Fluoroguide needle placement at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$1,275.20
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.
$1,594.00
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.
$44.59 with UPMC_Medicaid vs $1,356.49 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 →
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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 | $44.59 | ↓ -97% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $69.24 | ↓ -95% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $69.24 | ↓ -95% |
| Health_Partners_Medicaid | All_Other_Plans | $69.24 | ↓ -95% |
| Geisinger_Medicaid | All_Plans | $69.24 | ↓ -95% |
| Amerihealth_Caritas_Medicaid | All_Plans | $78.65 | ↓ -94% |
| Aetna_Better_Health_Kids | All_Plans | $188.33 | ↓ -85% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $280.54 | ↓ -78% |
| Blue_Cross | Capital_Cares_4_kids | $718.35 | ↓ -44% |
| Cigna | All_Plans | $939.03 | ↓ -26% |
| WellSpan_Capital_Blue_Cross | All_Plans | $1,020.16 | ↓ -20% |
| Blue_Cross | Capital_Blue_Performance_PPO | $1,026.22 | ↓ -20% |
| Blue_Cross | All_Other_Plans | $1,026.22 | ↓ -20% |
| Tower Health | All_Plans | $1,036.10 | ↓ -19% |
| UPMC | Employees_And_Dependents | $1,036.10 | ↓ -19% |
| UPMC | UPMC_For_Kids | $1,036.10 | ↓ -19% |
| Geisinger | All_Plans | $1,036.10 | ↓ -19% |
| Independence_Blue_Cross | All_Plans | $1,036.10 | ↓ -19% |
| PHC | All_Plans | $1,115.80 | ↓ -13% |
| Aetna | All_Plans | $1,233.76 | ↓ -3% |
| First_Health_Network | All_Plans | $1,356.49 | ↑ +6% |
Visitor-reported prices
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Fluoroguide needle placement at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $318.60 | $35.67 – $424.80 |
| UPMC Bedford | Everett | $200.40 | $58.16 – $300.60 |
| UPMC Carlisle | Carlisle | $1,011.60 | $46.73 – $1,433.10 |
| UPMC Cole | Coudersport | $258.60 | $58.16 – $196.00 |
| UPMC Community Osteopathic | Harrisburg | $1,011.60 | $46.73 – $1,433.10 |
| UPMC East | Monroeville | $476.40 | $60.93 – $635.20 |
| UPMC Hamot | Erie | $591.60 | $60.93 – $233.05 |
| UPMC Northwest | Seneca | $429.60 | $60.93 – $215.12 |