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Echocardiogram (Heart Ultrasound) at UPMC Somerset
225 South Center Avenue, Somerset, PA · UPMC · · NPI 1912900168
$2,311.20
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.
$3,852.00
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.
$112.86 with United Healthcare Community Plan for Families vs $981.29 with Highmark BCBS of PA — 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 | $112.86 | ↓ -95% |
| Geisinger | Commercial | $138.22 | ↓ -94% |
| Aetna of PA | TPA/Carrier | $140.40 | ↓ -94% |
| United Healthcare | Commercial | $151.28 | ↓ -93% |
| UPMC Health Plan | Managed Medicaid | $155.12 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $161.89 | ↓ -93% |
| Multiplan | PPO (Includes PHCS as a Payer) | $175.50 | ↓ -92% |
| Highmark Wholecare (prev Gateway) | Medicaid | $180.93 | ↓ -92% |
| Geisinger | Medicaid | $196.00 | ↓ -92% |
| Galaxy Health Plan | Commercial | $228.15 | ↓ -90% |
| Humana | Commercial | $263.25 | ↓ -89% |
| Highmark BCBS of PA | Medicare Advantage | $336.74 | ↓ -85% |
| UPMC Work Partners | Workers Comp | $396.39 | ↓ -83% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Together Blue Medicare Advantage | $517.51 | ↓ -78% |
| AmeriHealth Caritas | Medicare | $522.74 | ↓ -77% |
| UPMC Health Plan | Managed Medicare | $522.74 | ↓ -77% |
| United Healthcare | Medicare | $522.74 | ↓ -77% |
| UPMC Health Plan | Commercial | $526.94 | ↓ -77% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $533.19 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicare | $564.51 | ↓ -76% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $775.28 | ↓ -66% |
| UPMC Health Plan | CHIP | $879.76 | ↓ -62% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $981.29 | ↓ -58% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Echocardiogram (Heart Ultrasound) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $1,759.20 | $155.12 – $2,345.60 |
| UPMC Passavant-McCandless | Pittsburgh | $2,111.40 | $155.12 – $2,991.15 |
| UPMC Hamot | Erie | $1,495.80 | $155.12 – $1,745.10 |
| UPMC Carlisle | Carlisle | $2,311.20 | $48.09 – $839.22 |
| UPMC Altoona | Altoona | $1,464.00 | $98.14 – $1,952.00 |
| UPMC Bedford | Everett | $1,876.20 | $148.07 – $2,814.30 |
| UPMC Cole | Coudersport | $837.00 | $148.07 – $1,116.00 |
| UPMC Community Osteopathic | Harrisburg | $2,311.20 | $70.20 – $879.76 |