Revision of cervix at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$4,396.80
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.
$5,496.00
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.
$243.75 with Highmark_Wholecare_Gateway_Medicaid vs $14,081.72 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 |
|---|---|---|---|
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $243.75 | ↓ -94% |
| UPMC_Medicaid | All_Plans | $243.75 | ↓ -94% |
| Aetna_Better_Health_Kids | All_Plans | $663.00 | ↓ -85% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $967.30 | ↓ -78% |
| Blue_Cross | Capital_Cares_4_kids | $2,476.83 | ↓ -44% |
| Health_Partners_Medicaid | All_Other_Plans | $3,070.79 | ↓ -30% |
| Highmark_Medicare | All_Plans | $3,101.50 | ↓ -29% |
| Aetna_Medicare | All_Plans | $3,162.91 | ↓ -28% |
| Aetna_Advantra_Medicare | All_Plans | $3,162.91 | ↓ -28% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $3,224.33 | ↓ -27% |
| United_Medicare | ISNP_DSNP_Plans | $3,224.33 | ↓ -27% |
| Devoted_Medicare | All_Plans | $3,224.33 | ↓ -27% |
| Geisinger_Gold_Medicare | All_Plans | $3,224.33 | ↓ -27% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $3,224.33 | ↓ -27% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $3,238.15 | ↓ -26% |
| Amerihealth_Medicare | All_Plans | $3,239.68 | ↓ -26% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $3,316.45 | ↓ -25% |
| PA_Health_&_Wellness_Medicare | All_Plans | $3,316.45 | ↓ -25% |
| Cigna | All_Plans | $3,345.96 | ↓ -24% |
| WellSpan_Capital_Blue_Cross | All_Plans | $3,517.44 | ↓ -20% |
| Blue_Cross | All_Other_Plans | $3,538.32 | ↓ -20% |
| Blue_Cross | Capital_Blue_Performance_PPO | $3,538.32 | ↓ -20% |
| Tower Health | All_Plans | $3,572.40 | ↓ -19% |
| UPMC | Employees_And_Dependents | $3,572.40 | ↓ -19% |
| UPMC | UPMC_For_Kids | $3,572.40 | ↓ -19% |
| Geisinger | All_Plans | $3,572.40 | ↓ -19% |
| Independence_Blue_Cross | All_Plans | $3,572.40 | ↓ -19% |
| PHC | All_Plans | $3,847.20 | ↓ -13% |
| Aetna | All_Plans | $4,253.90 | ↓ -3% |
| First_Health_Network | All_Plans | $4,677.10 | ↑ +6% |
| Highmark | Higmark_Healthy_Kids | $4,767.40 | ↑ +8% |
| Health_Partners_Medicaid | Kidz_Partners | $5,066.80 | ↑ +15% |
| United_Healthcare | All_Plans | $5,182.73 | ↑ +18% |
| United_Medicaid | Community_Plan_For_Kids | $5,373.88 | ↑ +22% |
| Highmark | My_Direct_Blue | $11,265.50 | ↑ +156% |
| Highmark | My_Priority_Blue_Flex | $11,265.50 | ↑ +156% |
| Highmark | Performance_Blue | $11,687.73 | ↑ +166% |
| Highmark | Choice_Blue_PPO | $11,687.73 | ↑ +166% |
| Highmark | Blue_Cross_High_Performance_Network | $11,687.73 | ↑ +166% |
| Highmark | All_Other_Plans | $14,081.72 | ↑ +220% |
Visitor-reported prices
Comments
Revision of cervix at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Horizon-Greenville | Greenville | $4,024.20 | $651.86 – $3,273.80 |
| Uniontown Hospital | Uniontown | $3,720.50 | $205.80 – $6,516.82 |
| UPMC Altoona | Altoona | not published | $644.44 – $3,273.80 |