Drug test def 1-7 classes at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$524.00
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.
?
What you pay up front if you don't use insurance.
$655.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$25.70 with Blue_Cross_BlueJourney_Medicare vs $524.74 with Highmark — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Blue_Cross_BlueJourney_Medicare | All_Plans | $25.70 | ↓ -95% |
| PHC | All_Plans | $58.40 | ↓ -89% |
| Amerihealth_Caritas_Medicaid | All_Plans | $63.95 | ↓ -88% |
| Blue_Cross | Capital_Cares_4_kids | $65.80 | ↓ -87% |
| Geisinger_Medicaid | All_Plans | $79.94 | ↓ -85% |
| Health_Partners_Medicaid | All_Other_Plans | $79.94 | ↓ -85% |
| UPMC_Medicaid | All_Plans | $79.94 | ↓ -85% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $79.94 | ↓ -85% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $79.94 | ↓ -85% |
| Cigna | All_Plans | $93.18 | ↓ -82% |
| WellSpan_Capital_Blue_Cross | All_Plans | $93.44 | ↓ -82% |
| Blue_Cross | All_Other_Plans | $93.99 | ↓ -82% |
| Blue_Cross | Capital_Blue_Performance_PPO | $93.99 | ↓ -82% |
| Tower Health | All_Plans | $94.90 | ↓ -82% |
| Geisinger | All_Plans | $94.90 | ↓ -82% |
| UPMC | UPMC_For_Kids | $94.90 | ↓ -82% |
| UPMC | Employees_And_Dependents | $94.90 | ↓ -82% |
| Independence_Blue_Cross | All_Plans | $94.90 | ↓ -82% |
| Highmark_Medicare | All_Plans | $115.57 | ↓ -78% |
| Aetna_Advantra_Medicare | All_Plans | $117.86 | ↓ -78% |
| Aetna_Medicare | All_Plans | $117.86 | ↓ -78% |
| Geisinger_Gold_Medicare | All_Plans | $120.15 | ↓ -77% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $120.15 | ↓ -77% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $120.15 | ↓ -77% |
| United_Medicare | ISNP_DSNP_Plans | $120.15 | ↓ -77% |
| Devoted_Medicare | All_Plans | $120.15 | ↓ -77% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $120.67 | ↓ -77% |
| Amerihealth_Medicare | All_Plans | $120.72 | ↓ -77% |
| PA_Health_&_Wellness_Medicare | All_Plans | $123.58 | ↓ -76% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $123.58 | ↓ -76% |
| Highmark | Higmark_Healthy_Kids | $177.65 | ↓ -66% |
| Health_Partners_Medicaid | Kidz_Partners | $188.81 | ↓ -64% |
| United_Medicaid | Community_Plan_For_Kids | $200.25 | ↓ -62% |
| Aetna_Better_Health_Kids | All_Plans | $217.43 | ↓ -59% |
| United_Healthcare | All_Plans | $343.29 | ↓ -34% |
| Highmark | My_Direct_Blue | $419.80 | ↓ -20% |
| Highmark | My_Priority_Blue_Flex | $419.80 | ↓ -20% |
| Highmark | Performance_Blue | $435.53 | ↓ -17% |
| Highmark | Choice_Blue_PPO | $435.53 | ↓ -17% |
| Highmark | Blue_Cross_High_Performance_Network | $435.53 | ↓ -17% |
| Aetna | All_Plans | $472.60 | ↓ -10% |
| First_Health_Network | All_Plans | $519.51 | ↓ -1% |
| Highmark | All_Other_Plans | $524.74 | ↑ +0% |
Visitor-reported prices
Comments
Drug test def 1-7 classes at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $399.60 | $55.86 – $532.80 |
| UPMC Bedford | Everett | $440.40 | $41.29 – $622.80 |
| UPMC Carlisle | Carlisle | $294.00 | $7.26 – $183.09 |
| UPMC Cole | Coudersport | $502.80 | $53.00 – $670.40 |
| UPMC Community Osteopathic | Harrisburg | $294.00 | $10.60 – $247.80 |
| UPMC East | Monroeville | $496.80 | $56.39 – $567.20 |
| UPMC Hamot | Erie | $475.80 | $55.86 – $123.58 |
| UPMC Northwest | Seneca | $239.40 | $70.34 – $120.15 |