CMS Price Transparency Data

Blood test, liver function panel

Facility: Wellspan Ephrata Community Hospital

Billing Code: 80076 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$22
about 2.8× the $8 Medicare rate · typically $9–$31
modeled estimate · not a bill or quote
Medicare pays $8 Fair price $22 Cash price $25 Hospital's list price $43

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $25 306%
Blue Cross Blue Shieldmajor $13 - $37 159%
Aetnamajor $8 - $34 98%
Cignamajor $27 - $36 330%
Geisinger $28 343%
UPMC Health Plan $28 - $34 343%
+ 1 smaller / regional plan $28 - $29
Government programs also on file: Medicare, Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 169 Martin Avenue, Ephrata, PA 17522
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals