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CT Scan of Abdomen and Pelvis (with contrast) at UPMC Somerset
225 South Center Avenue, Somerset, PA · UPMC · · NPI 1912900168
$2,985.60
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.
$4,976.00
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.
$221.64 with United Healthcare Community Plan for Families vs $3,952.42 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $221.64 | ↓ -93% |
| Geisinger | Commercial | $221.71 | ↓ -93% |
| Aetna of PA | TPA/Carrier | $225.20 | ↓ -92% |
| United Healthcare | Commercial | $242.65 | ↓ -92% |
| Multiplan | PPO (Includes PHCS as a Payer) | $281.50 | ↓ -91% |
| UPMC Health Plan | Managed Medicaid | $289.48 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $302.11 | ↓ -90% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Together Blue Medicare Advantage | $337.08 | ↓ -89% |
| Highmark Wholecare (prev Gateway) | Medicaid | $337.63 | ↓ -89% |
| AmeriHealth Caritas | Medicare | $340.48 | ↓ -89% |
| UPMC Health Plan | Managed Medicare | $340.48 | ↓ -89% |
| United Healthcare | Medicare | $340.48 | ↓ -89% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $347.29 | ↓ -88% |
| Geisinger | Medicaid | $365.77 | ↓ -88% |
| Galaxy Health Plan | Commercial | $365.95 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicare | $367.68 | ↓ -88% |
| Humana | Commercial | $422.25 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $501.96 | ↓ -83% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $504.97 | ↓ -83% |
| Highmark BCBS of PA | Medicare Advantage | $543.09 | ↓ -82% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $639.15 | ↓ -79% |
| UPMC Health Plan | Commercial | $2,972.86 | ↓ -0% |
| UPMC Health Plan | CHIP | $3,952.42 | ↑ +32% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
CT Scan of Abdomen and Pelvis (with contrast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $5,632.80 | $289.48 – $7,510.40 |
| UPMC Passavant-McCandless | Pittsburgh | $5,436.60 | $289.48 – $7,701.85 |
| UPMC Hamot | Erie | $6,945.60 | $210.72 – $8,103.20 |
| UPMC Carlisle | Carlisle | $2,985.60 | $252.48 – $4,229.60 |
| UPMC Altoona | Altoona | $2,737.80 | $192.73 – $3,650.40 |
| UPMC Bedford | Everett | $1,915.20 | $122.85 – $2,872.80 |
| UPMC Cole | Coudersport | $1,431.00 | $276.32 – $1,908.00 |
| UPMC Community Osteopathic | Harrisburg | $2,985.60 | $112.60 – $3,952.42 |