Perc d-e cor stent ather s at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$28,191.20
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.
$35,239.00
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.
$673.61 with Highmark_Wholecare_Gateway_Medicaid vs $79,527.96 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 |
|---|---|---|---|
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $673.61 | ↓ -98% |
| Aetna_Better_Health_Kids | All_Plans | $1,832.23 | ↓ -94% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $6,202.06 | ↓ -78% |
| Blue_Cross | Capital_Cares_4_kids | $15,880.81 | ↓ -44% |
| Highmark_Medicare | All_Plans | $17,516.03 | ↓ -38% |
| Aetna_Advantra_Medicare | All_Plans | $17,862.88 | ↓ -37% |
| Aetna_Medicare | All_Plans | $17,862.88 | ↓ -37% |
| Health_Partners_Medicaid | All_Other_Plans | $17,956.72 | ↓ -36% |
| Devoted_Medicare | All_Plans | $18,209.73 | ↓ -35% |
| Geisinger_Gold_Medicare | All_Plans | $18,209.73 | ↓ -35% |
| United_Medicare | ISNP_DSNP_Plans | $18,209.73 | ↓ -35% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $18,209.73 | ↓ -35% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $18,209.73 | ↓ -35% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $18,287.77 | ↓ -35% |
| Amerihealth_Medicare | All_Plans | $18,296.44 | ↓ -35% |
| PA_Health_&_Wellness_Medicare | All_Plans | $18,730.01 | ↓ -34% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $18,730.01 | ↓ -34% |
| Cigna | All_Plans | $21,453.50 | ↓ -24% |
| WellSpan_Capital_Blue_Cross | All_Plans | $22,552.96 | ↓ -20% |
| Blue_Cross | Capital_Blue_Performance_PPO | $22,686.87 | ↓ -20% |
| Blue_Cross | All_Other_Plans | $22,686.87 | ↓ -20% |
| Tower Health | All_Plans | $22,905.35 | ↓ -19% |
| UPMC | Employees_And_Dependents | $22,905.35 | ↓ -19% |
| UPMC | UPMC_For_Kids | $22,905.35 | ↓ -19% |
| Geisinger | All_Plans | $22,905.35 | ↓ -19% |
| Independence_Blue_Cross | All_Plans | $22,905.35 | ↓ -19% |
| PHC | All_Plans | $24,667.30 | ↓ -13% |
| Highmark | Higmark_Healthy_Kids | $26,924.39 | ↓ -4% |
| Health_Partners_Medicaid | Kidz_Partners | $28,615.29 | ↑ +2% |
| Aetna | All_Plans | $29,397.00 | ↑ +4% |
| United_Medicaid | Community_Plan_For_Kids | $30,349.55 | ↑ +8% |
| First_Health_Network | All_Plans | $32,336.00 | ↑ +15% |
| United_Healthcare | All_Plans | $33,230.38 | ↑ +18% |
| Highmark | My_Priority_Blue_Flex | $63,623.06 | ↑ +126% |
| Highmark | My_Direct_Blue | $63,623.06 | ↑ +126% |
| Highmark | Blue_Cross_High_Performance_Network | $66,007.67 | ↑ +134% |
| Highmark | Choice_Blue_PPO | $66,007.67 | ↑ +134% |
| Highmark | Performance_Blue | $66,007.67 | ↑ +134% |
| Highmark | All_Other_Plans | $79,527.96 | ↑ +182% |
Visitor-reported prices
Comments
Perc d-e cor stent ather s at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $10,520.40 | $2,142.86 – $18,489.15 |
| UPMC Carlisle | Carlisle | $24,161.40 | $5,516.85 – $34,228.65 |
| UPMC Community Osteopathic | Harrisburg | $24,161.40 | $6,466.00 – $34,228.65 |
| UPMC East | Monroeville | $13,883.40 | $2,163.27 – $18,511.20 |
| UPMC Hamot | Erie | $22,600.20 | $2,142.86 – $2,142.86 |
| UPMC Hanover | Hanover | $24,161.40 | $13,143.20 – $27,446.48 |
| UPMC Lititz | Lititz | $24,161.40 | $13,143.20 – $27,594.74 |
| UPMC Memorial | York | $24,161.40 | $1,746.52 – $27,549.92 |