Lacosamide 200 mg/20 ml intravenous solution at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$436.80
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.
$546.00
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.
$23.94 with Blue_Cross_BlueJourney_Medicare vs $349.44 with WellSpan_Capital_Blue_Cross — 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 | $23.94 | ↓ -95% |
| Blue_Cross | Capital_Cares_4_kids | $61.29 | ↓ -86% |
| Blue_Cross | All_Other_Plans | $87.56 | ↓ -80% |
| Blue_Cross | Capital_Blue_Performance_PPO | $87.56 | ↓ -80% |
| Tower Health | All_Plans | $88.40 | ↓ -80% |
| UPMC | Employees_And_Dependents | $88.40 | ↓ -80% |
| UPMC | UPMC_For_Kids | $88.40 | ↓ -80% |
| Geisinger | All_Plans | $88.40 | ↓ -80% |
| Independence_Blue_Cross | All_Plans | $88.40 | ↓ -80% |
| PHC | All_Plans | $95.20 | ↓ -78% |
| Aetna | All_Plans | $105.26 | ↓ -76% |
| First_Health_Network | All_Plans | $115.74 | ↓ -74% |
| Cigna | All_Plans | $140.00 | ↓ -68% |
| WellSpan_Capital_Blue_Cross | All_Plans | $349.44 | ↓ -20% |
Visitor-reported prices
Comments
Lacosamide 200 mg/20 ml intravenous solution at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $183.00 | $0.35 – $0.80 |
| UPMC East | Monroeville | $171.00 | $0.12 – $0.80 |
| UPMC Hamot | Erie | $260.40 | $0.23 – $0.33 |
| UPMC Jameson | New Castle | $74.40 | $0.20 – $0.20 |
| UPMC Magee | Pittsburgh | $171.00 | $0.34 – $0.34 |
| UPMC McKeesport | Mckeesport | $114.60 | $0.22 – $0.22 |
| UPMC Mercy | Pittsburgh | $171.00 | $0.25 – $0.90 |
| UPMC Muncy | Muncy | $327.00 | $0.30 – $1.80 |