Target gsa panel hmtlmph neop at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$3,160.00
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.
$3,950.00
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.
$607.62 with Amerihealth_Caritas_Medicaid vs $3,482.98 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 |
|---|---|---|---|
| Amerihealth_Caritas_Medicaid | All_Plans | $607.62 | ↓ -81% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $695.20 | ↓ -78% |
| UPMC_Medicaid | All_Plans | $759.52 | ↓ -76% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $759.53 | ↓ -76% |
| Health_Partners_Medicaid | All_Other_Plans | $759.53 | ↓ -76% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $759.53 | ↓ -76% |
| Geisinger_Medicaid | All_Plans | $759.53 | ↓ -76% |
| Highmark_Medicare | All_Plans | $767.13 | ↓ -76% |
| Aetna_Advantra_Medicare | All_Plans | $782.32 | ↓ -75% |
| Aetna_Medicare | All_Plans | $782.32 | ↓ -75% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $797.51 | ↓ -75% |
| United_Medicare | ISNP_DSNP_Plans | $797.51 | ↓ -75% |
| Devoted_Medicare | All_Plans | $797.51 | ↓ -75% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $797.51 | ↓ -75% |
| Geisinger_Gold_Medicare | All_Plans | $797.51 | ↓ -75% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $800.92 | ↓ -75% |
| Amerihealth_Medicare | All_Plans | $801.30 | ↓ -75% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $820.29 | ↓ -74% |
| PA_Health_&_Wellness_Medicare | All_Plans | $820.29 | ↓ -74% |
| Highmark | Higmark_Healthy_Kids | $1,179.17 | ↓ -63% |
| Health_Partners_Medicaid | Kidz_Partners | $1,253.22 | ↓ -60% |
| United_Medicaid | Community_Plan_For_Kids | $1,329.18 | ↓ -58% |
| Blue_Cross | Capital_Cares_4_kids | $1,780.11 | ↓ -44% |
| Aetna_Better_Health_Kids | All_Plans | $2,065.91 | ↓ -35% |
| United_Healthcare | All_Plans | $2,278.59 | ↓ -28% |
| Cigna | All_Plans | $2,520.89 | ↓ -20% |
| WellSpan_Capital_Blue_Cross | All_Plans | $2,528.00 | ↓ -20% |
| Blue_Cross | Capital_Blue_Performance_PPO | $2,543.01 | ↓ -20% |
| Blue_Cross | All_Other_Plans | $2,543.01 | ↓ -20% |
| Independence_Blue_Cross | All_Plans | $2,567.50 | ↓ -19% |
| Tower Health | All_Plans | $2,567.50 | ↓ -19% |
| Geisinger | All_Plans | $2,567.50 | ↓ -19% |
| UPMC | UPMC_For_Kids | $2,567.50 | ↓ -19% |
| UPMC | Employees_And_Dependents | $2,567.50 | ↓ -19% |
| PHC | All_Plans | $2,765.00 | ↓ -13% |
| Highmark | My_Priority_Blue_Flex | $2,786.41 | ↓ -12% |
| Highmark | My_Direct_Blue | $2,786.41 | ↓ -12% |
| Highmark | Choice_Blue_PPO | $2,890.85 | ↓ -9% |
| Highmark | Blue_Cross_High_Performance_Network | $2,890.85 | ↓ -9% |
| Highmark | Performance_Blue | $2,890.85 | ↓ -9% |
| Aetna | All_Plans | $3,136.86 | ↓ -1% |
| First_Health_Network | All_Plans | $3,448.27 | ↑ +9% |
| Highmark | All_Other_Plans | $3,482.98 | ↑ +10% |
Visitor-reported prices
Comments
Target gsa panel hmtlmph neop at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,594.40 | $453.10 – $820.29 |
| UPMC Bedford | Everett | $1,353.00 | $274.04 – $2,029.50 |
| UPMC Cole | Coudersport | $3,256.20 | $53.00 – $4,341.60 |
| UPMC East | Monroeville | $3,169.80 | $330.00 – $844.53 |
| UPMC Hamot | Erie | $9,390.00 | $89.83 – $844.53 |
| UPMC Northwest | Seneca | $7,146.00 | $668.38 – $820.29 |
| UPMC Horizon-Greenville | Greenville | $2,858.40 | $607.62 – $844.53 |
| UPMC Jameson | New Castle | $7,146.00 | $89.83 – $820.29 |