Ep & ablate supravent arrhyt at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$47,574.40
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.
$59,468.00
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.
$818.88 with Highmark_Wholecare_Gateway_Medicaid vs $108,650.37 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 |
|---|---|---|---|
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $818.88 | ↓ -98% |
| Aetna_Better_Health_Kids | All_Plans | $2,227.34 | ↓ -95% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $10,466.37 | ↓ -78% |
| Aetna | All_Plans | $17,510.00 | ↓ -63% |
| First_Health_Network | All_Plans | $19,262.00 | ↓ -60% |
| Highmark_Medicare | All_Plans | $23,930.23 | ↓ -50% |
| Aetna_Medicare | All_Plans | $24,404.10 | ↓ -49% |
| Aetna_Advantra_Medicare | All_Plans | $24,404.10 | ↓ -49% |
| Health_Partners_Medicaid | All_Other_Plans | $24,532.30 | ↓ -48% |
| Devoted_Medicare | All_Plans | $24,877.97 | ↓ -48% |
| United_Medicare | ISNP_DSNP_Plans | $24,877.97 | ↓ -48% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $24,877.97 | ↓ -48% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $24,877.97 | ↓ -48% |
| Geisinger_Gold_Medicare | All_Plans | $24,877.97 | ↓ -48% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $24,984.58 | ↓ -47% |
| Amerihealth_Medicare | All_Plans | $24,996.43 | ↓ -47% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $25,588.76 | ↓ -46% |
| PA_Health_&_Wellness_Medicare | All_Plans | $25,588.76 | ↓ -46% |
| Blue_Cross | Capital_Cares_4_kids | $26,799.85 | ↓ -44% |
| Cigna | All_Plans | $36,204.12 | ↓ -24% |
| Highmark | Higmark_Healthy_Kids | $36,783.85 | ↓ -23% |
| WellSpan_Capital_Blue_Cross | All_Plans | $38,059.52 | ↓ -20% |
| Blue_Cross | All_Other_Plans | $38,285.50 | ↓ -20% |
| Blue_Cross | Capital_Blue_Performance_PPO | $38,285.50 | ↓ -20% |
| Tower Health | All_Plans | $38,654.20 | ↓ -19% |
| Geisinger | All_Plans | $38,654.20 | ↓ -19% |
| UPMC | Employees_And_Dependents | $38,654.20 | ↓ -19% |
| Independence_Blue_Cross | All_Plans | $38,654.20 | ↓ -19% |
| UPMC | UPMC_For_Kids | $38,654.20 | ↓ -19% |
| Health_Partners_Medicaid | Kidz_Partners | $39,093.95 | ↓ -18% |
| United_Medicaid | Community_Plan_For_Kids | $41,463.28 | ↓ -13% |
| PHC | All_Plans | $41,627.60 | ↓ -13% |
| United_Healthcare | All_Plans | $56,078.32 | ↑ +18% |
| Highmark | My_Direct_Blue | $86,921.24 | ↑ +83% |
| Highmark | My_Priority_Blue_Flex | $86,921.24 | ↑ +83% |
| Highmark | Choice_Blue_PPO | $90,179.07 | ↑ +90% |
| Highmark | Performance_Blue | $90,179.07 | ↑ +90% |
| Highmark | Blue_Cross_High_Performance_Network | $90,179.07 | ↑ +90% |
| Highmark | All_Other_Plans | $108,650.37 | ↑ +128% |
Visitor-reported prices
Comments
Ep & ablate supravent arrhyt at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $11,199.60 | $698.22 – $25,259.69 |
| UPMC Carlisle | Carlisle | $30,975.00 | $1,016.56 – $43,881.25 |
| UPMC Community Osteopathic | Harrisburg | $30,975.00 | $1,016.56 – $43,881.25 |
| UPMC Hamot | Erie | $48,916.80 | $698.22 – $34,017.06 |
| UPMC Hanover | Hanover | $30,975.00 | $1,016.56 – $37,497.14 |
| UPMC Lititz | Lititz | $30,975.00 | $1,016.56 – $37,699.66 |
| UPMC Memorial | York | $30,975.00 | $569.08 – $37,638.43 |
| UPMC Mercy | Pittsburgh | $43,075.80 | $698.22 – $25,727.46 |