In-111 autol wbc diag per dose at WellSpan Ephrata Community Hospital

169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 17, 2026

$6,836.00

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.

Full explanation →

What you pay up front if you don't use insurance.

$8,545.00

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$773.54 with Highmark_Wholecare_Gateway_Medicaid vs $7,271.80 with First_Health_Network — 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 →

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 $773.54 ↓ -89%
Health_Partners_Medicaid All_Other_Plans $1,031.39 ↓ -85%
Highmark_Medicare All_Plans $1,041.70 ↓ -85%
Aetna_Medicare All_Plans $1,062.33 ↓ -84%
Aetna_Advantra_Medicare All_Plans $1,062.33 ↓ -84%
UPMC_Medicare UPMC_for_Life_Complete_Care $1,082.96 ↓ -84%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $1,082.96 ↓ -84%
Devoted_Medicare All_Plans $1,082.96 ↓ -84%
Geisinger_Gold_Medicare All_Plans $1,082.96 ↓ -84%
United_Medicare ISNP_DSNP_Plans $1,082.96 ↓ -84%
Highmark_Wholecare_Gateway_Medicare All_Plans $1,087.60 ↓ -84%
Amerihealth_Medicare All_Plans $1,088.12 ↓ -84%
Jefferson_Health_Medicare_Advantage All_Plans $1,113.90 ↓ -84%
PA_Health_&_Wellness_Medicare All_Plans $1,113.90 ↓ -84%
WellSpan_Capital_Blue_Cross All_Plans $1,300.93 ↓ -81%
Blue_Cross_BlueJourney_Medicare All_Plans $1,503.92 ↓ -78%
Highmark Higmark_Healthy_Kids $1,601.23 ↓ -77%
Health_Partners_Medicaid Kidz_Partners $1,701.79 ↓ -75%
United_Medicaid Community_Plan_For_Kids $1,804.93 ↓ -74%
United_Healthcare All_Plans $3,300.45 ↓ -52%
Highmark My_Direct_Blue $3,783.76 ↓ -45%
Highmark My_Priority_Blue_Flex $3,783.76 ↓ -45%
Blue_Cross Capital_Cares_4_kids $3,850.89 ↓ -44%
Highmark Blue_Cross_High_Performance_Network $3,925.57 ↓ -43%
Highmark Choice_Blue_PPO $3,925.57 ↓ -43%
Highmark Performance_Blue $3,925.57 ↓ -43%
Highmark All_Other_Plans $4,729.65 ↓ -31%
Cigna All_Plans $5,453.42 ↓ -20%
Blue_Cross Capital_Blue_Performance_PPO $5,501.27 ↓ -20%
Blue_Cross All_Other_Plans $5,501.27 ↓ -20%
Tower Health All_Plans $5,554.25 ↓ -19%
UPMC Employees_And_Dependents $5,554.25 ↓ -19%
UPMC UPMC_For_Kids $5,554.25 ↓ -19%
Geisinger All_Plans $5,554.25 ↓ -19%
Independence_Blue_Cross All_Plans $5,554.25 ↓ -19%
PHC All_Plans $5,981.50 ↓ -13%
Aetna All_Plans $6,613.83 ↓ -3%
First_Health_Network All_Plans $7,271.80 ↑ +6%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

In-111 autol wbc diag per dose at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Carlisle Carlisle $6,806.40 $567.26 – $9,642.40
UPMC Community Osteopathic Harrisburg $6,806.40 $1,021.08 – $9,642.40
UPMC Hanover Hanover $6,806.40 $1,021.08 – $2,084.99
UPMC Lititz Lititz $6,806.40 $1,021.08 – $2,084.99
UPMC Memorial York $6,806.40 $1,075.74 – $2,084.99
UPMC Somerset Somerset $6,806.40 $1,021.08 – $1,113.80
WellSpan Chambersburg Hospital Chambersburg $6,836.00 $1,031.39 – $15,029.56
WellSpan Surgery & Rehabilitation Hospital York PA 17403 $6,836.00 $1,031.39 – $15,029.56

All Pennsylvania hospitals for this procedure →