Fusion of ureter & kidney at UPMC Somerset
225 South Center Avenue, Somerset, PA · UPMC · · NPI 1912900168
$4,503.00
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.
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What you pay up front if you don't use insurance.
$7,505.00
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.
$419.30 with UPMC Health Plan vs $2,923.75 with UPMC Work Partners — 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 Health Plan | CHIP | $419.30 | ↓ -91% |
| Geisinger | Commercial | $471.77 | ↓ -90% |
| Aetna of PA | TPA/Carrier | $479.20 | ↓ -89% |
| United Healthcare | Commercial | $516.34 | ↓ -89% |
| UPMC Health Plan | Commercial | $539.10 | ↓ -88% |
| Multiplan | PPO (Includes PHCS as a Payer) | $599.00 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicare | $599.00 | ↓ -87% |
| Geisinger | Medicaid | $658.90 | ↓ -85% |
| Galaxy Health Plan | Commercial | $778.70 | ↓ -83% |
| United Healthcare Community Plan for Families | PA Medicaid | $802.12 | ↓ -82% |
| Humana | Commercial | $898.50 | ↓ -80% |
| UPMC Health Plan | Managed Medicare | $1,157.41 | ↓ -74% |
| Highmark BCBS of PA | Medicare Advantage | $1,886.26 | ↓ -58% |
| UPMC Work Partners | Workers Comp | $2,923.75 | ↓ -35% |
Visitor-reported prices
Comments
Fusion of ureter & kidney at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $4,503.00 | $239.60 – $7,865.69 |