Kyleena, 19.5 mg at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$4,771.20
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.
$5,964.00
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.
$1,049.66 with Blue_Cross_BlueJourney_Medicare vs $5,075.36 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 |
|---|---|---|---|
| Blue_Cross_BlueJourney_Medicare | All_Plans | $1,049.66 | ↓ -78% |
| UPMC_Medicaid | All_Plans | $1,103.08 | ↓ -77% |
| Health_Partners_Medicaid | Kidz_Partners | $1,789.20 | ↓ -63% |
| Blue_Cross | Capital_Cares_4_kids | $2,687.74 | ↓ -44% |
| Cigna | All_Plans | $3,806.22 | ↓ -20% |
| WellSpan_Capital_Blue_Cross | All_Plans | $3,816.96 | ↓ -20% |
| Blue_Cross | All_Other_Plans | $3,839.62 | ↓ -20% |
| Blue_Cross | Capital_Blue_Performance_PPO | $3,839.62 | ↓ -20% |
| Tower Health | All_Plans | $3,876.60 | ↓ -19% |
| UPMC | Employees_And_Dependents | $3,876.60 | ↓ -19% |
| UPMC | UPMC_For_Kids | $3,876.60 | ↓ -19% |
| Geisinger | All_Plans | $3,876.60 | ↓ -19% |
| Independence_Blue_Cross | All_Plans | $3,876.60 | ↓ -19% |
| PHC | All_Plans | $4,174.80 | ↓ -13% |
| Aetna | All_Plans | $4,616.14 | ↓ -3% |
| United_Healthcare | All_Plans | $4,664.19 | ↓ -2% |
| First_Health_Network | All_Plans | $5,075.36 | ↑ +6% |
Visitor-reported prices
Comments
Kyleena, 19.5 mg at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $2,489.60 | $620.56 – $4,164.45 |
| UPMC Bedford | Everett | $2,561.60 | $800.50 – $2,881.80 |
| UPMC Cole | Coudersport | $3,024.00 | $1,384.68 – $4,032.00 |
| UPMC Hamot | Erie | $2,561.60 | $620.56 – $3,779.24 |
| UPMC Horizon-Greenville | Greenville | $2,561.60 | $1,388.15 – $1,581.55 |
| UPMC Kane | Kane | $1,372.80 | $1,384.68 – $2,290.45 |
| UPMC Magee | Pittsburgh | $2,036.40 | $626.47 – $1,384.68 |
| UPMC Muncy | Muncy | $2,489.60 | $1,200.72 – $1,200.72 |