Mayo cd20b mononuclear cell antigen nos quantitative each at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$107.20
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.
$134.00
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.
$23.58 with Blue_Cross_BlueJourney_Medicare vs $122.81 with Highmark — 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 | $23.58 | ↓ -78% |
| Highmark_Medicare | All_Plans | $27.05 | ↓ -75% |
| Aetna_Medicare | All_Plans | $27.58 | ↓ -74% |
| Aetna_Advantra_Medicare | All_Plans | $27.58 | ↓ -74% |
| Geisinger_Gold_Medicare | All_Plans | $28.12 | ↓ -74% |
| United_Medicare | ISNP_DSNP_Plans | $28.12 | ↓ -74% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $28.12 | ↓ -74% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $28.12 | ↓ -74% |
| Devoted_Medicare | All_Plans | $28.12 | ↓ -74% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $28.24 | ↓ -74% |
| Amerihealth_Medicare | All_Plans | $28.25 | ↓ -74% |
| PA_Health_&_Wellness_Medicare | All_Plans | $28.92 | ↓ -73% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $28.92 | ↓ -73% |
| Amerihealth_Caritas_Medicaid | All_Plans | $29.93 | ↓ -72% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $37.41 | ↓ -65% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $37.41 | ↓ -65% |
| UPMC_Medicaid | All_Plans | $37.41 | ↓ -65% |
| Geisinger_Medicaid | All_Plans | $37.41 | ↓ -65% |
| Health_Partners_Medicaid | All_Other_Plans | $37.41 | ↓ -65% |
| Highmark | Higmark_Healthy_Kids | $41.58 | ↓ -61% |
| Health_Partners_Medicaid | Kidz_Partners | $44.19 | ↓ -59% |
| United_Medicaid | Community_Plan_For_Kids | $46.87 | ↓ -56% |
| PHC | All_Plans | $53.60 | ↓ -50% |
| Blue_Cross | Capital_Cares_4_kids | $60.39 | ↓ -44% |
| United_Healthcare | All_Plans | $80.34 | ↓ -25% |
| Cigna | All_Plans | $85.52 | ↓ -20% |
| WellSpan_Capital_Blue_Cross | All_Plans | $85.76 | ↓ -20% |
| Blue_Cross | Capital_Blue_Performance_PPO | $86.27 | ↓ -20% |
| Blue_Cross | All_Other_Plans | $86.27 | ↓ -20% |
| Independence_Blue_Cross | All_Plans | $87.10 | ↓ -19% |
| Tower Health | All_Plans | $87.10 | ↓ -19% |
| Geisinger | All_Plans | $87.10 | ↓ -19% |
| UPMC | UPMC_For_Kids | $87.10 | ↓ -19% |
| UPMC | Employees_And_Dependents | $87.10 | ↓ -19% |
| Highmark | My_Priority_Blue_Flex | $98.25 | ↓ -8% |
| Highmark | My_Direct_Blue | $98.25 | ↓ -8% |
| Aetna_Better_Health_Kids | All_Plans | $101.76 | ↓ -5% |
| Highmark | Blue_Cross_High_Performance_Network | $101.93 | ↓ -5% |
| Highmark | Choice_Blue_PPO | $101.93 | ↓ -5% |
| Highmark | Performance_Blue | $101.93 | ↓ -5% |
| Aetna | All_Plans | $110.60 | ↑ +3% |
| First_Health_Network | All_Plans | $121.58 | ↑ +13% |
| Highmark | All_Other_Plans | $122.81 | ↑ +15% |
Visitor-reported prices
Comments
Mayo cd20b mononuclear cell antigen nos quantitative each at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $351.00 | $26.46 – $468.00 |
| UPMC Bedford | Everett | $334.80 | $9.66 – $502.20 |
| UPMC East | Monroeville | $538.20 | $19.73 – $717.60 |
| UPMC Northwest | Seneca | $427.80 | $19.92 – $34.42 |
| UPMC Jameson | New Castle | $178.20 | $26.46 – $70.76 |
| UPMC Kane | Kane | $130.20 | $26.46 – $115.58 |
| UPMC Magee | Pittsburgh | $240.00 | $20.88 – $70.20 |
| UPMC McKeesport | Mckeesport | $325.20 | $20.26 – $70.20 |