CT hrt w/3d image at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$445.50
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.
$2,107.00
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.
$211.28 with UPMC_Medicaid vs $1,986.90 with United_Healthcare — 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 |
|---|---|---|---|
| UPMC_Medicaid | All_Plans | $211.28 | ↓ -53% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $295.45 | ↓ -34% |
| Health_Partners_Medicaid | All_Other_Plans | $295.45 | ↓ -34% |
| Geisinger_Medicaid | All_Plans | $295.45 | ↓ -34% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $295.45 | ↓ -34% |
| Amerihealth_Caritas_Medicaid | All_Plans | $335.63 | ↓ -25% |
| Highmark_Medicare | All_Plans | $348.37 | ↓ -22% |
| Aetna_Advantra_Medicare | All_Plans | $355.27 | ↓ -20% |
| Aetna_Medicare | All_Plans | $355.27 | ↓ -20% |
| United_Medicare | ISNP_DSNP_Plans | $362.17 | ↓ -19% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $362.17 | ↓ -19% |
| Devoted_Medicare | All_Plans | $362.17 | ↓ -19% |
| Geisinger_Gold_Medicare | All_Plans | $362.17 | ↓ -19% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $362.17 | ↓ -19% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $363.72 | ↓ -18% |
| Amerihealth_Medicare | All_Plans | $363.89 | ↓ -18% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $370.83 | ↓ -17% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $372.51 | ↓ -16% |
| PA_Health_&_Wellness_Medicare | All_Plans | $372.51 | ↓ -16% |
| WellSpan_Capital_Blue_Cross | All_Plans | $399.00 | ↓ -10% |
| Blue_Cross | Capital_Blue_Performance_PPO | $407.00 | ↓ -9% |
| Highmark | Higmark_Healthy_Kids | $535.49 | ↑ +20% |
| Health_Partners_Medicaid | Kidz_Partners | $569.12 | ↑ +28% |
| United_Medicaid | Community_Plan_For_Kids | $603.61 | ↑ +35% |
| Aetna_Better_Health_Kids | All_Plans | $803.62 | ↑ +80% |
| Blue_Cross | Capital_Cares_4_kids | $949.54 | ↑ +113% |
| Aetna | All_Plans | $957.00 | ↑ +115% |
| First_Health_Network | All_Plans | $1,052.00 | ↑ +136% |
| Highmark | My_Priority_Blue_Flex | $1,265.37 | ↑ +184% |
| Highmark | My_Direct_Blue | $1,265.37 | ↑ +184% |
| Cigna | All_Plans | $1,282.74 | ↑ +188% |
| Highmark | Blue_Cross_High_Performance_Network | $1,312.80 | ↑ +195% |
| Highmark | Performance_Blue | $1,312.80 | ↑ +195% |
| Highmark | Choice_Blue_PPO | $1,312.80 | ↑ +195% |
| Blue_Cross | All_Other_Plans | $1,356.49 | ↑ +204% |
| Tower Health | All_Plans | $1,369.55 | ↑ +207% |
| UPMC | UPMC_For_Kids | $1,369.55 | ↑ +207% |
| UPMC | Employees_And_Dependents | $1,369.55 | ↑ +207% |
| Independence_Blue_Cross | All_Plans | $1,369.55 | ↑ +207% |
| Geisinger | All_Plans | $1,369.55 | ↑ +207% |
| PHC | All_Plans | $1,474.90 | ↑ +231% |
| Highmark | All_Other_Plans | $1,581.70 | ↑ +255% |
| United_Healthcare | All_Plans | $1,986.90 | ↑ +346% |
Visitor-reported prices
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CT hrt w/3d image at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,846.20 | $169.03 – $2,461.60 |
| UPMC Carlisle | Carlisle | $1,424.40 | $221.43 – $2,017.90 |
| UPMC Community Osteopathic | Harrisburg | $1,424.40 | $221.43 – $2,017.90 |
| UPMC Hamot | Erie | $1,373.40 | $260.00 – $424.40 |
| UPMC Hanover | Hanover | $1,424.40 | $221.43 – $545.87 |
| UPMC Kane | Kane | $1,096.80 | $260.00 – $624.83 |
| UPMC Lititz | Lititz | $1,424.40 | $221.43 – $548.82 |
| UPMC Memorial | York | $1,424.40 | $221.43 – $547.92 |