Electron microscopy diagnostic at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$628.00
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.
$785.00
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.
$21.88 with UPMC_Medicaid vs $3,617.93 with Highmark — 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 | $21.88 | ↓ -97% |
| Amerihealth_Caritas_Medicaid | All_Plans | $69.00 | ↓ -89% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $86.25 | ↓ -86% |
| Geisinger_Medicaid | All_Plans | $86.25 | ↓ -86% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $86.25 | ↓ -86% |
| Health_Partners_Medicaid | All_Other_Plans | $86.25 | ↓ -86% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $138.16 | ↓ -78% |
| Aetna_Better_Health_Kids | All_Plans | $234.60 | ↓ -63% |
| Blue_Cross | Capital_Cares_4_kids | $353.77 | ↓ -44% |
| Cigna | All_Plans | $500.99 | ↓ -20% |
| WellSpan_Capital_Blue_Cross | All_Plans | $502.40 | ↓ -20% |
| Blue_Cross | All_Other_Plans | $505.38 | ↓ -20% |
| Blue_Cross | Capital_Blue_Performance_PPO | $505.38 | ↓ -20% |
| UPMC | Employees_And_Dependents | $510.25 | ↓ -19% |
| UPMC | UPMC_For_Kids | $510.25 | ↓ -19% |
| Geisinger | All_Plans | $510.25 | ↓ -19% |
| Tower Health | All_Plans | $510.25 | ↓ -19% |
| Independence_Blue_Cross | All_Plans | $510.25 | ↓ -19% |
| PHC | All_Plans | $549.50 | ↓ -13% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $788.96 | ↑ +26% |
| United_Medicaid | Community_Plan_For_Kids | $788.96 | ↑ +26% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $788.96 | ↑ +26% |
| Highmark_Medicare | All_Plans | $796.85 | ↑ +27% |
| Aetna_Medicare | All_Plans | $812.63 | ↑ +29% |
| Aetna_Advantra_Medicare | All_Plans | $812.63 | ↑ +29% |
| Geisinger_Gold_Medicare | All_Plans | $828.41 | ↑ +32% |
| Devoted_Medicare | All_Plans | $828.41 | ↑ +32% |
| United_Medicare | ISNP_DSNP_Plans | $828.41 | ↑ +32% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $831.96 | ↑ +32% |
| Amerihealth_Medicare | All_Plans | $832.35 | ↑ +33% |
| PA_Health_&_Wellness_Medicare | All_Plans | $852.08 | ↑ +36% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $852.08 | ↑ +36% |
| Highmark | Higmark_Healthy_Kids | $1,224.86 | ↑ +95% |
| Health_Partners_Medicaid | Kidz_Partners | $1,301.78 | ↑ +107% |
| Aetna | All_Plans | $1,854.91 | ↑ +195% |
| First_Health_Network | All_Plans | $2,039.05 | ↑ +225% |
| United_Healthcare | All_Plans | $2,457.87 | ↑ +291% |
| Highmark | My_Priority_Blue_Flex | $2,894.38 | ↑ +361% |
| Highmark | My_Direct_Blue | $2,894.38 | ↑ +361% |
| Highmark | Performance_Blue | $3,002.86 | ↑ +378% |
| Highmark | Choice_Blue_PPO | $3,002.86 | ↑ +378% |
| Highmark | Blue_Cross_High_Performance_Network | $3,002.86 | ↑ +378% |
| Highmark | All_Other_Plans | $3,617.93 | ↑ +476% |
Visitor-reported prices
Comments
Electron microscopy diagnostic at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,422.80 | $17.50 – $3,230.40 |
| UPMC Carlisle | Carlisle | $1,472.40 | $22.93 – $2,085.90 |
| UPMC Community Osteopathic | Harrisburg | $1,472.40 | $22.93 – $1,500.25 |
| UPMC East | Monroeville | $1,137.60 | $69.00 – $1,516.80 |
| UPMC Hamot | Erie | $1,811.40 | $69.00 – $970.76 |
| UPMC Northwest | Seneca | $1,386.00 | $75.90 – $817.76 |
| UPMC Hanover | Hanover | $1,472.40 | $22.93 – $1,248.61 |
| UPMC Jameson | New Castle | $774.00 | $20.12 – $841.13 |