Embo or occlude vascular arterial s&i at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$29,632.80
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.
$37,041.00
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.
$511.17 with UPMC_Medicaid vs $79,527.96 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 | $511.17 | ↓ -98% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $511.18 | ↓ -98% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $511.18 | ↓ -98% |
| Health_Partners_Medicaid | All_Other_Plans | $511.18 | ↓ -98% |
| Geisinger_Medicaid | All_Plans | $511.18 | ↓ -98% |
| Amerihealth_Caritas_Medicaid | All_Plans | $580.69 | ↓ -98% |
| Aetna_Better_Health_Kids | All_Plans | $1,390.40 | ↓ -95% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $6,519.22 | ↓ -78% |
| Aetna | All_Plans | $10,638.00 | ↓ -64% |
| First_Health_Network | All_Plans | $11,702.00 | ↓ -61% |
| Blue_Cross | Capital_Cares_4_kids | $16,692.90 | ↓ -44% |
| Highmark_Medicare | All_Plans | $17,516.03 | ↓ -41% |
| Aetna_Medicare | All_Plans | $17,862.88 | ↓ -40% |
| Aetna_Advantra_Medicare | All_Plans | $17,862.88 | ↓ -40% |
| Devoted_Medicare | All_Plans | $18,209.73 | ↓ -39% |
| Geisinger_Gold_Medicare | All_Plans | $18,209.73 | ↓ -39% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $18,209.73 | ↓ -39% |
| United_Medicare | ISNP_DSNP_Plans | $18,209.73 | ↓ -39% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $18,209.73 | ↓ -39% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $18,287.77 | ↓ -38% |
| Amerihealth_Medicare | All_Plans | $18,296.44 | ↓ -38% |
| PA_Health_&_Wellness_Medicare | All_Plans | $18,730.01 | ↓ -37% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $18,730.01 | ↓ -37% |
| Cigna | All_Plans | $22,550.56 | ↓ -24% |
| WellSpan_Capital_Blue_Cross | All_Plans | $23,706.24 | ↓ -20% |
| Blue_Cross | Capital_Blue_Performance_PPO | $23,847.00 | ↓ -20% |
| Blue_Cross | All_Other_Plans | $23,847.00 | ↓ -20% |
| Tower Health | All_Plans | $24,076.65 | ↓ -19% |
| UPMC | Employees_And_Dependents | $24,076.65 | ↓ -19% |
| UPMC | UPMC_For_Kids | $24,076.65 | ↓ -19% |
| Geisinger | All_Plans | $24,076.65 | ↓ -19% |
| Independence_Blue_Cross | All_Plans | $24,076.65 | ↓ -19% |
| PHC | All_Plans | $25,928.70 | ↓ -13% |
| Highmark | Higmark_Healthy_Kids | $26,924.39 | ↓ -9% |
| Health_Partners_Medicaid | Kidz_Partners | $28,615.29 | ↓ -3% |
| United_Medicaid | Community_Plan_For_Kids | $30,349.55 | ↑ +2% |
| United_Healthcare | All_Plans | $34,929.66 | ↑ +18% |
| Highmark | My_Direct_Blue | $63,623.06 | ↑ +115% |
| Highmark | My_Priority_Blue_Flex | $63,623.06 | ↑ +115% |
| Highmark | Performance_Blue | $66,007.67 | ↑ +123% |
| Highmark | Choice_Blue_PPO | $66,007.67 | ↑ +123% |
| Highmark | Blue_Cross_High_Performance_Network | $66,007.67 | ↑ +123% |
| Highmark | All_Other_Plans | $79,527.96 | ↑ +168% |
Visitor-reported prices
Comments
Embo or occlude vascular arterial s&i at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $11,728.80 | $408.94 – $15,638.40 |
| UPMC Carlisle | Carlisle | $25,921.80 | $519.35 – $36,722.55 |
| UPMC Community Osteopathic | Harrisburg | $25,921.80 | $552.07 – $36,722.55 |
| UPMC East | Monroeville | $12,721.80 | $449.83 – $17,975.56 |
| UPMC Hamot | Erie | $12,810.60 | $449.83 – $21,338.79 |
| UPMC Hanover | Hanover | $25,921.80 | $519.35 – $27,446.48 |
| UPMC Jameson | New Castle | $25,714.80 | $449.83 – $23,111.43 |
| UPMC Lititz | Lititz | $25,921.80 | $519.35 – $27,594.74 |