Inj, lidocaine w epinephrine at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$95.00
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.
$118.75
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.
$2.63 with Cigna vs $25.60 with United_Healthcare — 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 |
|---|---|---|---|
| Cigna | All_Plans | $2.63 | ↓ -97% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $4.62 | ↓ -95% |
| Blue_Cross | Capital_Cares_4_kids | $11.83 | ↓ -88% |
| WellSpan_Capital_Blue_Cross | All_Plans | $16.80 | ↓ -82% |
| Blue_Cross | Capital_Blue_Performance_PPO | $16.90 | ↓ -82% |
| Blue_Cross | All_Other_Plans | $16.90 | ↓ -82% |
| Tower Health | All_Plans | $17.06 | ↓ -82% |
| UPMC | Employees_And_Dependents | $17.06 | ↓ -82% |
| UPMC | UPMC_For_Kids | $17.06 | ↓ -82% |
| Geisinger | All_Plans | $17.06 | ↓ -82% |
| Independence_Blue_Cross | All_Plans | $17.06 | ↓ -82% |
| PHC | All_Plans | $18.38 | ↓ -81% |
| Aetna | All_Plans | $20.32 | ↓ -79% |
| First_Health_Network | All_Plans | $22.34 | ↓ -76% |
| United_Healthcare | All_Plans | $25.60 | ↓ -73% |
Visitor-reported prices
Comments
Inj, lidocaine w epinephrine at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $22.20 | $0.01 – $0.09 |
| WellSpan Chambersburg Hospital | Chambersburg | $21.00 | $0.02 – $4.35 |
| WellSpan Surgery & Rehabilitation Hospital | York PA 17403 | $99.40 | $7.00 – $25.60 |
| WellSpan Waynesboro Hospital | Waynesboro | $21.00 | $2.80 – $25.60 |
| WellSpan Evangelical Community Hospital | Lewisburg | $5.60 | $0.48 – $4.35 |
| WellSpan Gettysburg Hospital | Gettysburg | $79.40 | $7.00 – $25.60 |
| WellSpan Newberry Hospital | Etters | not published | not published |