X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast at WellSpan Ephrata Community Hospital

169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 17, 2026

$811.20

Cash price

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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.

$1,014.00

Gross charge

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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.

$50.00 with UPMC_Medicaid vs $1,006.60 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 →

Payer
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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
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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
UPMC_Medicaid All_Plans $50.00 ↓ -94%
Health_Partners_Medicaid All_Other_Plans $83.13 ↓ -90%
PA_Health_&_Wellness_Medicaid All_Plans $83.13 ↓ -90%
Highmark_Wholecare_Gateway_Medicaid All_Plans $83.13 ↓ -90%
Geisinger_Medicaid All_Plans $83.13 ↓ -90%
Amerihealth_Caritas_Medicaid All_Plans $94.43 ↓ -88%
Highmark_Medicare All_Plans $173.65 ↓ -79%
Aetna_Advantra_Medicare All_Plans $177.09 ↓ -78%
Aetna_Medicare All_Plans $177.09 ↓ -78%
Blue_Cross_BlueJourney_Medicare All_Plans $178.46 ↓ -78%
Devoted_Medicare All_Plans $180.53 ↓ -78%
United_Medicare ISNP_DSNP_Plans $180.53 ↓ -78%
UPMC_Medicare UPMC_for_Life_Community_HealthChoices $180.53 ↓ -78%
UPMC_Medicare UPMC_for_Life_Complete_Care $180.53 ↓ -78%
Geisinger_Gold_Medicare All_Plans $180.53 ↓ -78%
Highmark_Wholecare_Gateway_Medicare All_Plans $181.30 ↓ -78%
Amerihealth_Medicare All_Plans $181.39 ↓ -78%
PA_Health_&_Wellness_Medicare All_Plans $185.68 ↓ -77%
Jefferson_Health_Medicare_Advantage All_Plans $185.68 ↓ -77%
Aetna_Better_Health_Kids All_Plans $226.10 ↓ -72%
Highmark Higmark_Healthy_Kids $266.92 ↓ -67%
Health_Partners_Medicaid Kidz_Partners $283.68 ↓ -65%
United_Medicaid Community_Plan_For_Kids $300.88 ↓ -63%
Blue_Cross Capital_Cares_4_kids $456.97 ↓ -44%
Cigna All_Plans $597.35 ↓ -26%
Highmark My_Priority_Blue_Flex $630.74 ↓ -22%
Highmark My_Direct_Blue $630.74 ↓ -22%
WellSpan_Capital_Blue_Cross All_Plans $648.96 ↓ -20%
Blue_Cross Capital_Blue_Performance_PPO $652.81 ↓ -20%
Blue_Cross All_Other_Plans $652.81 ↓ -20%
Highmark Performance_Blue $654.38 ↓ -19%
Highmark Choice_Blue_PPO $654.38 ↓ -19%
Highmark Blue_Cross_High_Performance_Network $654.38 ↓ -19%
Tower Health All_Plans $659.10 ↓ -19%
UPMC Employees_And_Dependents $659.10 ↓ -19%
UPMC UPMC_For_Kids $659.10 ↓ -19%
Geisinger All_Plans $659.10 ↓ -19%
Independence_Blue_Cross All_Plans $659.10 ↓ -19%
PHC All_Plans $709.80 ↓ -13%
Aetna All_Plans $784.84 ↓ -3%
Highmark All_Other_Plans $788.42 ↓ -3%
First_Health_Network All_Plans $862.91 ↑ +6%
United_Healthcare All_Plans $1,006.60 ↑ +24%

Visitor-reported prices

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X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast at other Pennsylvania hospitals

Hospital City Cash price Negotiated range
UPMC Altoona Altoona $372.60 $40.00 – $496.80
UPMC Bedford Everett $497.40 $61.23 – $746.10
UPMC Carlisle Carlisle $427.80 $52.40 – $606.05
UPMC Cole Coudersport $406.20 $69.83 – $541.60
UPMC Community Osteopathic Harrisburg $427.80 $52.40 – $606.05
UPMC East Monroeville $674.40 $73.15 – $899.20
UPMC Hamot Erie $690.00 $73.15 – $270.53
UPMC Northwest Seneca $520.80 $73.15 – $237.55

All Pennsylvania hospitals for this procedure →