Head CT scan (without contrast) at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$296.00
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.
$1,610.00
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.
$96.88 with UPMC_Medicaid vs $1,127.00 with PHC — 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 |
|---|---|---|---|
| UPMC_Medicaid | All_Plans | $96.88 | ↓ -67% |
| Highmark_Medicare | All_Plans | $103.73 | ↓ -65% |
| Aetna_Advantra_Medicare | All_Plans | $105.78 | ↓ -64% |
| Aetna_Medicare | All_Plans | $105.78 | ↓ -64% |
| Devoted_Medicare | All_Plans | $107.84 | ↓ -64% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $107.84 | ↓ -64% |
| Geisinger_Gold_Medicare | All_Plans | $107.84 | ↓ -64% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $107.84 | ↓ -64% |
| United_Medicare | ISNP_DSNP_Plans | $107.84 | ↓ -64% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $108.30 | ↓ -63% |
| Amerihealth_Medicare | All_Plans | $108.35 | ↓ -63% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $110.92 | ↓ -63% |
| PA_Health_&_Wellness_Medicare | All_Plans | $110.92 | ↓ -63% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $145.94 | ↓ -51% |
| Health_Partners_Medicaid | All_Other_Plans | $145.94 | ↓ -51% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $145.94 | ↓ -51% |
| Geisinger_Medicaid | All_Plans | $145.94 | ↓ -51% |
| Highmark | Higmark_Healthy_Kids | $159.44 | ↓ -46% |
| Amerihealth_Caritas_Medicaid | All_Plans | $165.79 | ↓ -44% |
| Health_Partners_Medicaid | Kidz_Partners | $169.46 | ↓ -43% |
| United_Medicaid | Community_Plan_For_Kids | $179.73 | ↓ -39% |
| Blue_Cross | Capital_Blue_Performance_PPO | $230.00 | ↓ -22% |
| WellSpan_Capital_Blue_Cross | All_Plans | $252.00 | ↓ -15% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $283.36 | ↓ -4% |
| Highmark | My_Priority_Blue_Flex | $376.77 | ↑ +27% |
| Highmark | My_Direct_Blue | $376.77 | ↑ +27% |
| Highmark | Performance_Blue | $390.89 | ↑ +32% |
| Highmark | Choice_Blue_PPO | $390.89 | ↑ +32% |
| Highmark | Blue_Cross_High_Performance_Network | $390.89 | ↑ +32% |
| Aetna_Better_Health_Kids | All_Plans | $396.95 | ↑ +34% |
| Highmark | All_Other_Plans | $470.95 | ↑ +59% |
| United_Healthcare | All_Plans | $602.31 | ↑ +103% |
| Blue_Cross | Capital_Cares_4_kids | $725.56 | ↑ +145% |
| Cigna | All_Plans | $869.40 | ↑ +194% |
| Aetna | All_Plans | $957.00 | ↑ +223% |
| Blue_Cross | All_Other_Plans | $1,036.52 | ↑ +250% |
| Tower Health | All_Plans | $1,046.50 | ↑ +254% |
| UPMC | Employees_And_Dependents | $1,046.50 | ↑ +254% |
| Independence_Blue_Cross | All_Plans | $1,046.50 | ↑ +254% |
| Geisinger | All_Plans | $1,046.50 | ↑ +254% |
| UPMC | UPMC_For_Kids | $1,046.50 | ↑ +254% |
| First_Health_Network | All_Plans | $1,052.00 | ↑ +255% |
| PHC | All_Plans | $1,127.00 | ↑ +281% |
Visitor-reported prices
Comments
Head CT scan (without contrast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $961.20 | $77.50 – $1,281.60 |
| UPMC Bedford | Everett | $741.00 | $36.58 – $1,111.50 |
| UPMC Carlisle | Carlisle | $796.80 | $100.71 – $1,128.80 |
| UPMC Cole | Coudersport | $753.00 | $115.89 – $1,004.00 |
| UPMC Community Osteopathic | Harrisburg | $1,105.20 | $101.53 – $1,128.80 |
| UPMC East | Monroeville | $1,863.00 | $101.65 – $2,484.00 |
| UPMC Hamot | Erie | $3,127.20 | $98.61 – $568.49 |
| UPMC Northwest | Seneca | $1,226.40 | $91.94 – $538.64 |