Ghs IV thrombolytics - cerebral at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$804.00
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.
$1,005.00
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.
$176.88 with Blue_Cross_BlueJourney_Medicare vs $1,469.03 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 |
|---|---|---|---|
| Blue_Cross_BlueJourney_Medicare | All_Plans | $176.88 | ↓ -78% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $248.77 | ↓ -69% |
| Health_Partners_Medicaid | All_Other_Plans | $320.35 | ↓ -60% |
| Highmark_Medicare | All_Plans | $323.55 | ↓ -60% |
| Aetna_Medicare | All_Plans | $329.96 | ↓ -59% |
| Aetna_Advantra_Medicare | All_Plans | $329.96 | ↓ -59% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $336.37 | ↓ -58% |
| Devoted_Medicare | All_Plans | $336.37 | ↓ -58% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $336.37 | ↓ -58% |
| Geisinger_Gold_Medicare | All_Plans | $336.37 | ↓ -58% |
| United_Medicare | ISNP_DSNP_Plans | $336.37 | ↓ -58% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $337.81 | ↓ -58% |
| Amerihealth_Medicare | All_Plans | $337.97 | ↓ -58% |
| PA_Health_&_Wellness_Medicare | All_Plans | $345.98 | ↓ -57% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $345.98 | ↓ -57% |
| Blue_Cross | Capital_Cares_4_kids | $452.91 | ↓ -44% |
| Highmark | Higmark_Healthy_Kids | $497.34 | ↓ -38% |
| Health_Partners_Medicaid | Kidz_Partners | $528.58 | ↓ -34% |
| United_Medicaid | Community_Plan_For_Kids | $560.61 | ↓ -30% |
| Cigna | All_Plans | $611.84 | ↓ -24% |
| WellSpan_Capital_Blue_Cross | All_Plans | $643.20 | ↓ -20% |
| Blue_Cross | All_Other_Plans | $647.02 | ↓ -20% |
| Blue_Cross | Capital_Blue_Performance_PPO | $647.02 | ↓ -20% |
| Tower Health | All_Plans | $653.25 | ↓ -19% |
| UPMC | Employees_And_Dependents | $653.25 | ↓ -19% |
| UPMC | UPMC_For_Kids | $653.25 | ↓ -19% |
| Geisinger | All_Plans | $653.25 | ↓ -19% |
| Independence_Blue_Cross | All_Plans | $653.25 | ↓ -19% |
| PHC | All_Plans | $703.50 | ↓ -13% |
| Aetna | All_Plans | $777.87 | ↓ -3% |
| First_Health_Network | All_Plans | $855.26 | ↑ +6% |
| United_Healthcare | All_Plans | $947.72 | ↑ +18% |
| Highmark | My_Priority_Blue_Flex | $1,175.24 | ↑ +46% |
| Highmark | My_Direct_Blue | $1,175.24 | ↑ +46% |
| Highmark | Choice_Blue_PPO | $1,219.28 | ↑ +52% |
| Highmark | Performance_Blue | $1,219.28 | ↑ +52% |
| Highmark | Blue_Cross_High_Performance_Network | $1,219.28 | ↑ +52% |
| Highmark | All_Other_Plans | $1,469.03 | ↑ +83% |
Visitor-reported prices
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Ghs IV thrombolytics - cerebral at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $544.20 | $322.49 – $725.60 |
| UPMC Bedford | Everett | $3,883.80 | $114.10 – $5,825.70 |
| UPMC Carlisle | Carlisle | $1,295.40 | $174.51 – $1,835.15 |
| UPMC Community Osteopathic | Harrisburg | $1,295.40 | $265.80 – $1,835.15 |
| UPMC East | Monroeville | $2,286.00 | $250.33 – $3,048.00 |
| UPMC Hamot | Erie | $3,456.60 | $364.97 – $642.37 |
| UPMC Northwest | Seneca | $1,635.60 | $286.79 – $642.37 |
| UPMC Hanover | Hanover | $1,295.40 | $265.80 – $672.25 |