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Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast at UPMC Somerset
225 South Center Avenue, Somerset, PA · UPMC · · NPI 1912900168
$1,424.40
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.
$2,374.00
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.
$168.02 with Highmark BCBS of PA vs $1,965.60 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 BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Together Blue Medicare Advantage | $168.02 | ↓ -88% |
| AmeriHealth Caritas | Medicare | $169.72 | ↓ -88% |
| UPMC Health Plan | Managed Medicare | $169.72 | ↓ -88% |
| United Healthcare | Medicare | $169.72 | ↓ -88% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $173.11 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicare | $183.28 | ↓ -87% |
| Geisinger | Commercial | $183.51 | ↓ -87% |
| Aetna of PA | TPA/Carrier | $186.40 | ↓ -87% |
| United Healthcare | Commercial | $200.85 | ↓ -86% |
| Multiplan | PPO (Includes PHCS as a Payer) | $233.00 | ↓ -84% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $251.71 | ↓ -82% |
| United Healthcare Community Plan for Families | PA Medicaid | $262.61 | ↓ -82% |
| Galaxy Health Plan | Commercial | $302.90 | ↓ -79% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $318.60 | ↓ -78% |
| Humana | Commercial | $349.50 | ↓ -75% |
| UPMC Health Plan | Managed Medicaid | $374.27 | ↓ -74% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $390.61 | ↓ -73% |
| Highmark Wholecare (prev Gateway) | Medicaid | $436.54 | ↓ -69% |
| Geisinger | Medicaid | $472.91 | ↓ -67% |
| Highmark BCBS of PA | Medicare Advantage | $627.92 | ↓ -56% |
| UPMC Work Partners | Workers Comp | $831.10 | ↓ -42% |
| UPMC Health Plan | Commercial | $1,478.45 | ↑ +4% |
| UPMC Health Plan | CHIP | $1,965.60 | ↑ +38% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $7,887.60 | $157.72 – $11,174.10 |
| UPMC Mercy | Pittsburgh | $2,395.20 | $141.48 – $3,592.80 |
| UPMC Muncy | Muncy | $4,764.00 | $292.30 – $6,352.00 |
| UPMC Northwest | Seneca | $2,020.20 | $153.92 – $2,861.95 |
| UPMC Presbyterian | Pittsburgh | $3,489.60 | $183.30 – $4,943.60 |
| UPMC St. Margaret | Pittsburgh | $2,036.40 | $146.54 – $2,884.90 |
| UPMC Wellsboro | Wellsboro | $5,761.60 | $292.30 – $6,481.80 |
| UPMC Williamsport | Williamsport | $4,764.00 | $171.38 – $6,352.00 |