healthcosts.net
Emb without cervical dilation 58100 at UPMC Somerset
225 South Center Avenue, Somerset, PA · UPMC · · NPI 1912900168
$378.00
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.
?
What you pay up front if you don't use insurance.
$630.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$56.10 with UPMC Health Plan vs $1,065.46 with UPMC Health Plan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $56.10 | ↓ -85% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $58.55 | ↓ -85% |
| Highmark Wholecare (prev Gateway) | Medicaid | $65.43 | ↓ -83% |
| Geisinger | Medicaid | $70.88 | ↓ -81% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Together Blue Medicare Advantage | $189.87 | ↓ -50% |
| AmeriHealth Caritas | Medicare | $191.79 | ↓ -49% |
| UPMC Health Plan | Managed Medicare | $191.79 | ↓ -49% |
| United Healthcare | Medicare | $191.79 | ↓ -49% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $195.63 | ↓ -48% |
| UPMC Work Partners | Workers Comp | $199.50 | ↓ -47% |
| Highmark Wholecare (prev Gateway) | Medicare | $207.11 | ↓ -45% |
| Geisinger | Commercial | $248.09 | ↓ -34% |
| Aetna of PA | TPA/Carrier | $252.00 | ↓ -33% |
| United Healthcare | Commercial | $271.53 | ↓ -28% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $284.44 | ↓ -25% |
| Multiplan | PPO (Includes PHCS as a Payer) | $315.00 | ↓ -17% |
| Highmark BCBS of PA | Medicare Advantage | $331.20 | ↓ -12% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $360.03 | ↓ -5% |
| Galaxy Health Plan | Commercial | $409.50 | ↑ +8% |
| Humana | Commercial | $472.50 | ↑ +25% |
| UPMC Health Plan | Commercial | $638.17 | ↑ +69% |
| United Healthcare Community Plan for Families | PA Medicaid | $839.50 | ↑ +122% |
| UPMC Health Plan | CHIP | $1,065.46 | ↑ +182% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Emb without cervical dilation 58100 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $2,178.60 | $56.10 – $3,086.35 |
| UPMC Northwest | Seneca | $2,193.00 | $56.10 – $3,106.75 |
| UPMC Presbyterian | Pittsburgh | $1,915.20 | $56.10 – $2,713.20 |
| UPMC Wellsboro | Wellsboro | $2,633.60 | $37.26 – $934.40 |
| UPMC Williamsport | Williamsport | $2,178.00 | $56.10 – $934.40 |