Fluoroguide for spine inject 77003-26 at WellSpan Ephrata Community Hospital

169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 17, 2026

$1,244.00

Cash price

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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.

$1,555.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$35.24 with UPMC_Medicaid vs $1,323.31 with First_Health_Network — 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 →

Payer
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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
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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 $35.24 ↓ -97%
Highmark_Wholecare_Gateway_Medicaid All_Plans $62.86 ↓ -95%
PA_Health_&_Wellness_Medicaid All_Plans $62.86 ↓ -95%
Health_Partners_Medicaid All_Other_Plans $62.86 ↓ -95%
Geisinger_Medicaid All_Plans $62.86 ↓ -95%
Amerihealth_Caritas_Medicaid All_Plans $71.41 ↓ -94%
Aetna_Better_Health_Kids All_Plans $170.99 ↓ -86%
Blue_Cross_BlueJourney_Medicare All_Plans $273.68 ↓ -78%
Blue_Cross Capital_Cares_4_kids $700.78 ↓ -44%
Cigna All_Plans $916.05 ↓ -26%
WellSpan_Capital_Blue_Cross All_Plans $995.20 ↓ -20%
Blue_Cross Capital_Blue_Performance_PPO $1,001.11 ↓ -20%
Blue_Cross All_Other_Plans $1,001.11 ↓ -20%
Tower Health All_Plans $1,010.75 ↓ -19%
UPMC Employees_And_Dependents $1,010.75 ↓ -19%
UPMC UPMC_For_Kids $1,010.75 ↓ -19%
Geisinger All_Plans $1,010.75 ↓ -19%
Independence_Blue_Cross All_Plans $1,010.75 ↓ -19%
PHC All_Plans $1,088.50 ↓ -13%
Aetna All_Plans $1,203.57 ↓ -3%
First_Health_Network All_Plans $1,323.31 ↑ +6%

Visitor-reported prices

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Fluoroguide for spine inject 77003-26 at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $373.20 $28.19 – $497.60
UPMC Carlisle Carlisle $990.00 $36.93 – $1,402.50
UPMC Cole Coudersport $252.00 $52.80 – $192.80
UPMC Community Osteopathic Harrisburg $990.00 $36.93 – $1,402.50
UPMC Northwest Seneca $511.80 $55.32 – $196.93
UPMC Hanover Hanover $990.00 $36.93 – $112.15
UPMC Horizon-Greenville Greenville $239.40 $52.80 – $147.61
UPMC Jameson New Castle $215.40 $32.42 – $107.16

All Pennsylvania hospitals for this procedure →