Test pathogen(s) for platelets reference at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$238.40
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.
$298.00
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.
$44.55 with Highmark_Wholecare_Gateway_Medicaid vs $263.08 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 |
|---|---|---|---|
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $44.55 | ↓ -81% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $52.45 | ↓ -78% |
| United_Medicaid | Community_Plan_For_Kids | $57.37 | ↓ -76% |
| Health_Partners_Medicaid | All_Other_Plans | $57.37 | ↓ -76% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $57.37 | ↓ -76% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $57.37 | ↓ -76% |
| Highmark_Medicare | All_Plans | $57.94 | ↓ -76% |
| Aetna_Advantra_Medicare | All_Plans | $59.09 | ↓ -75% |
| Aetna_Medicare | All_Plans | $59.09 | ↓ -75% |
| United_Medicare | ISNP_DSNP_Plans | $60.24 | ↓ -75% |
| Geisinger_Gold_Medicare | All_Plans | $60.24 | ↓ -75% |
| Devoted_Medicare | All_Plans | $60.24 | ↓ -75% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $60.50 | ↓ -75% |
| Amerihealth_Medicare | All_Plans | $60.53 | ↓ -75% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $61.96 | ↓ -74% |
| PA_Health_&_Wellness_Medicare | All_Plans | $61.96 | ↓ -74% |
| Highmark | Higmark_Healthy_Kids | $89.07 | ↓ -63% |
| Health_Partners_Medicaid | Kidz_Partners | $94.66 | ↓ -60% |
| PHC | All_Plans | $119.20 | ↓ -50% |
| Blue_Cross | Capital_Cares_4_kids | $134.30 | ↓ -44% |
| United_Healthcare | All_Plans | $174.84 | ↓ -27% |
| Cigna | All_Plans | $190.18 | ↓ -20% |
| WellSpan_Capital_Blue_Cross | All_Plans | $190.72 | ↓ -20% |
| Blue_Cross | Capital_Blue_Performance_PPO | $191.85 | ↓ -20% |
| Blue_Cross | All_Other_Plans | $191.85 | ↓ -20% |
| Tower Health | All_Plans | $193.70 | ↓ -19% |
| UPMC | Employees_And_Dependents | $193.70 | ↓ -19% |
| UPMC | UPMC_For_Kids | $193.70 | ↓ -19% |
| Geisinger | All_Plans | $193.70 | ↓ -19% |
| Independence_Blue_Cross | All_Plans | $193.70 | ↓ -19% |
| Highmark | My_Priority_Blue_Flex | $210.47 | ↓ -12% |
| Highmark | My_Direct_Blue | $210.47 | ↓ -12% |
| Highmark | Blue_Cross_High_Performance_Network | $218.36 | ↓ -8% |
| Highmark | Performance_Blue | $218.36 | ↓ -8% |
| Highmark | Choice_Blue_PPO | $218.36 | ↓ -8% |
| Aetna | All_Plans | $230.65 | ↓ -3% |
| First_Health_Network | All_Plans | $253.60 | ↑ +6% |
| Highmark | All_Other_Plans | $263.08 | ↑ +10% |
Visitor-reported prices
Comments
Test pathogen(s) for platelets reference at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Carlisle | Carlisle | $51.00 | $11.64 – $90.91 |
| UPMC Community Osteopathic | Harrisburg | $51.00 | $17.00 – $72.25 |
| UPMC Hanover | Hanover | $51.00 | $45.93 – $90.78 |
| UPMC Lititz | Lititz | $51.00 | $45.93 – $91.28 |
| UPMC Memorial | York | $51.00 | $5.42 – $91.14 |
| UPMC Somerset | Somerset | $51.00 | $6.59 – $61.15 |
| WellSpan Surgery & Rehabilitation Hospital | York PA 17403 | $238.40 | $57.50 – $174.84 |
| WellSpan Good Samaritan Hospital | Lebanon | $238.40 | $44.55 – $102.69 |