Elec analys infus pump w/reprog 62368 at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$418.40
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.
$523.00
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.
$41.27 with UPMC_Medicaid vs $1,328.25 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 |
|---|---|---|---|
| UPMC_Medicaid | All_Plans | $41.27 | ↓ -90% |
| Health_Partners_Medicaid | All_Other_Plans | $41.28 | ↓ -90% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $41.28 | ↓ -90% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $41.28 | ↓ -90% |
| Geisinger_Medicaid | All_Plans | $41.28 | ↓ -90% |
| Amerihealth_Caritas_Medicaid | All_Plans | $46.89 | ↓ -89% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $92.05 | ↓ -78% |
| Aetna_Better_Health_Kids | All_Plans | $112.27 | ↓ -73% |
| Blue_Cross | Capital_Cares_4_kids | $235.70 | ↓ -44% |
| Highmark_Medicare | All_Plans | $292.55 | ↓ -30% |
| Aetna_Advantra_Medicare | All_Plans | $298.34 | ↓ -29% |
| Aetna_Medicare | All_Plans | $298.34 | ↓ -29% |
| United_Medicare | ISNP_DSNP_Plans | $304.13 | ↓ -27% |
| Geisinger_Gold_Medicare | All_Plans | $304.13 | ↓ -27% |
| Devoted_Medicare | All_Plans | $304.13 | ↓ -27% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $304.13 | ↓ -27% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $304.13 | ↓ -27% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $305.44 | ↓ -27% |
| Amerihealth_Medicare | All_Plans | $305.58 | ↓ -27% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $312.82 | ↓ -25% |
| PA_Health_&_Wellness_Medicare | All_Plans | $312.82 | ↓ -25% |
| Cigna | All_Plans | $318.40 | ↓ -24% |
| WellSpan_Capital_Blue_Cross | All_Plans | $334.72 | ↓ -20% |
| Blue_Cross | Capital_Blue_Performance_PPO | $336.71 | ↓ -20% |
| Blue_Cross | All_Other_Plans | $336.71 | ↓ -20% |
| Tower Health | All_Plans | $339.95 | ↓ -19% |
| UPMC | Employees_And_Dependents | $339.95 | ↓ -19% |
| UPMC | UPMC_For_Kids | $339.95 | ↓ -19% |
| Geisinger | All_Plans | $339.95 | ↓ -19% |
| Independence_Blue_Cross | All_Plans | $339.95 | ↓ -19% |
| PHC | All_Plans | $366.10 | ↓ -13% |
| Aetna | All_Plans | $404.80 | ↓ -3% |
| First_Health_Network | All_Plans | $445.07 | ↑ +6% |
| Highmark | Higmark_Healthy_Kids | $449.68 | ↑ +7% |
| Health_Partners_Medicaid | Kidz_Partners | $477.92 | ↑ +14% |
| United_Healthcare | All_Plans | $493.19 | ↑ +18% |
| United_Medicaid | Community_Plan_For_Kids | $506.89 | ↑ +21% |
| Highmark | My_Direct_Blue | $1,062.61 | ↑ +154% |
| Highmark | My_Priority_Blue_Flex | $1,062.61 | ↑ +154% |
| Highmark | Performance_Blue | $1,102.44 | ↑ +163% |
| Highmark | Choice_Blue_PPO | $1,102.44 | ↑ +163% |
| Highmark | Blue_Cross_High_Performance_Network | $1,102.44 | ↑ +163% |
| Highmark | All_Other_Plans | $1,328.25 | ↑ +217% |
Visitor-reported prices
Comments
Elec analys infus pump w/reprog 62368 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $54.00 | $10.53 – $1,041.88 |
| UPMC Hamot | Erie | $3,098.40 | $36.32 – $729.80 |
| UPMC Horizon-Greenville | Greenville | $2,457.00 | $36.32 – $536.55 |
| UPMC Jameson | New Castle | $2,457.00 | $36.32 – $742.68 |
| UPMC Magee | Pittsburgh | $4,046.40 | $36.32 – $736.75 |
| UPMC Mercy | Pittsburgh | $2,065.20 | $36.32 – $729.80 |
| UPMC Presbyterian | Pittsburgh | $3,958.20 | $36.32 – $736.75 |
| UPMC St. Margaret | Pittsburgh | $1,750.80 | $36.32 – $736.75 |