Penile injection at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$490.40
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.
$613.00
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.
$107.89 with Blue_Cross_BlueJourney_Medicare vs $1,077.14 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 | $107.89 | ↓ -78% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $182.41 | ↓ -63% |
| Health_Partners_Medicaid | All_Other_Plans | $234.89 | ↓ -52% |
| Highmark_Medicare | All_Plans | $237.24 | ↓ -52% |
| Aetna_Advantra_Medicare | All_Plans | $241.94 | ↓ -51% |
| Aetna_Medicare | All_Plans | $241.94 | ↓ -51% |
| Geisinger_Gold_Medicare | All_Plans | $246.63 | ↓ -50% |
| United_Medicare | ISNP_DSNP_Plans | $246.63 | ↓ -50% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $246.63 | ↓ -50% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $246.63 | ↓ -50% |
| Devoted_Medicare | All_Plans | $246.63 | ↓ -50% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $247.69 | ↓ -49% |
| Amerihealth_Medicare | All_Plans | $247.81 | ↓ -49% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $253.68 | ↓ -48% |
| PA_Health_&_Wellness_Medicare | All_Plans | $253.68 | ↓ -48% |
| Blue_Cross | Capital_Cares_4_kids | $276.25 | ↓ -44% |
| Highmark | Higmark_Healthy_Kids | $364.67 | ↓ -26% |
| Cigna | All_Plans | $373.19 | ↓ -24% |
| Health_Partners_Medicaid | Kidz_Partners | $387.57 | ↓ -21% |
| WellSpan_Capital_Blue_Cross | All_Plans | $392.32 | ↓ -20% |
| Blue_Cross | All_Other_Plans | $394.65 | ↓ -20% |
| Blue_Cross | Capital_Blue_Performance_PPO | $394.65 | ↓ -20% |
| Tower Health | All_Plans | $398.45 | ↓ -19% |
| UPMC | Employees_And_Dependents | $398.45 | ↓ -19% |
| UPMC | UPMC_For_Kids | $398.45 | ↓ -19% |
| Geisinger | All_Plans | $398.45 | ↓ -19% |
| Independence_Blue_Cross | All_Plans | $398.45 | ↓ -19% |
| United_Medicaid | Community_Plan_For_Kids | $411.06 | ↓ -16% |
| PHC | All_Plans | $429.10 | ↓ -13% |
| Aetna | All_Plans | $474.46 | ↓ -3% |
| First_Health_Network | All_Plans | $521.66 | ↑ +6% |
| United_Healthcare | All_Plans | $578.06 | ↑ +18% |
| Highmark | My_Direct_Blue | $861.72 | ↑ +76% |
| Highmark | My_Priority_Blue_Flex | $861.72 | ↑ +76% |
| Highmark | Performance_Blue | $894.01 | ↑ +82% |
| Highmark | Choice_Blue_PPO | $894.01 | ↑ +82% |
| Highmark | Blue_Cross_High_Performance_Network | $894.01 | ↑ +82% |
| Highmark | All_Other_Plans | $1,077.14 | ↑ +120% |
Visitor-reported prices
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Penile injection at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $970.20 | $136.71 – $1,293.60 |
| UPMC Carlisle | Carlisle | $403.80 | $92.20 – $572.05 |
| UPMC Community Osteopathic | Harrisburg | $403.80 | $134.60 – $634.70 |
| UPMC Hamot | Erie | $877.20 | $144.33 – $337.24 |
| UPMC Hanover | Hanover | $403.80 | $139.53 – $634.70 |
| UPMC Lititz | Lititz | $403.80 | $143.06 – $634.70 |
| UPMC Memorial | York | $403.80 | $122.97 – $634.70 |
| UPMC Mercy | Pittsburgh | $619.20 | $142.71 – $255.06 |