Ghs paravert facet/nerve lumb ea add bil at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$1,756.80
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.
$2,196.00
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.
$53.01 with Highmark_Wholecare_Gateway_Medicaid vs $2,070.83 with United_Healthcare — 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 |
|---|---|---|---|
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $53.01 | ↓ -97% |
| UPMC_Medicaid | All_Plans | $53.01 | ↓ -97% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $53.01 | ↓ -97% |
| Health_Partners_Medicaid | All_Other_Plans | $53.01 | ↓ -97% |
| Geisinger_Medicaid | All_Plans | $53.01 | ↓ -97% |
| Amerihealth_Caritas_Medicaid | All_Plans | $60.22 | ↓ -97% |
| Aetna_Better_Health_Kids | All_Plans | $144.19 | ↓ -92% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $386.50 | ↓ -78% |
| Blue_Cross | Capital_Cares_4_kids | $989.65 | ↓ -44% |
| Cigna | All_Plans | $1,336.92 | ↓ -24% |
| WellSpan_Capital_Blue_Cross | All_Plans | $1,405.44 | ↓ -20% |
| Blue_Cross | Capital_Blue_Performance_PPO | $1,413.78 | ↓ -20% |
| Blue_Cross | All_Other_Plans | $1,413.78 | ↓ -20% |
| UPMC | UPMC_For_Kids | $1,427.40 | ↓ -19% |
| Independence_Blue_Cross | All_Plans | $1,427.40 | ↓ -19% |
| Geisinger | All_Plans | $1,427.40 | ↓ -19% |
| Tower Health | All_Plans | $1,427.40 | ↓ -19% |
| UPMC | Employees_And_Dependents | $1,427.40 | ↓ -19% |
| PHC | All_Plans | $1,537.20 | ↓ -13% |
| Aetna | All_Plans | $1,699.70 | ↓ -3% |
| First_Health_Network | All_Plans | $1,868.80 | ↑ +6% |
| United_Healthcare | All_Plans | $2,070.83 | ↑ +18% |
Visitor-reported prices
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Ghs paravert facet/nerve lumb ea add bil at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $750.00 | $55.56 – $9,539.00 |
| UPMC Cole | Coudersport | $126.00 | $58.21 – $168.00 |
| UPMC Community Osteopathic | Harrisburg | $750.00 | $55.56 – $1,172.64 |
| UPMC East | Monroeville | $777.00 | $125.37 – $1,036.00 |
| UPMC Northwest | Seneca | $985.80 | $125.37 – $553.95 |
| UPMC Hanover | Hanover | $750.00 | $55.56 – $1,172.64 |
| UPMC Horizon-Greenville | Greenville | $1,897.80 | $125.37 – $636.12 |
| UPMC Kane | Kane | $82.80 | $125.37 – $863.50 |