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Fetal hemoglobin (kleihauer betke) at UPMC Somerset
225 South Center Avenue, Somerset, PA · UPMC · · NPI 1912900168
$40.20
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.
$67.00
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.
$7.64 with UPMC Work Partners vs $53.20 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 |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $7.64 | ↓ -81% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Together Blue Medicare Advantage | $7.65 | ↓ -81% |
| AmeriHealth Caritas | Medicare | $7.73 | ↓ -81% |
| UPMC Health Plan | Managed Medicare | $7.73 | ↓ -81% |
| United Healthcare | Medicare | $7.73 | ↓ -81% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $7.88 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicare | $8.35 | ↓ -79% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $11.46 | ↓ -71% |
| UPMC Health Plan | Managed Medicaid | $11.76 | ↓ -71% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $12.27 | ↓ -69% |
| United Healthcare Community Plan for Families | PA Medicaid | $12.29 | ↓ -69% |
| Highmark Wholecare (prev Gateway) | Medicaid | $13.72 | ↓ -66% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $14.51 | ↓ -64% |
| Geisinger | Medicaid | $14.86 | ↓ -63% |
| Highmark BCBS of PA | Medicare Advantage | $20.83 | ↓ -48% |
| United Healthcare | Commercial | $23.38 | ↓ -42% |
| Geisinger | Commercial | $26.38 | ↓ -34% |
| Aetna of PA | TPA/Carrier | $26.80 | ↓ -33% |
| Multiplan | PPO (Includes PHCS as a Payer) | $33.50 | ↓ -17% |
| UPMC Health Plan | Commercial | $36.70 | ↓ -9% |
| Galaxy Health Plan | Commercial | $43.55 | ↑ +8% |
| Humana | Commercial | $50.25 | ↑ +25% |
| UPMC Health Plan | CHIP | $53.20 | ↑ +32% |
Visitor-reported prices
Comments
Fetal hemoglobin (kleihauer betke) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $115.80 | $7.18 – $154.70 |
| UPMC Mercy | Pittsburgh | $325.80 | $6.44 – $488.70 |
| UPMC Northwest | Seneca | $121.20 | $7.01 – $171.70 |
| UPMC Presbyterian | Pittsburgh | $168.60 | $7.64 – $238.85 |
| UPMC St. Margaret | Pittsburgh | $192.60 | $6.67 – $272.85 |
| UPMC Wellsboro | Wellsboro | $431.20 | $7.64 – $485.10 |