Splint dorsal bloc wh med perf 3.2mm lf polyflex ii at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$637.60
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.
$797.00
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.
$140.27 with Blue_Cross_BlueJourney_Medicare vs $2,160.97 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 | $140.27 | ↓ -78% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $312.50 | ↓ -51% |
| Blue_Cross | Capital_Cares_4_kids | $359.18 | ↓ -44% |
| Health_Partners_Medicaid | All_Other_Plans | $471.24 | ↓ -26% |
| Highmark_Medicare | All_Plans | $475.95 | ↓ -25% |
| Cigna | All_Plans | $485.21 | ↓ -24% |
| Aetna_Advantra_Medicare | All_Plans | $485.38 | ↓ -24% |
| Aetna_Medicare | All_Plans | $485.38 | ↓ -24% |
| Devoted_Medicare | All_Plans | $494.80 | ↓ -22% |
| Geisinger_Gold_Medicare | All_Plans | $494.80 | ↓ -22% |
| United_Medicare | ISNP_DSNP_Plans | $494.80 | ↓ -22% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $494.80 | ↓ -22% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $494.80 | ↓ -22% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $496.92 | ↓ -22% |
| Amerihealth_Medicare | All_Plans | $497.16 | ↓ -22% |
| PA_Health_&_Wellness_Medicare | All_Plans | $508.94 | ↓ -20% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $508.94 | ↓ -20% |
| WellSpan_Capital_Blue_Cross | All_Plans | $510.08 | ↓ -20% |
| Blue_Cross | All_Other_Plans | $513.11 | ↓ -20% |
| Blue_Cross | Capital_Blue_Performance_PPO | $513.11 | ↓ -20% |
| Tower Health | All_Plans | $518.05 | ↓ -19% |
| UPMC | Employees_And_Dependents | $518.05 | ↓ -19% |
| UPMC | UPMC_For_Kids | $518.05 | ↓ -19% |
| Geisinger | All_Plans | $518.05 | ↓ -19% |
| Independence_Blue_Cross | All_Plans | $518.05 | ↓ -19% |
| PHC | All_Plans | $557.90 | ↓ -13% |
| Aetna | All_Plans | $616.88 | ↓ -3% |
| First_Health_Network | All_Plans | $678.25 | ↑ +6% |
| Highmark | Higmark_Healthy_Kids | $731.60 | ↑ +15% |
| United_Healthcare | All_Plans | $751.57 | ↑ +18% |
| Health_Partners_Medicaid | Kidz_Partners | $777.55 | ↑ +22% |
| United_Medicaid | Community_Plan_For_Kids | $824.67 | ↑ +29% |
| Aetna_Better_Health_Kids | All_Plans | $850.00 | ↑ +33% |
| Highmark | My_Direct_Blue | $1,728.79 | ↑ +171% |
| Highmark | My_Priority_Blue_Flex | $1,728.79 | ↑ +171% |
| Highmark | Blue_Cross_High_Performance_Network | $1,793.59 | ↑ +181% |
| Highmark | Performance_Blue | $1,793.59 | ↑ +181% |
| Highmark | Choice_Blue_PPO | $1,793.59 | ↑ +181% |
| Highmark | All_Other_Plans | $2,160.97 | ↑ +239% |
Visitor-reported prices
Comments
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Cole | Coudersport | $465.60 | $147.44 – $723.38 |
| UPMC Muncy | Muncy | $542.40 | $320.00 – $773.85 |
| UPMC Passavant-McCandless | Pittsburgh | $2,893.80 | $263.62 – $841.14 |
| UPMC Wellsboro | Wellsboro | $656.00 | $320.00 – $723.38 |
| WellSpan Chambersburg Hospital | Chambersburg | $552.00 | $312.50 – $2,096.22 |
| WellSpan Surgery & Rehabilitation Hospital | York PA 17403 | $552.80 | $471.24 – $850.00 |
| WellSpan Waynesboro Hospital | Waynesboro | $552.00 | $50.63 – $1,602.22 |
| WellSpan Good Samaritan Hospital | Lebanon | $147.20 | $312.50 – $824.67 |