CT Angiogram of the Head at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$538.00
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.
$2,763.00
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 $1,934.10 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 | ↓ -68% |
| 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% |
| UPMC_Medicaid | All_Plans | $250.25 | ↓ -53% |
| Highmark | Higmark_Healthy_Kids | $266.92 | ↓ -50% |
| Health_Partners_Medicaid | Kidz_Partners | $283.68 | ↓ -47% |
| United_Medicaid | Community_Plan_For_Kids | $300.88 | ↓ -44% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $351.61 | ↓ -35% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $351.61 | ↓ -35% |
| Geisinger_Medicaid | All_Plans | $351.61 | ↓ -35% |
| Health_Partners_Medicaid | All_Other_Plans | $351.61 | ↓ -35% |
| Amerihealth_Caritas_Medicaid | All_Plans | $399.43 | ↓ -26% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $486.29 | ↓ -10% |
| Blue_Cross | Capital_Blue_Performance_PPO | $491.00 | ↓ -9% |
| WellSpan_Capital_Blue_Cross | All_Plans | $500.00 | ↓ -7% |
| Highmark | My_Direct_Blue | $630.74 | ↑ +17% |
| Highmark | My_Priority_Blue_Flex | $630.74 | ↑ +17% |
| Highmark | Performance_Blue | $654.38 | ↑ +22% |
| Highmark | Choice_Blue_PPO | $654.38 | ↑ +22% |
| Highmark | Blue_Cross_High_Performance_Network | $654.38 | ↑ +22% |
| Highmark | All_Other_Plans | $788.42 | ↑ +47% |
| Aetna_Better_Health_Kids | All_Plans | $956.39 | ↑ +78% |
| Aetna | All_Plans | $957.00 | ↑ +78% |
| United_Healthcare | All_Plans | $1,006.60 | ↑ +87% |
| First_Health_Network | All_Plans | $1,052.00 | ↑ +96% |
| Blue_Cross | Capital_Cares_4_kids | $1,245.17 | ↑ +131% |
| Cigna | All_Plans | $1,492.02 | ↑ +177% |
| Blue_Cross | All_Other_Plans | $1,778.82 | ↑ +231% |
| Geisinger | All_Plans | $1,795.95 | ↑ +234% |
| UPMC | UPMC_For_Kids | $1,795.95 | ↑ +234% |
| Tower Health | All_Plans | $1,795.95 | ↑ +234% |
| UPMC | Employees_And_Dependents | $1,795.95 | ↑ +234% |
| Independence_Blue_Cross | All_Plans | $1,795.95 | ↑ +234% |
| PHC | All_Plans | $1,934.10 | ↑ +259% |
Visitor-reported prices
Comments
CT Angiogram of the Head at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,617.00 | $200.20 – $2,156.00 |
| UPMC Bedford | Everett | $1,082.40 | $61.23 – $1,623.60 |
| UPMC Carlisle | Carlisle | $1,294.80 | $168.60 – $1,834.30 |
| UPMC Cole | Coudersport | $999.00 | $275.78 – $1,332.00 |
| UPMC Community Osteopathic | Harrisburg | $1,294.80 | $173.36 – $1,834.30 |
| UPMC East | Monroeville | $3,282.60 | $170.18 – $4,376.80 |
| UPMC Hamot | Erie | $3,598.20 | $195.88 – $722.50 |
| UPMC Northwest | Seneca | $1,533.00 | $153.92 – $722.50 |