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Cath cv dl inj 7fx16cm at UPMC Somerset
225 South Center Avenue, Somerset, PA · UPMC · · NPI 1912900168
$2,185.20
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.
$3,642.00
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.
$21.80 with Highmark Wholecare (prev Gateway) vs $787.30 with UPMC Health Plan — 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 (prev Gateway) | Medicaid | $21.80 | ↓ -99% |
| Geisinger | Commercial | $25.60 | ↓ -99% |
| Aetna of PA | TPA/Carrier | $26.00 | ↓ -99% |
| United Healthcare | Commercial | $28.02 | ↓ -99% |
| Highmark BCBS of PA | Medicare Advantage | $32.17 | ↓ -99% |
| Highmark Wholecare (prev Gateway) | Medicare | $32.50 | ↓ -99% |
| Multiplan | PPO (Includes PHCS as a Payer) | $32.50 | ↓ -99% |
| Geisinger | Medicaid | $35.75 | ↓ -98% |
| Galaxy Health Plan | Commercial | $42.25 | ↓ -98% |
| Humana | Commercial | $48.75 | ↓ -98% |
| UPMC Health Plan | Commercial | $471.57 | ↓ -78% |
| UPMC Health Plan | CHIP | $787.30 | ↓ -64% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Cath cv dl inj 7fx16cm at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $2,865.60 | $6.75 – $621.69 |
| UPMC Muncy | Muncy | $532.80 | $9.15 – $54.90 |
| UPMC Northwest | Seneca | $670.80 | $54.75 – $952.71 |
| UPMC Passavant-McCandless | Pittsburgh | $1,887.00 | $1.00 – $1,142.48 |
| UPMC Presbyterian | Pittsburgh | $10,690.80 | $0.90 – $1,272.93 |
| UPMC St. Margaret | Pittsburgh | $2,257.80 | $6.75 – $966.08 |
| UPMC Wellsboro | Wellsboro | $1,068.80 | $4.28 – $59.47 |
| UPMC Williamsport | Williamsport | $1,059.00 | $7.02 – $64.40 |