Revasc intravasc lithotripsy at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$10,652.80
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.
$13,316.00
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.
$2,343.62 with Blue_Cross_BlueJourney_Medicare 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 |
|---|---|---|---|
| Blue_Cross_BlueJourney_Medicare | All_Plans | $2,343.62 | ↓ -78% |
| Blue_Cross | Capital_Cares_4_kids | $6,000.99 | ↓ -44% |
| Cigna | All_Plans | $8,106.78 | ↓ -24% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $8,505.43 | ↓ -20% |
| WellSpan_Capital_Blue_Cross | All_Plans | $8,522.24 | ↓ -20% |
| Blue_Cross | Capital_Blue_Performance_PPO | $8,572.84 | ↓ -20% |
| Blue_Cross | All_Other_Plans | $8,572.84 | ↓ -20% |
| Tower Health | All_Plans | $8,655.40 | ↓ -19% |
| Geisinger | All_Plans | $8,655.40 | ↓ -19% |
| UPMC | UPMC_For_Kids | $8,655.40 | ↓ -19% |
| UPMC | Employees_And_Dependents | $8,655.40 | ↓ -19% |
| Independence_Blue_Cross | All_Plans | $8,655.40 | ↓ -19% |
| PHC | All_Plans | $9,321.20 | ↓ -13% |
| Highmark_Medicare | All_Plans | $11,062.25 | ↑ +4% |
| Aetna_Advantra_Medicare | All_Plans | $11,281.30 | ↑ +6% |
| Aetna_Medicare | All_Plans | $11,281.30 | ↑ +6% |
| Health_Partners_Medicaid | All_Other_Plans | $11,340.57 | ↑ +6% |
| Devoted_Medicare | All_Plans | $11,500.36 | ↑ +8% |
| Geisinger_Gold_Medicare | All_Plans | $11,500.36 | ↑ +8% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $11,500.36 | ↑ +8% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $11,500.36 | ↑ +8% |
| United_Medicare | ISNP_DSNP_Plans | $11,500.36 | ↑ +8% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $11,549.64 | ↑ +8% |
| Amerihealth_Medicare | All_Plans | $11,555.12 | ↑ +8% |
| PA_Health_&_Wellness_Medicare | All_Plans | $11,828.94 | ↑ +11% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $11,828.94 | ↑ +11% |
| Aetna | All_Plans | $12,504.00 | ↑ +17% |
| United_Healthcare | All_Plans | $12,556.99 | ↑ +18% |
| First_Health_Network | All_Plans | $13,754.00 | ↑ +29% |
| Highmark | Higmark_Healthy_Kids | $17,004.10 | ↑ +60% |
| Health_Partners_Medicaid | Kidz_Partners | $18,071.99 | ↑ +70% |
| United_Medicaid | Community_Plan_For_Kids | $19,167.26 | ↑ +80% |
| Highmark | My_Priority_Blue_Flex | $40,181.15 | ↑ +277% |
| Highmark | My_Direct_Blue | $40,181.15 | ↑ +277% |
| Highmark | Performance_Blue | $41,687.15 | ↑ +291% |
| Highmark | Choice_Blue_PPO | $41,687.15 | ↑ +291% |
| Highmark | Blue_Cross_High_Performance_Network | $41,687.15 | ↑ +291% |
| Highmark | All_Other_Plans | $50,225.89 | ↑ +371% |
Visitor-reported prices
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Revasc intravasc lithotripsy at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $11,449.20 | $2,614.23 – $17,357.79 |
| UPMC Community Osteopathic | Harrisburg | $11,449.20 | $3,816.40 – $16,219.70 |
| UPMC Hamot | Erie | $11,101.80 | $2,498.08 – $15,725.10 |
| UPMC Hanover | Hanover | $11,449.20 | $8,482.70 – $17,333.84 |
| UPMC Lititz | Lititz | $11,449.20 | $8,482.70 – $17,427.46 |
| UPMC Memorial | York | $11,449.20 | $2,036.04 – $17,399.15 |
| UPMC Mercy | Pittsburgh | $13,885.80 | $2,498.08 – $11,893.06 |
| UPMC Passavant-McCandless | Pittsburgh | $11,410.20 | $2,521.87 – $11,893.06 |