CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Wellspan Ephrata Community Hospital

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$11,291
about 2.0× the $5,676 Medicare rate · typically $6,687–$15,673
modeled estimate · not a bill or quote
What this hospital charges insurers
$12,534
About the fair price
about $1,243 over the fair price · 2.2× Medicare
Medicare pays $5,676 Fair price $11,291 This hospital $12,534

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $4,806 Priciest $12,534

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

A fair price for a Digestive disorders treatment (inpatient stay) is about $11,291 (about 2.0× the $5,676 Medicare rate). Wellspan Ephrata Community Hospital charges insurers about $12,534 — about the fair price. Located in Ephrata, PA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $16,347 288%
Blue Cross Blue Shieldmajor $8,135 - $29,127 143%
Aetnamajor $5,397 - $18,575 95%
Geisinger $18,594 328%
Government programs also on file: Medicare, Medicaid.

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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