $1,721.85 | ↑ +224% |
| UPMC | UPMC_For_Kids | $1,721.85 | ↑ +224% |
| Tower Health | All_Plans | $1,721.85 | ↑ +224% |
| UPMC | Employees_And_Dependents | $1,721.85 | ↑ +224% |
| Independence_Blue_Cross | All_Plans | $1,721.85 | ↑ +224% |
| PHC | All_Plans | $1,854.30 | ↑ +249% |
Visitor-reported prices
Comments
CT Angiogram of the Chest (for blood clot) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,413.60 | $216.80 – $1,884.80 |
| UPMC Bedford | Everett | $1,248.60 | $61.23 – $1,872.90 |
| UPMC Carlisle | Carlisle | $1,424.40 | $168.60 – $2,017.90 |
| UPMC Cole | Coudersport | $1,119.60 | $279.43 – $1,492.80 |
| UPMC Community Osteopathic | Harrisburg | $1,424.40 | $71.80 – $1,022.56 |
| UPMC East | Monroeville | $3,282.60 | $170.18 – $4,376.80 |
| UPMC Hamot | Erie | $2,637.60 | $195.88 – $783.06 |
| UPMC Northwest | Seneca | $1,576.80 | $153.92 – $783.06 |