Graft puraplyam antimicrob 1.6-q4196-cost per sq cm at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$4,721.60
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.
$5,902.00
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.
$101.03 with Highmark_Wholecare_Gateway_Medicaid vs $1,844.83 with Aetna — 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 | $101.03 | ↓ -98% |
| Geisinger_Medicaid | All_Plans | $101.03 | ↓ -98% |
| UPMC_Medicaid | All_Plans | $102.26 | ↓ -98% |
| Aetna_Better_Health_Kids | All_Plans | $107.09 | ↓ -98% |
| United_Healthcare | All_Plans | $315.33 | ↓ -93% |
| First_Health_Network | All_Plans | $337.85 | ↓ -93% |
| Cigna | All_Plans | $369.11 | ↓ -92% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $419.50 | ↓ -91% |
| Blue_Cross | Capital_Cares_4_kids | $1,074.15 | ↓ -77% |
| WellSpan_Capital_Blue_Cross | All_Plans | $1,525.44 | ↓ -68% |
| Blue_Cross | Capital_Blue_Performance_PPO | $1,534.50 | ↓ -68% |
| Blue_Cross | All_Other_Plans | $1,534.50 | ↓ -68% |
| Tower Health | All_Plans | $1,549.28 | ↓ -67% |
| UPMC | Employees_And_Dependents | $1,549.28 | ↓ -67% |
| UPMC | UPMC_For_Kids | $1,549.28 | ↓ -67% |
| Geisinger | All_Plans | $1,549.28 | ↓ -67% |
| Independence_Blue_Cross | All_Plans | $1,549.28 | ↓ -67% |
| PHC | All_Plans | $1,668.45 | ↓ -65% |
| Aetna | All_Plans | $1,844.83 | ↓ -61% |
Visitor-reported prices
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Graft puraplyam antimicrob 1.6-q4196-cost per sq cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $319.20 | $36.53 – $425.60 |
| UPMC Bedford | Everett | $328.80 | $63.79 – $493.20 |
| UPMC Cole | Coudersport | $204.00 | $94.25 – $272.00 |
| UPMC Hamot | Erie | $328.80 | $36.53 – $235.18 |
| UPMC Wellsboro | Wellsboro | $3,241.60 | $101.03 – $111.13 |
| UPMC Williamsport | Williamsport | $1,233.60 | $101.03 – $111.13 |
| Uniontown Hospital | Uniontown | $397.00 | $126.52 – $294.79 |