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Infect ag genotype na hiv-1 other region at UPMC Somerset
225 South Center Avenue, Somerset, PA · UPMC · · NPI 1912900168
$716.40
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.
$1,194.00
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.
$127.22 with UPMC Work Partners vs $895.50 with Humana — 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 | $127.22 | ↓ -82% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Together Blue Medicare Advantage | $127.44 | ↓ -82% |
| AmeriHealth Caritas | Medicare | $128.73 | ↓ -82% |
| UPMC Health Plan | Managed Medicare | $128.73 | ↓ -82% |
| United Healthcare | Medicare | $128.73 | ↓ -82% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $131.30 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicare | $139.02 | ↓ -81% |
| UPMC Health Plan | Managed Medicaid | $159.40 | ↓ -78% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $166.36 | ↓ -77% |
| United Healthcare Community Plan for Families | PA Medicaid | $166.65 | ↓ -77% |
| Highmark Wholecare (prev Gateway) | Medicaid | $185.92 | ↓ -74% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $190.92 | ↓ -73% |
| Geisinger | Medicaid | $201.41 | ↓ -72% |
| UPMC Health Plan | Commercial | $223.66 | ↓ -69% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $241.65 | ↓ -66% |
| UPMC Health Plan | CHIP | $324.24 | ↓ -55% |
| Highmark BCBS of PA | Medicare Advantage | $333.30 | ↓ -53% |
| United Healthcare | Commercial | $416.71 | ↓ -42% |
| Geisinger | Commercial | $470.20 | ↓ -34% |
| Aetna of PA | TPA/Carrier | $477.60 | ↓ -33% |
| Multiplan | PPO (Includes PHCS as a Payer) | $597.00 | ↓ -17% |
| Galaxy Health Plan | Commercial | $776.10 | ↑ +8% |
| Humana | Commercial | $895.50 | ↑ +25% |
Visitor-reported prices
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Infect ag genotype na hiv-1 other region at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,533.00 | $89.46 – $2,299.50 |
| UPMC Muncy | Muncy | $1,390.80 | $127.22 – $1,854.40 |
| UPMC Northwest | Seneca | $1,768.80 | $90.02 – $2,505.80 |
| UPMC Passavant-McCandless | Pittsburgh | $1,109.40 | $89.98 – $1,398.25 |
| UPMC Presbyterian | Pittsburgh | $1,806.60 | $94.94 – $2,559.35 |
| UPMC St. Margaret | Pittsburgh | $1,143.60 | $90.20 – $1,620.10 |
| UPMC Wellsboro | Wellsboro | $1,682.40 | $127.22 – $1,802.70 |
| UPMC Williamsport | Williamsport | $1,390.80 | $127.22 – $1,854.40 |