Mayo gabapentin bld/srm/plasma therapeutic drug level at WellSpan Ephrata Community Hospital

169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 17, 2026

$81.60

Cash price

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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.

$102.00

Gross charge

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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.

$14.47 with Amerihealth_Caritas_Medicaid vs $99.37 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 →

Payer
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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
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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
Amerihealth_Caritas_Medicaid All_Plans $14.47 ↓ -82%
Blue_Cross_BlueJourney_Medicare All_Plans $17.95 ↓ -78%
Health_Partners_Medicaid All_Other_Plans $18.09 ↓ -78%
UPMC_Medicaid All_Plans $18.09 ↓ -78%
PA_Health_&_Wellness_Medicaid All_Plans $18.09 ↓ -78%
Highmark_Wholecare_Gateway_Medicaid All_Plans $18.09 ↓ -78%
Geisinger_Medicaid All_Plans $18.09 ↓ -78%
Highmark_Medicare All_Plans $21.89 ↓ -73%
Aetna_Medicare All_Plans $22.32 ↓ -73%
Aetna_Advantra_Medicare All_Plans $22.32 ↓ -73%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $22.75 ↓ -72%
Geisinger_Gold_Medicare All_Plans $22.75 ↓ -72%
UPMC_Medicare UPMC_for_Life_Complete_Care $22.75 ↓ -72%
Devoted_Medicare All_Plans $22.75 ↓ -72%
United_Medicare ISNP_DSNP_Plans $22.75 ↓ -72%
Highmark_Wholecare_Gateway_Medicare All_Plans $22.85 ↓ -72%
Amerihealth_Medicare All_Plans $22.86 ↓ -72%
PA_Health_&_Wellness_Medicare All_Plans $23.40 ↓ -71%
Jefferson_Health_Medicare_Advantage All_Plans $23.40 ↓ -71%
Highmark Higmark_Healthy_Kids $33.64 ↓ -59%
Health_Partners_Medicaid Kidz_Partners $35.76 ↓ -56%
United_Medicaid Community_Plan_For_Kids $37.92 ↓ -54%
PHC All_Plans $40.80 ↓ -50%
Blue_Cross Capital_Cares_4_kids $45.97 ↓ -44%
Aetna_Better_Health_Kids All_Plans $49.20 ↓ -40%
United_Healthcare All_Plans $65.01 ↓ -20%
Cigna All_Plans $65.10 ↓ -20%
WellSpan_Capital_Blue_Cross All_Plans $65.28 ↓ -20%
Blue_Cross Capital_Blue_Performance_PPO $65.67 ↓ -20%
Blue_Cross All_Other_Plans $65.67 ↓ -20%
Independence_Blue_Cross All_Plans $66.30 ↓ -19%
Tower Health All_Plans $66.30 ↓ -19%
Geisinger All_Plans $66.30 ↓ -19%
UPMC UPMC_For_Kids $66.30 ↓ -19%
UPMC Employees_And_Dependents $66.30 ↓ -19%
Highmark My_Priority_Blue_Flex $79.50 ↓ -3%
Highmark My_Direct_Blue $79.50 ↓ -3%
Highmark Performance_Blue $82.48 ↑ +1%
Highmark Choice_Blue_PPO $82.48 ↑ +1%
Highmark Blue_Cross_High_Performance_Network $82.48 ↑ +1%
Aetna All_Plans $89.50 ↑ +10%
First_Health_Network All_Plans $98.38 ↑ +21%
Highmark All_Other_Plans $99.37 ↑ +22%

Visitor-reported prices

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Mayo gabapentin bld/srm/plasma therapeutic drug level at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $241.80 $13.35 – $322.40
UPMC Bedford Everett $88.20 $7.82 – $132.30
UPMC Carlisle Carlisle $55.80 $12.74 – $79.05
UPMC Community Osteopathic Harrisburg $55.80 $14.47 – $122.30
UPMC East Monroeville $203.40 $13.47 – $271.20
UPMC Hamot Erie $307.20 $13.35 – $23.40
UPMC Northwest Seneca $141.00 $15.92 – $23.40
UPMC Hanover Hanover $55.80 $14.47 – $34.67

All Pennsylvania hospitals for this procedure →