Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$2,225.60
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.
?
What you pay up front if you don't use insurance.
$2,782.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$86.25 with UPMC_Medicaid vs $2,961.19 with United_Healthcare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| UPMC_Medicaid | All_Plans | $86.25 | ↓ -96% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $142.50 | ↓ -94% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $142.50 | ↓ -94% |
| Health_Partners_Medicaid | All_Other_Plans | $142.50 | ↓ -94% |
| Geisinger_Medicaid | All_Plans | $142.50 | ↓ -94% |
| Amerihealth_Caritas_Medicaid | All_Plans | $161.88 | ↓ -93% |
| Aetna_Better_Health_Kids | All_Plans | $387.60 | ↓ -83% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $489.63 | ↓ -78% |
| Highmark_Medicare | All_Plans | $525.06 | ↓ -76% |
| Aetna_Advantra_Medicare | All_Plans | $535.46 | ↓ -76% |
| Aetna_Medicare | All_Plans | $535.46 | ↓ -76% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $545.85 | ↓ -75% |
| Geisinger_Gold_Medicare | All_Plans | $545.85 | ↓ -75% |
| United_Medicare | ISNP_DSNP_Plans | $545.85 | ↓ -75% |
| Devoted_Medicare | All_Plans | $545.85 | ↓ -75% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $545.85 | ↓ -75% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $548.19 | ↓ -75% |
| Amerihealth_Medicare | All_Plans | $548.45 | ↓ -75% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $561.45 | ↓ -75% |
| PA_Health_&_Wellness_Medicare | All_Plans | $561.45 | ↓ -75% |
| Highmark | Higmark_Healthy_Kids | $807.08 | ↓ -64% |
| Health_Partners_Medicaid | Kidz_Partners | $857.77 | ↓ -61% |
| United_Medicaid | Community_Plan_For_Kids | $909.76 | ↓ -59% |
| Aetna | All_Plans | $957.00 | ↓ -57% |
| First_Health_Network | All_Plans | $1,052.00 | ↓ -53% |
| Blue_Cross | Capital_Cares_4_kids | $1,253.74 | ↓ -44% |
| Cigna | All_Plans | $1,502.28 | ↓ -33% |
| WellSpan_Capital_Blue_Cross | All_Plans | $1,780.48 | ↓ -20% |
| Blue_Cross | All_Other_Plans | $1,791.05 | ↓ -20% |
| Blue_Cross | Capital_Blue_Performance_PPO | $1,791.05 | ↓ -20% |
| Tower Health | All_Plans | $1,808.30 | ↓ -19% |
| UPMC | Employees_And_Dependents | $1,808.30 | ↓ -19% |
| UPMC | UPMC_For_Kids | $1,808.30 | ↓ -19% |
| Geisinger | All_Plans | $1,808.30 | ↓ -19% |
| Independence_Blue_Cross | All_Plans | $1,808.30 | ↓ -19% |
| Highmark | My_Direct_Blue | $1,907.16 | ↓ -14% |
| Highmark | My_Priority_Blue_Flex | $1,907.16 | ↓ -14% |
| PHC | All_Plans | $1,947.40 | ↓ -13% |
| Highmark | Choice_Blue_PPO | $1,978.64 | ↓ -11% |
| Highmark | Performance_Blue | $1,978.64 | ↓ -11% |
| Highmark | Blue_Cross_High_Performance_Network | $1,978.64 | ↓ -11% |
| Highmark | All_Other_Plans | $2,383.92 | ↑ +7% |
| United_Healthcare | All_Plans | $2,961.19 | ↑ +33% |
Visitor-reported prices
Comments
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $898.80 | $69.00 – $1,198.40 |
| UPMC Bedford | Everett | $1,032.60 | $119.70 – $1,548.90 |
| UPMC Carlisle | Carlisle | $1,574.40 | $77.13 – $823.87 |
| UPMC Cole | Coudersport | $465.60 | $119.70 – $620.80 |
| UPMC Community Osteopathic | Harrisburg | $1,574.40 | $90.39 – $765.30 |
| UPMC East | Monroeville | $2,203.80 | $125.40 – $2,938.40 |
| UPMC Hamot | Erie | $917.40 | $125.40 – $700.71 |
| UPMC Northwest | Seneca | $763.20 | $125.40 – $538.84 |