Graft impl ult thck 6x12cm -cost per sq cm at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$1,033.30
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.
$1,291.63
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.
$108.89 with Cigna vs $1,218.01 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 |
|---|---|---|---|
| Cigna | All_Plans | $108.89 | ↓ -89% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $227.33 | ↓ -78% |
| Blue_Cross | Capital_Cares_4_kids | $582.09 | ↓ -44% |
| WellSpan_Capital_Blue_Cross | All_Plans | $826.64 | ↓ -20% |
| Blue_Cross | Capital_Blue_Performance_PPO | $831.55 | ↓ -20% |
| Blue_Cross | All_Other_Plans | $831.55 | ↓ -20% |
| Tower Health | All_Plans | $839.56 | ↓ -19% |
| UPMC | Employees_And_Dependents | $839.56 | ↓ -19% |
| UPMC | UPMC_For_Kids | $839.56 | ↓ -19% |
| Geisinger | All_Plans | $839.56 | ↓ -19% |
| Independence_Blue_Cross | All_Plans | $839.56 | ↓ -19% |
| PHC | All_Plans | $904.14 | ↓ -12% |
| Aetna | All_Plans | $999.72 | ↓ -3% |
| First_Health_Network | All_Plans | $1,099.18 | ↑ +6% |
| United_Healthcare | All_Plans | $1,218.01 | ↑ +18% |
Visitor-reported prices
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Graft impl ult thck 6x12cm -cost per sq cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $26,740.20 | $60.21 – $35,653.60 |
| UPMC Hamot | Erie | $33,418.20 | $60.21 – $74.42 |
| UPMC Magee | Pittsburgh | $47,946.60 | $29.08 – $71.51 |
| UPMC Mercy | Pittsburgh | $27,538.20 | $56.47 – $60.21 |
| UPMC Muncy | Muncy | $13,093.20 | $1,689.60 – $10,137.60 |
| UPMC Passavant-McCandless | Pittsburgh | $28,358.40 | $60.78 – $103.77 |
| UPMC Presbyterian | Pittsburgh | $37,447.20 | $60.78 – $115.62 |
| UPMC Wellsboro | Wellsboro | $15,834.40 | $1,839.06 – $9,195.30 |