Expander breast 300cc mod hght extra proj smth natrelle at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$1,443.72
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.
$1,804.65
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.
$81.90 with Blue_Cross_BlueJourney_Medicare vs $751.24 with Highmark_Wholecare_Gateway_Medicaid — 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 |
|---|---|---|---|
| Blue_Cross_BlueJourney_Medicare | All_Plans | $81.90 | ↓ -94% |
| Blue_Cross | Capital_Cares_4_kids | $209.71 | ↓ -85% |
| Cigna | All_Plans | $283.31 | ↓ -80% |
| WellSpan_Capital_Blue_Cross | All_Plans | $297.82 | ↓ -79% |
| Blue_Cross | Capital_Blue_Performance_PPO | $299.59 | ↓ -79% |
| Blue_Cross | All_Other_Plans | $299.59 | ↓ -79% |
| Tower Health | All_Plans | $302.48 | ↓ -79% |
| UPMC | Employees_And_Dependents | $302.48 | ↓ -79% |
| UPMC | UPMC_For_Kids | $302.48 | ↓ -79% |
| Geisinger | All_Plans | $302.48 | ↓ -79% |
| Independence_Blue_Cross | All_Plans | $302.48 | ↓ -79% |
| PHC | All_Plans | $325.75 | ↓ -77% |
| Aetna | All_Plans | $360.18 | ↓ -75% |
| First_Health_Network | All_Plans | $396.01 | ↓ -73% |
| United_Healthcare | All_Plans | $438.83 | ↓ -70% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $751.24 | ↓ -48% |
Visitor-reported prices
Comments
Expander breast 300cc mod hght extra proj smth natrelle at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,472.60 | $563.73 – $3,464.72 |
| UPMC East | Monroeville | $2,675.40 | $715.73 – $3,464.72 |
| UPMC Hamot | Erie | $3,432.00 | $863.78 – $863.78 |
| UPMC Horizon-Greenville | Greenville | $2,089.20 | $2,201.42 – $3,464.72 |
| UPMC Jameson | New Castle | $2,524.20 | $368.37 – $3,464.72 |
| UPMC Magee | Pittsburgh | $3,118.20 | $405.21 – $3,464.72 |
| UPMC Mercy | Pittsburgh | $2,469.60 | $863.78 – $2,735.89 |
| UPMC Muncy | Muncy | $2,967.60 | $82.80 – $496.80 |