Destroy cth facet jnt addl 64634 at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$2,220.00
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.
$2,775.00
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.
$69.02 with UPMC_Medicaid vs $6,190.00 with First_Health_Network — 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 | $69.02 | ↓ -97% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $69.03 | ↓ -97% |
| Health_Partners_Medicaid | All_Other_Plans | $69.03 | ↓ -97% |
| Geisinger_Medicaid | All_Plans | $69.03 | ↓ -97% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $69.03 | ↓ -97% |
| Amerihealth_Caritas_Medicaid | All_Plans | $78.41 | ↓ -96% |
| Aetna_Better_Health_Kids | All_Plans | $187.75 | ↓ -92% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $488.40 | ↓ -78% |
| Blue_Cross | Capital_Cares_4_kids | $1,250.58 | ↓ -44% |
| Cigna | All_Plans | $1,689.42 | ↓ -24% |
| WellSpan_Capital_Blue_Cross | All_Plans | $1,776.00 | ↓ -20% |
| Blue_Cross | Capital_Blue_Performance_PPO | $1,786.55 | ↓ -20% |
| Blue_Cross | All_Other_Plans | $1,786.55 | ↓ -20% |
| UPMC | UPMC_For_Kids | $1,803.75 | ↓ -19% |
| Independence_Blue_Cross | All_Plans | $1,803.75 | ↓ -19% |
| Geisinger | All_Plans | $1,803.75 | ↓ -19% |
| UPMC | Employees_And_Dependents | $1,803.75 | ↓ -19% |
| Tower Health | All_Plans | $1,803.75 | ↓ -19% |
| PHC | All_Plans | $1,942.50 | ↓ -13% |
| United_Healthcare | All_Plans | $2,616.83 | ↑ +18% |
| Aetna | All_Plans | $5,627.00 | ↑ +153% |
| First_Health_Network | All_Plans | $6,190.00 | ↑ +179% |
Visitor-reported prices
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Destroy cth facet jnt addl 64634 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $2,099.40 | $70.13 – $9,539.00 |
| UPMC Cole | Coudersport | $256.80 | $57.98 – $771.51 |
| UPMC Community Osteopathic | Harrisburg | $2,099.40 | $72.34 – $2,974.15 |
| UPMC East | Monroeville | $3,025.20 | $60.74 – $4,033.60 |
| UPMC Northwest | Seneca | $4,080.60 | $60.74 – $1,521.39 |
| UPMC Hanover | Hanover | $2,099.40 | $70.13 – $299.23 |
| UPMC Horizon-Greenville | Greenville | $2,396.40 | $57.98 – $1,140.40 |
| UPMC Jameson | New Castle | $2,396.40 | $57.65 – $596.53 |