Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$1,667.20
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.
$2,084.00
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.
$208.39 with Amerihealth_Caritas_Medicaid vs $1,911.23 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 | $208.39 | ↓ -88% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $312.59 | ↓ -81% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $366.78 | ↓ -78% |
| Health_Partners_Medicaid | All_Other_Plans | $416.78 | ↓ -75% |
| Highmark_Medicare | All_Plans | $420.95 | ↓ -75% |
| Aetna_Medicare | All_Plans | $429.28 | ↓ -74% |
| Aetna_Advantra_Medicare | All_Plans | $429.28 | ↓ -74% |
| Geisinger_Gold_Medicare | All_Plans | $437.62 | ↓ -74% |
| Devoted_Medicare | All_Plans | $437.62 | ↓ -74% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $437.62 | ↓ -74% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $437.62 | ↓ -74% |
| United_Medicare | ISNP_DSNP_Plans | $437.62 | ↓ -74% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $439.49 | ↓ -74% |
| Amerihealth_Medicare | All_Plans | $439.70 | ↓ -74% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $450.12 | ↓ -73% |
| PA_Health_&_Wellness_Medicare | All_Plans | $450.12 | ↓ -73% |
| Highmark | Higmark_Healthy_Kids | $647.05 | ↓ -61% |
| Health_Partners_Medicaid | Kidz_Partners | $687.69 | ↓ -59% |
| United_Medicaid | Community_Plan_For_Kids | $729.37 | ↓ -56% |
| PHC | All_Plans | $833.60 | ↓ -50% |
| Blue_Cross | Capital_Cares_4_kids | $939.18 | ↓ -44% |
| United_Healthcare | All_Plans | $1,250.34 | ↓ -25% |
| Cigna | All_Plans | $1,330.01 | ↓ -20% |
| WellSpan_Capital_Blue_Cross | All_Plans | $1,333.76 | ↓ -20% |
| Blue_Cross | Capital_Blue_Performance_PPO | $1,341.68 | ↓ -20% |
| Blue_Cross | All_Other_Plans | $1,341.68 | ↓ -20% |
| Tower Health | All_Plans | $1,354.60 | ↓ -19% |
| UPMC | Employees_And_Dependents | $1,354.60 | ↓ -19% |
| UPMC | UPMC_For_Kids | $1,354.60 | ↓ -19% |
| Geisinger | All_Plans | $1,354.60 | ↓ -19% |
| Independence_Blue_Cross | All_Plans | $1,354.60 | ↓ -19% |
| Highmark | My_Priority_Blue_Flex | $1,529.00 | ↓ -8% |
| Highmark | My_Direct_Blue | $1,529.00 | ↓ -8% |
| Highmark | Blue_Cross_High_Performance_Network | $1,586.31 | ↓ -5% |
| Highmark | Performance_Blue | $1,586.31 | ↓ -5% |
| Highmark | Choice_Blue_PPO | $1,586.31 | ↓ -5% |
| Aetna | All_Plans | $1,721.30 | ↑ +3% |
| First_Health_Network | All_Plans | $1,892.18 | ↑ +13% |
| Highmark | All_Other_Plans | $1,911.23 | ↑ +15% |
Visitor-reported prices
Comments
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $438.00 | $365.00 – $584.00 |
| UPMC Carlisle | Carlisle | $876.60 | $200.16 – $1,241.85 |
| UPMC Community Osteopathic | Harrisburg | $876.60 | $292.20 – $3,298.34 |
| UPMC East | Monroeville | $454.20 | $249.81 – $605.60 |
| UPMC Hamot | Erie | $462.00 | $383.38 – $450.12 |
| UPMC Northwest | Seneca | $454.20 | $377.98 – $450.12 |
| UPMC Hanover | Hanover | $876.60 | $316.19 – $3,298.34 |
| UPMC Horizon-Greenville | Greenville | $454.20 | $373.14 – $619.90 |