Revasc lithotrip tibi/perone at WellSpan Ephrata Community Hospital

169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 17, 2026

$5,476.00

Cash price

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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.

$6,845.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$589.13 with Health_Partners_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 →

Payer
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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
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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
Health_Partners_Medicaid All_Other_Plans $589.13 ↓ -89%
Geisinger_Medicaid All_Plans $589.13 ↓ -89%
Blue_Cross_BlueJourney_Medicare All_Plans $1,204.72 ↓ -78%
Blue_Cross Capital_Cares_4_kids $3,084.77 ↓ -44%
Cigna All_Plans $4,167.24 ↓ -24%
WellSpan_Capital_Blue_Cross All_Plans $4,380.80 ↓ -20%
Blue_Cross Capital_Blue_Performance_PPO $4,406.81 ↓ -20%
Blue_Cross All_Other_Plans $4,406.81 ↓ -20%
Geisinger All_Plans $4,449.25 ↓ -19%
Tower Health All_Plans $4,449.25 ↓ -19%
Independence_Blue_Cross All_Plans $4,449.25 ↓ -19%
UPMC UPMC_For_Kids $4,449.25 ↓ -19%
UPMC Employees_And_Dependents $4,449.25 ↓ -19%
PHC All_Plans $4,791.50 ↓ -13%
United_Healthcare All_Plans $6,454.84 ↑ +18%
Highmark_Wholecare_Gateway_Medicaid All_Plans $8,505.43 ↑ +55%
Highmark_Medicare All_Plans $11,062.25 ↑ +102%
Aetna_Medicare All_Plans $11,281.30 ↑ +106%
Aetna_Advantra_Medicare All_Plans $11,281.30 ↑ +106%
Devoted_Medicare All_Plans $11,500.36 ↑ +110%
Geisinger_Gold_Medicare All_Plans $11,500.36 ↑ +110%
UPMC_Medicare UPMC_for_Life_Complete_Care $11,500.36 ↑ +110%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $11,500.36 ↑ +110%
United_Medicare ISNP_DSNP_Plans $11,500.36 ↑ +110%
Highmark_Wholecare_Gateway_Medicare All_Plans $11,549.64 ↑ +111%
Amerihealth_Medicare All_Plans $11,555.12 ↑ +111%
Jefferson_Health_Medicare_Advantage All_Plans $11,828.94 ↑ +116%
PA_Health_&_Wellness_Medicare All_Plans $11,828.94 ↑ +116%
Aetna All_Plans $12,504.00 ↑ +128%
First_Health_Network All_Plans $13,754.00 ↑ +151%
Highmark Higmark_Healthy_Kids $17,004.10 ↑ +211%
Health_Partners_Medicaid Kidz_Partners $18,071.99 ↑ +230%
United_Medicaid Community_Plan_For_Kids $19,167.26 ↑ +250%
Highmark My_Direct_Blue $40,181.15 ↑ +634%
Highmark My_Priority_Blue_Flex $40,181.15 ↑ +634%
Highmark Blue_Cross_High_Performance_Network $41,687.15 ↑ +661%
Highmark Performance_Blue $41,687.15 ↑ +661%
Highmark Choice_Blue_PPO $41,687.15 ↑ +661%
Highmark All_Other_Plans $50,225.89 ↑ +817%

Visitor-reported prices

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Revasc lithotrip tibi/perone at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Carlisle Carlisle $22,833.60 $5,213.67 – $32,347.60
UPMC Community Osteopathic Harrisburg $22,833.60 $4,374.00 – $32,347.60
UPMC Hanover Hanover $22,833.60 $8,482.70 – $17,333.84
UPMC Lititz Lititz $22,833.60 $8,482.70 – $17,427.46
UPMC Memorial York $22,833.60 $3,466.47 – $17,399.15
UPMC Mercy Pittsburgh $23,640.60 $4,253.12 – $11,893.06
UPMC Passavant-McCandless Pittsburgh $23,097.00 $4,293.62 – $11,893.06
UPMC Somerset Somerset $22,833.60 $4,210.10 – $11,675.74

All Pennsylvania hospitals for this procedure →