Perc cryo ablate renal tum at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$13,924.80
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.
$17,406.00
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.
$3,063.46 with Blue_Cross_BlueJourney_Medicare vs $46,109.95 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 | $3,063.46 | ↓ -78% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $7,808.42 | ↓ -44% |
| Blue_Cross | Capital_Cares_4_kids | $7,844.19 | ↓ -44% |
| Health_Partners_Medicaid | All_Other_Plans | $10,055.16 | ↓ -28% |
| Highmark_Medicare | All_Plans | $10,155.71 | ↓ -27% |
| Aetna_Medicare | All_Plans | $10,356.81 | ↓ -26% |
| Aetna_Advantra_Medicare | All_Plans | $10,356.81 | ↓ -26% |
| Devoted_Medicare | All_Plans | $10,557.92 | ↓ -24% |
| Geisinger_Gold_Medicare | All_Plans | $10,557.92 | ↓ -24% |
| United_Medicare | ISNP_DSNP_Plans | $10,557.92 | ↓ -24% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $10,557.92 | ↓ -24% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $10,557.92 | ↓ -24% |
| Cigna | All_Plans | $10,596.77 | ↓ -24% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $10,603.17 | ↓ -24% |
| Amerihealth_Medicare | All_Plans | $10,608.19 | ↓ -24% |
| PA_Health_&_Wellness_Medicare | All_Plans | $10,859.57 | ↓ -22% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $10,859.57 | ↓ -22% |
| WellSpan_Capital_Blue_Cross | All_Plans | $11,139.84 | ↓ -20% |
| Blue_Cross | All_Other_Plans | $11,205.98 | ↓ -20% |
| Blue_Cross | Capital_Blue_Performance_PPO | $11,205.98 | ↓ -20% |
| Tower Health | All_Plans | $11,313.90 | ↓ -19% |
| UPMC | Employees_And_Dependents | $11,313.90 | ↓ -19% |
| UPMC | UPMC_For_Kids | $11,313.90 | ↓ -19% |
| Geisinger | All_Plans | $11,313.90 | ↓ -19% |
| Independence_Blue_Cross | All_Plans | $11,313.90 | ↓ -19% |
| PHC | All_Plans | $12,184.20 | ↓ -13% |
| Highmark | Higmark_Healthy_Kids | $15,610.64 | ↑ +12% |
| United_Healthcare | All_Plans | $16,413.86 | ↑ +18% |
| Health_Partners_Medicaid | Kidz_Partners | $16,591.01 | ↑ +19% |
| United_Medicaid | Community_Plan_For_Kids | $17,596.53 | ↑ +26% |
| Aetna | All_Plans | $35,016.00 | ↑ +151% |
| Highmark | My_Direct_Blue | $36,888.36 | ↑ +165% |
| Highmark | My_Priority_Blue_Flex | $36,888.36 | ↑ +165% |
| Highmark | Choice_Blue_PPO | $38,270.94 | ↑ +175% |
| Highmark | Performance_Blue | $38,270.94 | ↑ +175% |
| Highmark | Blue_Cross_High_Performance_Network | $38,270.94 | ↑ +175% |
| First_Health_Network | All_Plans | $38,517.00 | ↑ +177% |
| Highmark | All_Other_Plans | $46,109.95 | ↑ +231% |
Visitor-reported prices
Comments
Perc cryo ablate renal tum at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $17,461.80 | $7,000.76 – $23,282.40 |
| UPMC Carlisle | Carlisle | $20,125.80 | $4,595.39 – $28,511.55 |
| UPMC Community Osteopathic | Harrisburg | $20,125.80 | $6,333.00 – $28,511.55 |
| UPMC Hamot | Erie | $47,940.00 | $7,000.76 – $14,436.44 |
| UPMC Hanover | Hanover | $20,125.80 | $7,261.66 – $15,913.34 |
| UPMC Lititz | Lititz | $20,125.80 | $7,261.66 – $15,999.30 |
| UPMC Memorial | York | $20,125.80 | $6,538.00 – $15,973.31 |
| UPMC Mercy | Pittsburgh | $44,842.80 | $8,021.67 – $10,918.43 |