Perc drug-el cor stent sing at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$27,389.60
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.
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What you pay up front if you don't use insurance.
$34,237.00
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.
$602.38 with Highmark_Wholecare_Gateway_Medicaid vs $50,225.89 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 | $602.38 | ↓ -98% |
| Aetna_Better_Health_Kids | All_Plans | $1,638.46 | ↓ -94% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $6,025.71 | ↓ -78% |
| Highmark_Medicare | All_Plans | $11,062.25 | ↓ -60% |
| Aetna_Advantra_Medicare | All_Plans | $11,281.30 | ↓ -59% |
| Aetna_Medicare | All_Plans | $11,281.30 | ↓ -59% |
| Health_Partners_Medicaid | All_Other_Plans | $11,340.57 | ↓ -59% |
| United_Medicare | ISNP_DSNP_Plans | $11,500.36 | ↓ -58% |
| Devoted_Medicare | All_Plans | $11,500.36 | ↓ -58% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $11,500.36 | ↓ -58% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $11,500.36 | ↓ -58% |
| Geisinger_Gold_Medicare | All_Plans | $11,500.36 | ↓ -58% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $11,549.64 | ↓ -58% |
| Amerihealth_Medicare | All_Plans | $11,555.12 | ↓ -58% |
| PA_Health_&_Wellness_Medicare | All_Plans | $11,828.94 | ↓ -57% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $11,828.94 | ↓ -57% |
| Blue_Cross | Capital_Cares_4_kids | $15,429.25 | ↓ -44% |
| Highmark | Higmark_Healthy_Kids | $17,004.10 | ↓ -38% |
| Health_Partners_Medicaid | Kidz_Partners | $18,071.99 | ↓ -34% |
| United_Medicaid | Community_Plan_For_Kids | $19,167.26 | ↓ -30% |
| Cigna | All_Plans | $20,843.49 | ↓ -24% |
| WellSpan_Capital_Blue_Cross | All_Plans | $21,911.68 | ↓ -20% |
| Blue_Cross | Capital_Blue_Performance_PPO | $22,041.78 | ↓ -20% |
| Blue_Cross | All_Other_Plans | $22,041.78 | ↓ -20% |
| Tower Health | All_Plans | $22,254.05 | ↓ -19% |
| UPMC | Employees_And_Dependents | $22,254.05 | ↓ -19% |
| UPMC | UPMC_For_Kids | $22,254.05 | ↓ -19% |
| Geisinger | All_Plans | $22,254.05 | ↓ -19% |
| Independence_Blue_Cross | All_Plans | $22,254.05 | ↓ -19% |
| PHC | All_Plans | $23,965.90 | ↓ -13% |
| Aetna | All_Plans | $29,397.00 | ↑ +7% |
| United_Healthcare | All_Plans | $32,285.49 | ↑ +18% |
| First_Health_Network | All_Plans | $32,336.00 | ↑ +18% |
| Highmark | My_Priority_Blue_Flex | $40,181.15 | ↑ +47% |
| Highmark | My_Direct_Blue | $40,181.15 | ↑ +47% |
| Highmark | Choice_Blue_PPO | $41,687.15 | ↑ +52% |
| Highmark | Performance_Blue | $41,687.15 | ↑ +52% |
| Highmark | Blue_Cross_High_Performance_Network | $41,687.15 | ↑ +52% |
| Highmark | All_Other_Plans | $50,225.89 | ↑ +83% |
Visitor-reported prices
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Perc drug-el cor stent sing at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $10,182.60 | $2,142.86 – $13,576.80 |
| UPMC Carlisle | Carlisle | $15,411.00 | $3,518.84 – $21,832.25 |
| UPMC Community Osteopathic | Harrisburg | $15,411.00 | $5,137.00 – $21,832.25 |
| UPMC East | Monroeville | $11,297.40 | $2,163.27 – $15,063.20 |
| UPMC Hamot | Erie | $22,600.20 | $2,142.86 – $2,142.86 |
| UPMC Hanover | Hanover | $15,411.00 | $8,220.80 – $17,333.84 |
| UPMC Jameson | New Castle | $11,088.60 | $673.30 – $8,220.80 |
| UPMC Lititz | Lititz | $15,411.00 | $8,220.80 – $17,427.46 |