Irrigation implantable venous access device for drug delivery systems at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$100.00
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.
$773.00
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.
$24.35 with Highmark_Wholecare_Gateway_Medicaid vs $728.94 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 |
|---|---|---|---|
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $24.35 | ↓ -76% |
| Health_Partners_Medicaid | All_Other_Plans | $24.35 | ↓ -76% |
| Geisinger_Medicaid | All_Plans | $24.35 | ↓ -76% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $24.35 | ↓ -76% |
| UPMC_Medicaid | All_Plans | $24.35 | ↓ -76% |
| Amerihealth_Caritas_Medicaid | All_Plans | $27.66 | ↓ -72% |
| Highmark_Medicare | All_Plans | $57.94 | ↓ -42% |
| Aetna_Advantra_Medicare | All_Plans | $59.09 | ↓ -41% |
| Aetna_Medicare | All_Plans | $59.09 | ↓ -41% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $60.24 | ↓ -40% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $60.24 | ↓ -40% |
| Devoted_Medicare | All_Plans | $60.24 | ↓ -40% |
| Geisinger_Gold_Medicare | All_Plans | $60.24 | ↓ -40% |
| United_Medicare | ISNP_DSNP_Plans | $60.24 | ↓ -40% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $60.50 | ↓ -40% |
| Amerihealth_Medicare | All_Plans | $60.53 | ↓ -39% |
| PA_Health_&_Wellness_Medicare | All_Plans | $61.96 | ↓ -38% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $61.96 | ↓ -38% |
| Aetna_Better_Health_Kids | All_Plans | $66.23 | ↓ -34% |
| Highmark | Higmark_Healthy_Kids | $89.07 | ↓ -11% |
| Health_Partners_Medicaid | Kidz_Partners | $94.66 | ↓ -5% |
| United_Medicaid | Community_Plan_For_Kids | $100.40 | ↑ +0% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $136.05 | ↑ +36% |
| Highmark | My_Priority_Blue_Flex | $210.47 | ↑ +110% |
| Highmark | My_Direct_Blue | $210.47 | ↑ +110% |
| Highmark | Choice_Blue_PPO | $218.36 | ↑ +118% |
| Highmark | Performance_Blue | $218.36 | ↑ +118% |
| Highmark | Blue_Cross_High_Performance_Network | $218.36 | ↑ +118% |
| Highmark | All_Other_Plans | $263.08 | ↑ +163% |
| Blue_Cross | Capital_Cares_4_kids | $348.36 | ↑ +248% |
| Cigna | All_Plans | $470.60 | ↑ +371% |
| WellSpan_Capital_Blue_Cross | All_Plans | $494.72 | ↑ +395% |
| Blue_Cross | Capital_Blue_Performance_PPO | $497.66 | ↑ +398% |
| Blue_Cross | All_Other_Plans | $497.66 | ↑ +398% |
| Tower Health | All_Plans | $502.45 | ↑ +402% |
| Geisinger | All_Plans | $502.45 | ↑ +402% |
| UPMC | UPMC_For_Kids | $502.45 | ↑ +402% |
| UPMC | Employees_And_Dependents | $502.45 | ↑ +402% |
| Independence_Blue_Cross | All_Plans | $502.45 | ↑ +402% |
| PHC | All_Plans | $541.10 | ↑ +441% |
| Aetna | All_Plans | $598.30 | ↑ +498% |
| First_Health_Network | All_Plans | $657.82 | ↑ +558% |
| United_Healthcare | All_Plans | $728.94 | ↑ +629% |
Visitor-reported prices
Comments
Irrigation implantable venous access device for drug delivery systems at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $166.80 | $19.48 – $222.40 |
| UPMC Bedford | Everett | $149.40 | $20.43 – $224.10 |
| UPMC Carlisle | Carlisle | $136.80 | $24.74 – $193.80 |
| UPMC Cole | Coudersport | $112.20 | $15.25 – $46.20 |
| UPMC Community Osteopathic | Harrisburg | $136.80 | $24.74 – $193.80 |
| UPMC East | Monroeville | $269.40 | $21.43 – $359.20 |
| UPMC Hamot | Erie | $158.40 | $21.43 – $81.67 |
| UPMC Northwest | Seneca | $147.60 | $21.43 – $59.46 |