healthcosts.net
Magnesium 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$6.62 with UPMC Work Partners vs $42.00 with Humana — 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 Work Partners | Workers Comp | $6.62 | ↓ -84% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Together Blue Medicare Advantage | $6.63 | ↓ -84% |
| AmeriHealth Caritas | Medicare | $6.70 | ↓ -83% |
| UPMC Health Plan | Managed Medicare | $6.70 | ↓ -83% |
| United Healthcare | Medicare | $6.70 | ↓ -83% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $6.83 | ↓ -83% |
| Highmark Wholecare (prev Gateway) | Medicare | $7.24 | ↓ -82% |
| CBHNP | Commercial | $7.25 | ↓ -82% |
| CCBHN | Commercial | $7.25 | ↓ -82% |
| UPMC Health Plan | Managed Medicaid | $7.97 | ↓ -80% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $8.32 | ↓ -79% |
| United Healthcare Community Plan for Families | PA Medicaid | $8.34 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicaid | $9.30 | ↓ -77% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $9.94 | ↓ -75% |
| Geisinger | Medicaid | $10.08 | ↓ -75% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $12.58 | ↓ -69% |
| Highmark BCBS of PA | Medicare Advantage | $12.73 | ↓ -68% |
| UPMC Health Plan | Commercial | $18.62 | ↓ -54% |
| United Healthcare | Commercial | $19.54 | ↓ -51% |
| Geisinger | Commercial | $22.05 | ↓ -45% |
| Aetna of PA | TPA/Carrier | $22.40 | ↓ -44% |
| UPMC Health Plan | CHIP | $26.99 | ↓ -33% |
| Multiplan | PPO (Includes PHCS as a Payer) | $28.00 | ↓ -30% |
| Galaxy Health Plan | Commercial | $36.40 | ↓ -9% |
| Humana | Commercial | $42.00 | ↑ +4% |
Visitor-reported prices
Comments
Magnesium at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $110.40 | $6.23 – $147.90 |
| UPMC Mercy | Pittsburgh | $57.00 | $5.59 – $85.50 |
| UPMC Muncy | Muncy | $124.80 | $6.62 – $158.40 |
| UPMC Northwest | Seneca | $39.00 | $6.08 – $55.25 |
| UPMC Presbyterian | Pittsburgh | $231.60 | $6.62 – $328.10 |
| UPMC St. Margaret | Pittsburgh | $91.20 | $5.78 – $129.20 |
| UPMC Wellsboro | Wellsboro | $151.20 | $6.62 – $70.88 |
| UPMC Williamsport | Williamsport | $54.00 | $6.62 – $72.00 |