Hydroxyurea 500 mg at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$10.80
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.
?
What you pay up front if you don't use insurance.
$13.50
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1.44 with Cigna vs $8.64 with WellSpan_Capital_Blue_Cross — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $1.44 | ↓ -87% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $1.54 | ↓ -86% |
| Health_Partners_Medicaid | Kidz_Partners | $2.63 | ↓ -76% |
| Blue_Cross | Capital_Cares_4_kids | $3.94 | ↓ -64% |
| Blue_Cross | Capital_Blue_Performance_PPO | $5.63 | ↓ -48% |
| Blue_Cross | All_Other_Plans | $5.63 | ↓ -48% |
| Tower Health | All_Plans | $5.69 | ↓ -47% |
| UPMC | Employees_And_Dependents | $5.69 | ↓ -47% |
| UPMC | UPMC_For_Kids | $5.69 | ↓ -47% |
| Geisinger | All_Plans | $5.69 | ↓ -47% |
| Independence_Blue_Cross | All_Plans | $5.69 | ↓ -47% |
| PHC | All_Plans | $6.13 | ↓ -43% |
| Aetna | All_Plans | $6.77 | ↓ -37% |
| First_Health_Network | All_Plans | $7.45 | ↓ -31% |
| United_Healthcare | All_Plans | $8.25 | ↓ -24% |
| WellSpan_Capital_Blue_Cross | All_Plans | $8.64 | ↓ -20% |
Visitor-reported prices
Comments
Hydroxyurea 500 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Hamot | Erie | $9.80 | $0.64 – $0.64 |
| UPMC Magee | Pittsburgh | $12.00 | $0.63 – $2.29 |
| UPMC Mercy | Pittsburgh | $9.80 | $2.27 – $2.27 |
| UPMC Passavant-McCandless | Pittsburgh | $12.00 | $2.29 – $2.29 |
| UPMC Presbyterian | Pittsburgh | $9.00 | $2.29 – $2.29 |
| UPMC Western Psychiatric | Pittsburgh | $9.00 | $2.24 – $2.24 |
| WellSpan Chambersburg Hospital | Chambersburg | $1.40 | $1.26 – $10.12 |
| WellSpan Surgery & Rehabilitation Hospital | York PA 17403 | $2.20 | $1.44 – $1.44 |