Stent iliac/open/perc/ea ad/ipsila 37223 at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$7,729.60
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.
$9,662.00
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.
$225.63 with Geisinger_Medicaid vs $9,111.27 with United_Healthcare — 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 |
|---|---|---|---|
| Geisinger_Medicaid | All_Plans | $225.63 | ↓ -97% |
| Health_Partners_Medicaid | All_Other_Plans | $225.63 | ↓ -97% |
| UPMC_Medicaid | All_Plans | $225.63 | ↓ -97% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $225.63 | ↓ -97% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $225.63 | ↓ -97% |
| Amerihealth_Caritas_Medicaid | All_Plans | $256.31 | ↓ -97% |
| Aetna_Better_Health_Kids | All_Plans | $613.70 | ↓ -92% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $1,700.51 | ↓ -78% |
| Blue_Cross | Capital_Cares_4_kids | $4,354.28 | ↓ -44% |
| Aetna | All_Plans | $5,627.00 | ↓ -27% |
| Cigna | All_Plans | $5,882.23 | ↓ -24% |
| WellSpan_Capital_Blue_Cross | All_Plans | $6,183.68 | ↓ -20% |
| First_Health_Network | All_Plans | $6,190.00 | ↓ -20% |
| Blue_Cross | Capital_Blue_Performance_PPO | $6,220.40 | ↓ -20% |
| Blue_Cross | All_Other_Plans | $6,220.40 | ↓ -20% |
| UPMC | UPMC_For_Kids | $6,280.30 | ↓ -19% |
| Tower Health | All_Plans | $6,280.30 | ↓ -19% |
| Geisinger | All_Plans | $6,280.30 | ↓ -19% |
| UPMC | Employees_And_Dependents | $6,280.30 | ↓ -19% |
| Independence_Blue_Cross | All_Plans | $6,280.30 | ↓ -19% |
| PHC | All_Plans | $6,763.40 | ↓ -13% |
| United_Healthcare | All_Plans | $9,111.27 | ↑ +18% |
Visitor-reported prices
Comments
Stent iliac/open/perc/ea ad/ipsila 37223 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $17,351.40 | $3,788.30 – $23,135.20 |
| UPMC Carlisle | Carlisle | $8,640.60 | $236.46 – $12,240.85 |
| UPMC Community Osteopathic | Harrisburg | $8,640.60 | $236.46 – $19,048.49 |
| UPMC East | Monroeville | $23,821.80 | $3,788.30 – $31,762.40 |
| UPMC Hamot | Erie | $10,869.00 | $198.55 – $4,614.66 |
| UPMC Northwest | Seneca | $16,307.40 | $3,788.30 – $11,976.81 |
| UPMC Hanover | Hanover | $8,640.60 | $236.46 – $8,744.12 |
| UPMC Jameson | New Castle | $3,688.80 | $207.57 – $8,744.12 |