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CT neck soft tissue without contrast at UPMC Somerset
225 South Center Avenue, Somerset, PA · UPMC · · NPI 1912900168
$796.80
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.
$1,328.00
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.
$87.82 with Geisinger vs $877.07 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 |
|---|---|---|---|
| Geisinger | Commercial | $87.82 | ↓ -89% |
| Aetna of PA | TPA/Carrier | $89.20 | ↓ -89% |
| United Healthcare Community Plan for Families | PA Medicaid | $90.85 | ↓ -89% |
| United Healthcare | Commercial | $96.11 | ↓ -88% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Together Blue Medicare Advantage | $100.37 | ↓ -87% |
| AmeriHealth Caritas | Medicare | $101.38 | ↓ -87% |
| UPMC Health Plan | Managed Medicare | $101.38 | ↓ -87% |
| United Healthcare | Medicare | $101.38 | ↓ -87% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $103.41 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicare | $109.48 | ↓ -86% |
| Multiplan | PPO (Includes PHCS as a Payer) | $111.50 | ↓ -86% |
| UPMC Health Plan | Managed Medicaid | $144.65 | ↓ -82% |
| Galaxy Health Plan | Commercial | $144.95 | ↓ -82% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $150.36 | ↓ -81% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $150.96 | ↓ -81% |
| Humana | Commercial | $167.25 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicaid | $168.71 | ↓ -79% |
| Geisinger | Medicaid | $182.77 | ↓ -77% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $190.31 | ↓ -76% |
| Highmark BCBS of PA | Medicare Advantage | $277.91 | ↓ -65% |
| UPMC Work Partners | Workers Comp | $558.68 | ↓ -30% |
| UPMC Health Plan | Commercial | $659.70 | ↓ -17% |
| UPMC Health Plan | CHIP | $877.07 | ↑ +10% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
CT neck soft tissue without contrast at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $1,795.80 | $94.21 – $2,544.05 |
| UPMC Mercy | Pittsburgh | $1,950.00 | $84.51 – $2,925.00 |
| UPMC Muncy | Muncy | $2,061.60 | $101.12 – $2,748.80 |
| UPMC Northwest | Seneca | $1,226.40 | $91.94 – $1,737.40 |
| UPMC Presbyterian | Pittsburgh | $2,937.00 | $94.80 – $4,160.75 |
| UPMC St. Margaret | Pittsburgh | $1,740.00 | $87.53 – $2,465.00 |
| UPMC Wellsboro | Wellsboro | $2,492.80 | $101.12 – $2,804.40 |
| UPMC Williamsport | Williamsport | $2,061.60 | $101.12 – $2,748.80 |