Mayo psaft prostate specific antigen free at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$45.00
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.
$96.00
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.
$16.90 with Blue_Cross_BlueJourney_Medicare vs $84.33 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 | $16.90 | ↓ -62% |
| Highmark_Medicare | All_Plans | $18.57 | ↓ -59% |
| Aetna_Medicare | All_Plans | $18.94 | ↓ -58% |
| Aetna_Advantra_Medicare | All_Plans | $18.94 | ↓ -58% |
| Geisinger_Gold_Medicare | All_Plans | $19.31 | ↓ -57% |
| United_Medicare | ISNP_DSNP_Plans | $19.31 | ↓ -57% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $19.31 | ↓ -57% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $19.31 | ↓ -57% |
| Devoted_Medicare | All_Plans | $19.31 | ↓ -57% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $19.39 | ↓ -57% |
| Amerihealth_Medicare | All_Plans | $19.40 | ↓ -57% |
| PA_Health_&_Wellness_Medicare | All_Plans | $19.86 | ↓ -56% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $19.86 | ↓ -56% |
| Amerihealth_Caritas_Medicaid | All_Plans | $20.34 | ↓ -55% |
| UPMC_Medicaid | All_Plans | $25.42 | ↓ -44% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $25.43 | ↓ -43% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $25.43 | ↓ -43% |
| Geisinger_Medicaid | All_Plans | $25.43 | ↓ -43% |
| Health_Partners_Medicaid | All_Other_Plans | $25.43 | ↓ -43% |
| Highmark | Higmark_Healthy_Kids | $28.55 | ↓ -37% |
| Health_Partners_Medicaid | Kidz_Partners | $30.34 | ↓ -33% |
| United_Medicaid | Community_Plan_For_Kids | $32.18 | ↓ -28% |
| PHC | All_Plans | $38.40 | ↓ -15% |
| Blue_Cross | Capital_Cares_4_kids | $43.26 | ↓ -4% |
| United_Healthcare | All_Plans | $55.17 | ↑ +23% |
| Cigna | All_Plans | $61.27 | ↑ +36% |
| WellSpan_Capital_Blue_Cross | All_Plans | $61.44 | ↑ +37% |
| Blue_Cross | Capital_Blue_Performance_PPO | $61.80 | ↑ +37% |
| Blue_Cross | All_Other_Plans | $61.80 | ↑ +37% |
| Independence_Blue_Cross | All_Plans | $62.40 | ↑ +39% |
| Tower Health | All_Plans | $62.40 | ↑ +39% |
| Geisinger | All_Plans | $62.40 | ↑ +39% |
| UPMC | UPMC_For_Kids | $62.40 | ↑ +39% |
| UPMC | Employees_And_Dependents | $62.40 | ↑ +39% |
| Highmark | My_Priority_Blue_Flex | $67.47 | ↑ +50% |
| Highmark | My_Direct_Blue | $67.47 | ↑ +50% |
| Aetna_Better_Health_Kids | All_Plans | $69.16 | ↑ +54% |
| Highmark | Blue_Cross_High_Performance_Network | $69.99 | ↑ +56% |
| Highmark | Choice_Blue_PPO | $69.99 | ↑ +56% |
| Highmark | Performance_Blue | $69.99 | ↑ +56% |
| Aetna | All_Plans | $75.95 | ↑ +69% |
| First_Health_Network | All_Plans | $83.49 | ↑ +86% |
| Highmark | All_Other_Plans | $84.33 | ↑ +87% |
Visitor-reported prices
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Mayo psaft prostate specific antigen free at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $181.20 | $18.17 – $241.60 |
| UPMC Bedford | Everett | $115.80 | $6.64 – $173.70 |
| UPMC Carlisle | Carlisle | $93.60 | $18.21 – $132.60 |
| UPMC Cole | Coudersport | $171.00 | $11.95 – $228.00 |
| UPMC Community Osteopathic | Harrisburg | $93.60 | $18.21 – $133.34 |
| UPMC East | Monroeville | $378.00 | $18.17 – $504.00 |
| UPMC Hamot | Erie | $307.80 | $18.17 – $48.83 |
| UPMC Northwest | Seneca | $129.60 | $16.68 – $23.39 |