Inst fibrinolysis agent ini day at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$840.80
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.
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What you pay up front if you don't use insurance.
$1,051.00
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.
$72.11 with Highmark_Wholecare_Gateway_Medicaid vs $6,190.00 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 |
|---|---|---|---|
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $72.11 | ↓ -91% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $184.98 | ↓ -78% |
| Aetna_Better_Health_Kids | All_Plans | $196.15 | ↓ -77% |
| Blue_Cross | Capital_Cares_4_kids | $473.64 | ↓ -44% |
| Health_Partners_Medicaid | All_Other_Plans | $597.12 | ↓ -29% |
| Highmark_Medicare | All_Plans | $603.09 | ↓ -28% |
| Aetna_Advantra_Medicare | All_Plans | $615.03 | ↓ -27% |
| Aetna_Medicare | All_Plans | $615.03 | ↓ -27% |
| Devoted_Medicare | All_Plans | $626.98 | ↓ -25% |
| Geisinger_Gold_Medicare | All_Plans | $626.98 | ↓ -25% |
| United_Medicare | ISNP_DSNP_Plans | $626.98 | ↓ -25% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $626.98 | ↓ -25% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $626.98 | ↓ -25% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $629.66 | ↓ -25% |
| Amerihealth_Medicare | All_Plans | $629.96 | ↓ -25% |
| Cigna | All_Plans | $639.85 | ↓ -24% |
| PA_Health_&_Wellness_Medicare | All_Plans | $644.89 | ↓ -23% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $644.89 | ↓ -23% |
| WellSpan_Capital_Blue_Cross | All_Plans | $672.64 | ↓ -20% |
| Blue_Cross | All_Other_Plans | $676.63 | ↓ -20% |
| Blue_Cross | Capital_Blue_Performance_PPO | $676.63 | ↓ -20% |
| Tower Health | All_Plans | $683.15 | ↓ -19% |
| UPMC | Employees_And_Dependents | $683.15 | ↓ -19% |
| UPMC | UPMC_For_Kids | $683.15 | ↓ -19% |
| Geisinger | All_Plans | $683.15 | ↓ -19% |
| Independence_Blue_Cross | All_Plans | $683.15 | ↓ -19% |
| PHC | All_Plans | $735.70 | ↓ -13% |
| Highmark | Higmark_Healthy_Kids | $927.03 | ↑ +10% |
| Health_Partners_Medicaid | Kidz_Partners | $985.25 | ↑ +17% |
| United_Healthcare | All_Plans | $991.09 | ↑ +18% |
| United_Medicaid | Community_Plan_For_Kids | $1,044.96 | ↑ +24% |
| Highmark | My_Direct_Blue | $2,190.59 | ↑ +161% |
| Highmark | My_Priority_Blue_Flex | $2,190.59 | ↑ +161% |
| Highmark | Choice_Blue_PPO | $2,272.70 | ↑ +170% |
| Highmark | Performance_Blue | $2,272.70 | ↑ +170% |
| Highmark | Blue_Cross_High_Performance_Network | $2,272.70 | ↑ +170% |
| Highmark | All_Other_Plans | $2,738.21 | ↑ +226% |
| Aetna | All_Plans | $5,627.00 | ↑ +569% |
| First_Health_Network | All_Plans | $6,190.00 | ↑ +636% |
Visitor-reported prices
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Inst fibrinolysis agent ini day at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $157.20 | $222.70 – $222.70 |
| UPMC Hamot | Erie | $948.00 | $141.76 – $857.29 |
| UPMC Magee | Pittsburgh | $760.80 | $141.76 – $648.38 |
| UPMC Muncy | Muncy | $1,097.40 | $73.84 – $151.65 |
| UPMC Passavant-McCandless | Pittsburgh | $878.40 | $141.76 – $648.38 |
| UPMC Presbyterian | Pittsburgh | $1,236.00 | $69.23 – $1,375.80 |
| UPMC Somerset | Somerset | $157.20 | $62.94 – $67.97 |
| UPMC Wellsboro | Wellsboro | $1,327.20 | $73.84 – $141.76 |