Infectious agent antigen immunoassay ql/sq multi step cryptosporidium at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$57.60
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.
$72.00
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.
$6.91 with Amerihealth_Caritas_Medicaid vs $63.37 with Highmark — 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 |
|---|---|---|---|
| Amerihealth_Caritas_Medicaid | All_Plans | $6.91 | ↓ -88% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $10.37 | ↓ -82% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $12.67 | ↓ -78% |
| Health_Partners_Medicaid | All_Other_Plans | $13.82 | ↓ -76% |
| Highmark_Medicare | All_Plans | $13.96 | ↓ -76% |
| Aetna_Medicare | All_Plans | $14.23 | ↓ -75% |
| Aetna_Advantra_Medicare | All_Plans | $14.23 | ↓ -75% |
| Geisinger_Gold_Medicare | All_Plans | $14.51 | ↓ -75% |
| Devoted_Medicare | All_Plans | $14.51 | ↓ -75% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $14.51 | ↓ -75% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $14.51 | ↓ -75% |
| United_Medicare | ISNP_DSNP_Plans | $14.51 | ↓ -75% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $14.57 | ↓ -75% |
| Amerihealth_Medicare | All_Plans | $14.58 | ↓ -75% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $14.93 | ↓ -74% |
| PA_Health_&_Wellness_Medicare | All_Plans | $14.93 | ↓ -74% |
| Highmark | Higmark_Healthy_Kids | $21.46 | ↓ -63% |
| Health_Partners_Medicaid | Kidz_Partners | $22.80 | ↓ -60% |
| United_Medicaid | Community_Plan_For_Kids | $24.19 | ↓ -58% |
| PHC | All_Plans | $28.80 | ↓ -50% |
| Blue_Cross | Capital_Cares_4_kids | $32.45 | ↓ -44% |
| United_Healthcare | All_Plans | $41.46 | ↓ -28% |
| Cigna | All_Plans | $45.95 | ↓ -20% |
| WellSpan_Capital_Blue_Cross | All_Plans | $46.08 | ↓ -20% |
| Blue_Cross | Capital_Blue_Performance_PPO | $46.35 | ↓ -20% |
| Blue_Cross | All_Other_Plans | $46.35 | ↓ -20% |
| Tower Health | All_Plans | $46.80 | ↓ -19% |
| UPMC | Employees_And_Dependents | $46.80 | ↓ -19% |
| UPMC | UPMC_For_Kids | $46.80 | ↓ -19% |
| Geisinger | All_Plans | $46.80 | ↓ -19% |
| Independence_Blue_Cross | All_Plans | $46.80 | ↓ -19% |
| Highmark | My_Priority_Blue_Flex | $50.70 | ↓ -12% |
| Highmark | My_Direct_Blue | $50.70 | ↓ -12% |
| Highmark | Blue_Cross_High_Performance_Network | $52.60 | ↓ -9% |
| Highmark | Performance_Blue | $52.60 | ↓ -9% |
| Highmark | Choice_Blue_PPO | $52.60 | ↓ -9% |
| Aetna | All_Plans | $57.08 | ↓ -1% |
| First_Health_Network | All_Plans | $62.74 | ↑ +9% |
| Highmark | All_Other_Plans | $63.37 | ↑ +10% |
Visitor-reported prices
Comments
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $88.80 | $13.67 – $118.40 |
| UPMC Bedford | Everett | $41.40 | $4.99 – $62.10 |
| UPMC East | Monroeville | $126.60 | $13.67 – $168.80 |
| UPMC Northwest | Seneca | $100.20 | $12.53 – $14.93 |
| UPMC Hanover | Hanover | $36.60 | $11.04 – $51.46 |
| UPMC Horizon-Greenville | Greenville | $60.00 | $12.37 – $25.73 |
| UPMC Jameson | New Castle | $60.00 | $9.69 – $16.19 |
| UPMC Magee | Pittsburgh | $52.20 | $12.93 – $16.06 |