Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$3,208.87
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.
$4,011.09
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.
$51.92 with Blue_Cross_BlueJourney_Medicare vs $463.95 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 |
|---|---|---|---|
| Blue_Cross_BlueJourney_Medicare | All_Plans | $51.92 | ↓ -98% |
| Blue_Cross | Capital_Cares_4_kids | $132.94 | ↓ -96% |
| Geisinger_Medicaid | All_Plans | $138.74 | ↓ -96% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $138.74 | ↓ -96% |
| UPMC_Medicaid | All_Plans | $141.32 | ↓ -96% |
| Aetna_Better_Health_Kids | All_Plans | $147.06 | ↓ -95% |
| Cigna | All_Plans | $188.27 | ↓ -94% |
| WellSpan_Capital_Blue_Cross | All_Plans | $188.80 | ↓ -94% |
| Blue_Cross | All_Other_Plans | $189.92 | ↓ -94% |
| Blue_Cross | Capital_Blue_Performance_PPO | $189.92 | ↓ -94% |
| Tower Health | All_Plans | $191.75 | ↓ -94% |
| UPMC | Employees_And_Dependents | $191.75 | ↓ -94% |
| UPMC | UPMC_For_Kids | $191.75 | ↓ -94% |
| Geisinger | All_Plans | $191.75 | ↓ -94% |
| Independence_Blue_Cross | All_Plans | $191.75 | ↓ -94% |
| PHC | All_Plans | $206.50 | ↓ -94% |
| Aetna | All_Plans | $228.33 | ↓ -93% |
| United_Healthcare | All_Plans | $435.78 | ↓ -86% |
| First_Health_Network | All_Plans | $463.95 | ↓ -86% |
Visitor-reported prices
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Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $410.40 | $85.17 – $547.20 |
| UPMC Cole | Coudersport | $385.20 | $138.74 – $513.60 |
| UPMC Hamot | Erie | $417.60 | $85.17 – $87.60 |
| UPMC Northwest | Seneca | $394.20 | $87.60 – $221.05 |
| UPMC Horizon-Greenville | Greenville | $417.60 | $87.60 – $217.06 |
| UPMC Jameson | New Castle | $417.60 | $86.67 – $140.13 |
| UPMC McKeesport | Mckeesport | $417.60 | $85.98 – $154.14 |
| UPMC Mercy | Pittsburgh | $417.60 | $85.17 – $138.74 |