Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$1,001.40
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.
$1,251.75
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.
$220.31 with Blue_Cross_BlueJourney_Medicare vs $1,180.40 with United_Healthcare — 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 | $220.31 | ↓ -78% |
| Blue_Cross | Capital_Cares_4_kids | $564.11 | ↓ -44% |
| Cigna | All_Plans | $609.00 | ↓ -39% |
| WellSpan_Capital_Blue_Cross | All_Plans | $801.12 | ↓ -20% |
| Blue_Cross | Capital_Blue_Performance_PPO | $805.88 | ↓ -20% |
| Blue_Cross | All_Other_Plans | $805.88 | ↓ -20% |
| Tower Health | All_Plans | $813.64 | ↓ -19% |
| UPMC | Employees_And_Dependents | $813.64 | ↓ -19% |
| UPMC | UPMC_For_Kids | $813.64 | ↓ -19% |
| Geisinger | All_Plans | $813.64 | ↓ -19% |
| Independence_Blue_Cross | All_Plans | $813.64 | ↓ -19% |
| PHC | All_Plans | $876.23 | ↓ -12% |
| Aetna | All_Plans | $968.85 | ↓ -3% |
| First_Health_Network | All_Plans | $1,065.24 | ↑ +6% |
| United_Healthcare | All_Plans | $1,180.40 | ↑ +18% |
Visitor-reported prices
Comments
Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $217.20 | $0.50 – $5.40 |
| UPMC Carlisle | Carlisle | $160.20 | $1.85 – $226.95 |
| UPMC Cole | Coudersport | $213.00 | $0.46 – $242.40 |
| UPMC Community Osteopathic | Harrisburg | $160.20 | $0.84 – $226.95 |
| UPMC East | Monroeville | $237.00 | $0.12 – $0.80 |
| UPMC Hamot | Erie | $234.60 | $0.50 – $3.27 |
| UPMC Hanover | Hanover | $160.20 | $1.85 – $8.43 |
| UPMC Jameson | New Castle | $1,024.20 | $0.51 – $1.45 |