Reticulated platelet assay at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$148.80
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.
?
What you pay up front if you don't use insurance.
$186.00
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.
$29.93 with Amerihealth_Caritas_Medicaid vs $163.89 with Highmark — 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 |
|---|---|---|---|
| Amerihealth_Caritas_Medicaid | All_Plans | $29.93 | ↓ -80% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $32.74 | ↓ -78% |
| Highmark_Medicare | All_Plans | $36.10 | ↓ -76% |
| Aetna_Advantra_Medicare | All_Plans | $36.81 | ↓ -75% |
| Aetna_Medicare | All_Plans | $36.81 | ↓ -75% |
| Geisinger_Medicaid | All_Plans | $37.41 | ↓ -75% |
| UPMC_Medicaid | All_Plans | $37.41 | ↓ -75% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $37.41 | ↓ -75% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $37.41 | ↓ -75% |
| Health_Partners_Medicaid | All_Other_Plans | $37.41 | ↓ -75% |
| United_Medicare | ISNP_DSNP_Plans | $37.53 | ↓ -75% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $37.53 | ↓ -75% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $37.53 | ↓ -75% |
| Devoted_Medicare | All_Plans | $37.53 | ↓ -75% |
| Geisinger_Gold_Medicare | All_Plans | $37.53 | ↓ -75% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $37.69 | ↓ -75% |
| Amerihealth_Medicare | All_Plans | $37.71 | ↓ -75% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $38.60 | ↓ -74% |
| PA_Health_&_Wellness_Medicare | All_Plans | $38.60 | ↓ -74% |
| Highmark | Higmark_Healthy_Kids | $55.49 | ↓ -63% |
| Health_Partners_Medicaid | Kidz_Partners | $58.97 | ↓ -60% |
| United_Medicaid | Community_Plan_For_Kids | $62.55 | ↓ -58% |
| PHC | All_Plans | $74.40 | ↓ -50% |
| Blue_Cross | Capital_Cares_4_kids | $83.82 | ↓ -44% |
| Aetna_Better_Health_Kids | All_Plans | $101.76 | ↓ -32% |
| United_Healthcare | All_Plans | $107.22 | ↓ -28% |
| Cigna | All_Plans | $118.71 | ↓ -20% |
| WellSpan_Capital_Blue_Cross | All_Plans | $119.04 | ↓ -20% |
| Blue_Cross | Capital_Blue_Performance_PPO | $119.75 | ↓ -20% |
| Blue_Cross | All_Other_Plans | $119.75 | ↓ -20% |
| Independence_Blue_Cross | All_Plans | $120.90 | ↓ -19% |
| Tower Health | All_Plans | $120.90 | ↓ -19% |
| Geisinger | All_Plans | $120.90 | ↓ -19% |
| UPMC | UPMC_For_Kids | $120.90 | ↓ -19% |
| UPMC | Employees_And_Dependents | $120.90 | ↓ -19% |
| Highmark | My_Priority_Blue_Flex | $131.12 | ↓ -12% |
| Highmark | My_Direct_Blue | $131.12 | ↓ -12% |
| Highmark | Performance_Blue | $136.03 | ↓ -9% |
| Highmark | Choice_Blue_PPO | $136.03 | ↓ -9% |
| Highmark | Blue_Cross_High_Performance_Network | $136.03 | ↓ -9% |
| Aetna | All_Plans | $147.61 | ↓ -1% |
| First_Health_Network | All_Plans | $162.26 | ↑ +9% |
| Highmark | All_Other_Plans | $163.89 | ↑ +10% |
Visitor-reported prices
Comments
Reticulated platelet assay at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Magee | Pittsburgh | $283.20 | $14.87 – $72.55 |
| UPMC Passavant-McCandless | Pittsburgh | $313.80 | $14.17 – $72.55 |
| UPMC Presbyterian | Pittsburgh | $396.00 | $14.95 – $72.55 |
| WellSpan Chambersburg Hospital | Chambersburg | $185.60 | $29.93 – $167.04 |
| Uniontown Hospital | Uniontown | $139.00 | $32.92 – $74.23 |
| WellSpan Waynesboro Hospital | Waynesboro | $185.60 | $3.75 – $176.65 |
| WellSpan Good Samaritan Hospital | Lebanon | $220.80 | $35.74 – $162.26 |
| WellSpan Gettysburg Hospital | Gettysburg | $176.00 | $29.93 – $147.61 |