Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$8,252.80
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.
?
What you pay up front if you don't use insurance.
$10,316.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$238.90 with Highmark_Wholecare_Gateway_Medicaid vs $23,941.16 with Highmark — 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 →
?
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 | $238.90 | ↓ -97% |
| Aetna_Better_Health_Kids | All_Plans | $649.81 | ↓ -92% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $1,815.62 | ↓ -78% |
| Blue_Cross | Capital_Cares_4_kids | $4,649.01 | ↓ -44% |
| Health_Partners_Medicaid | All_Other_Plans | $5,220.83 | ↓ -37% |
| Highmark_Medicare | All_Plans | $5,273.04 | ↓ -36% |
| Aetna_Advantra_Medicare | All_Plans | $5,377.45 | ↓ -35% |
| Aetna_Medicare | All_Plans | $5,377.45 | ↓ -35% |
| Devoted_Medicare | All_Plans | $5,481.87 | ↓ -34% |
| Geisinger_Gold_Medicare | All_Plans | $5,481.87 | ↓ -34% |
| United_Medicare | ISNP_DSNP_Plans | $5,481.87 | ↓ -34% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $5,481.87 | ↓ -34% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $5,481.87 | ↓ -34% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $5,505.37 | ↓ -33% |
| Amerihealth_Medicare | All_Plans | $5,507.98 | ↓ -33% |
| PA_Health_&_Wellness_Medicare | All_Plans | $5,638.50 | ↓ -32% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $5,638.50 | ↓ -32% |
| Cigna | All_Plans | $6,280.38 | ↓ -24% |
| WellSpan_Capital_Blue_Cross | All_Plans | $6,602.24 | ↓ -20% |
| Blue_Cross | Capital_Blue_Performance_PPO | $6,641.44 | ↓ -20% |
| Blue_Cross | All_Other_Plans | $6,641.44 | ↓ -20% |
| Tower Health | All_Plans | $6,705.40 | ↓ -19% |
| UPMC | Employees_And_Dependents | $6,705.40 | ↓ -19% |
| UPMC | UPMC_For_Kids | $6,705.40 | ↓ -19% |
| Geisinger | All_Plans | $6,705.40 | ↓ -19% |
| Independence_Blue_Cross | All_Plans | $6,705.40 | ↓ -19% |
| PHC | All_Plans | $7,221.20 | ↓ -13% |
| Highmark | Higmark_Healthy_Kids | $8,105.34 | ↓ -2% |
| Health_Partners_Medicaid | Kidz_Partners | $8,614.37 | ↑ +4% |
| United_Medicaid | Community_Plan_For_Kids | $9,136.45 | ↑ +11% |
| United_Healthcare | All_Plans | $9,727.99 | ↑ +18% |
| Aetna | All_Plans | $10,638.00 | ↑ +29% |
| First_Health_Network | All_Plans | $11,702.00 | ↑ +42% |
| Highmark | My_Direct_Blue | $19,153.14 | ↑ +132% |
| Highmark | My_Priority_Blue_Flex | $19,153.14 | ↑ +132% |
| Highmark | Choice_Blue_PPO | $19,871.00 | ↑ +141% |
| Highmark | Blue_Cross_High_Performance_Network | $19,871.00 | ↑ +141% |
| Highmark | Performance_Blue | $19,871.00 | ↑ +141% |
| Highmark | All_Other_Plans | $23,941.16 | ↑ +190% |
Visitor-reported prices
Comments
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $6,817.80 | $3,132.34 – $9,090.40 |
| UPMC Carlisle | Carlisle | $9,498.60 | $1,016.56 – $13,456.35 |
| UPMC Cole | Coudersport | $1,911.00 | $882.88 – $3,625.84 |
| UPMC Community Osteopathic | Harrisburg | $9,498.60 | $1,016.56 – $13,456.35 |
| UPMC East | Monroeville | $2,328.00 | $1,280.40 – $5,565.99 |
| UPMC Hamot | Erie | $7,189.20 | $3,132.34 – $7,495.67 |
| UPMC Northwest | Seneca | $1,806.60 | $3,235.87 – $5,565.99 |
| UPMC Hanover | Hanover | $9,498.60 | $1,016.56 – $8,262.51 |