Implant ureth bulk agent at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$2,270.00
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.
$2,837.50
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.
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The hospital's undiscounted list price — almost no one pays this.
$209.79 with Blue_Cross_BlueJourney_Medicare vs $1,986.25 with Aetna_Better_Health_Kids — 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 | $209.79 | ↓ -91% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $261.63 | ↓ -88% |
| Blue_Cross | Capital_Cares_4_kids | $537.19 | ↓ -76% |
| Cigna | All_Plans | $725.69 | ↓ -68% |
| WellSpan_Capital_Blue_Cross | All_Plans | $762.88 | ↓ -66% |
| Blue_Cross | Capital_Blue_Performance_PPO | $767.41 | ↓ -66% |
| Blue_Cross | All_Other_Plans | $767.41 | ↓ -66% |
| Tower Health | All_Plans | $774.80 | ↓ -66% |
| UPMC | Employees_And_Dependents | $774.80 | ↓ -66% |
| UPMC | UPMC_For_Kids | $774.80 | ↓ -66% |
| Geisinger | All_Plans | $774.80 | ↓ -66% |
| Independence_Blue_Cross | All_Plans | $774.80 | ↓ -66% |
| PHC | All_Plans | $834.40 | ↓ -63% |
| Aetna | All_Plans | $922.61 | ↓ -59% |
| First_Health_Network | All_Plans | $1,014.39 | ↓ -55% |
| United_Healthcare | All_Plans | $1,124.06 | ↓ -50% |
| Aetna_Better_Health_Kids | All_Plans | $1,986.25 | ↓ -13% |
Visitor-reported prices
Comments
Implant ureth bulk agent at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,188.20 | $309.95 – $1,970.40 |
| UPMC Cole | Coudersport | $445.80 | $141.17 – $594.40 |
| UPMC East | Monroeville | $1,096.20 | $312.91 – $1,713.66 |
| UPMC Hamot | Erie | $2,308.20 | $309.95 – $309.95 |
| UPMC Northwest | Seneca | $1,360.20 | $804.45 – $2,073.68 |
| UPMC Magee | Pittsburgh | $2,408.40 | $141.13 – $1,713.66 |
| UPMC McKeesport | Mckeesport | $495.60 | $141.13 – $1,713.66 |
| UPMC Mercy | Pittsburgh | $1,617.00 | $309.95 – $1,353.18 |