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Ghs ppd (tb intradermal) at UPMC Somerset
225 South Center Avenue, Somerset, PA · UPMC · · NPI 1912900168
$85.80
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.
$143.00
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.
$5.50 with CBHNP vs $43.83 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 |
|---|---|---|---|
| CBHNP | Commercial | $5.50 | ↓ -94% |
| UPMC Health Plan | Managed Medicaid | $6.05 | ↓ -93% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $6.31 | ↓ -93% |
| United Healthcare Community Plan for Families | PA Medicaid | $6.33 | ↓ -93% |
| Highmark Wholecare (prev Gateway) | Medicaid | $7.06 | ↓ -92% |
| Geisinger | Medicaid | $7.64 | ↓ -91% |
| United Healthcare | Commercial | $13.61 | ↓ -84% |
| Geisinger | Commercial | $15.36 | ↓ -82% |
| Aetna of PA | TPA/Carrier | $15.60 | ↓ -82% |
| Highmark BCBS of PA | Medicare Advantage | $17.46 | ↓ -80% |
| Multiplan | PPO (Includes PHCS as a Payer) | $19.50 | ↓ -77% |
| UPMC Work Partners | Workers Comp | $21.19 | ↓ -75% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Together Blue Medicare Advantage | $23.12 | ↓ -73% |
| AmeriHealth Caritas | Medicare | $23.35 | ↓ -73% |
| UPMC Health Plan | Managed Medicare | $23.35 | ↓ -73% |
| United Healthcare | Medicare | $23.35 | ↓ -73% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $23.82 | ↓ -72% |
| Highmark Wholecare (prev Gateway) | Medicare | $25.22 | ↓ -71% |
| Galaxy Health Plan | Commercial | $25.35 | ↓ -70% |
| UPMC Health Plan | Commercial | $28.16 | ↓ -67% |
| Humana | Commercial | $29.25 | ↓ -66% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $34.63 | ↓ -60% |
| UPMC Health Plan | CHIP | $40.82 | ↓ -52% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $43.83 | ↓ -49% |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
| Tricare | East Region | not published by hospital | — |
Visitor-reported prices
Comments
Ghs ppd (tb intradermal) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $63.00 | $6.05 – $89.25 |
| UPMC Mercy | Pittsburgh | $60.60 | $6.05 – $90.90 |
| UPMC Northwest | Seneca | $57.00 | $6.05 – $80.75 |
| UPMC Presbyterian | Pittsburgh | $51.00 | $5.50 – $72.25 |
| UPMC Wellsboro | Wellsboro | $26.20 | $5.50 – $29.48 |
| UPMC Williamsport | Williamsport | $18.60 | $6.05 – $25.19 |