Injection, cangrelor at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$5,888.20
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.
$7,360.25
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.
$23.56 with WellSpan_Capital_Blue_Cross vs $6,263.57 with First_Health_Network — 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 |
|---|---|---|---|
| WellSpan_Capital_Blue_Cross | All_Plans | $23.56 | ↓ -100% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $705.75 | ↓ -88% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $999.05 | ↓ -83% |
| Health_Partners_Medicaid | All_Other_Plans | $999.05 | ↓ -83% |
| Highmark_Medicare | All_Plans | $1,009.04 | ↓ -83% |
| Aetna_Medicare | All_Plans | $1,029.02 | ↓ -83% |
| Aetna_Advantra_Medicare | All_Plans | $1,029.02 | ↓ -83% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $1,049.00 | ↓ -82% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $1,049.00 | ↓ -82% |
| Devoted_Medicare | All_Plans | $1,049.00 | ↓ -82% |
| Geisinger_Gold_Medicare | All_Plans | $1,049.00 | ↓ -82% |
| United_Medicare | ISNP_DSNP_Plans | $1,049.00 | ↓ -82% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $1,053.50 | ↓ -82% |
| Amerihealth_Medicare | All_Plans | $1,054.00 | ↓ -82% |
| PA_Health_&_Wellness_Medicare | All_Plans | $1,078.97 | ↓ -82% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $1,295.40 | ↓ -78% |
| Highmark | Higmark_Healthy_Kids | $1,551.03 | ↓ -74% |
| Health_Partners_Medicaid | Kidz_Partners | $1,648.43 | ↓ -72% |
| United_Medicaid | Community_Plan_For_Kids | $1,748.34 | ↓ -70% |
| United_Healthcare | All_Plans | $3,169.60 | ↓ -46% |
| Blue_Cross | Capital_Cares_4_kids | $3,316.97 | ↓ -44% |
| Cigna | All_Plans | $3,575.25 | ↓ -39% |
| Highmark | My_Priority_Blue_Flex | $3,665.11 | ↓ -38% |
| Highmark | My_Direct_Blue | $3,665.11 | ↓ -38% |
| Highmark | Performance_Blue | $3,802.48 | ↓ -35% |
| Highmark | Blue_Cross_High_Performance_Network | $3,802.48 | ↓ -35% |
| Highmark | Choice_Blue_PPO | $3,802.48 | ↓ -35% |
| Highmark | All_Other_Plans | $4,581.34 | ↓ -22% |
| Blue_Cross | Capital_Blue_Performance_PPO | $4,738.53 | ↓ -20% |
| Blue_Cross | All_Other_Plans | $4,738.53 | ↓ -20% |
| Tower Health | All_Plans | $4,784.16 | ↓ -19% |
| UPMC | Employees_And_Dependents | $4,784.16 | ↓ -19% |
| UPMC | UPMC_For_Kids | $4,784.16 | ↓ -19% |
| Geisinger | All_Plans | $4,784.16 | ↓ -19% |
| Independence_Blue_Cross | All_Plans | $4,784.16 | ↓ -19% |
| PHC | All_Plans | $5,152.18 | ↓ -12% |
| Aetna | All_Plans | $5,696.83 | ↓ -3% |
| First_Health_Network | All_Plans | $6,263.57 | ↑ +6% |
Visitor-reported prices
Comments
Injection, cangrelor at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $572.40 | $10.99 – $636.65 |
| UPMC Community Osteopathic | Harrisburg | $572.40 | $18.48 – $636.65 |
| UPMC Hamot | Erie | $1,969.80 | $11.10 – $21.58 |
| UPMC Hanover | Hanover | $572.40 | $19.78 – $31.97 |
| UPMC Jameson | New Castle | $4,273.80 | $11.29 – $24.98 |
| UPMC Lititz | Lititz | $572.40 | $19.78 – $31.97 |
| UPMC Magee | Pittsburgh | $4,032.00 | $11.20 – $21.58 |
| UPMC Memorial | York | $572.40 | $9.04 – $31.97 |