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Mayo infectious agent nucleic acid quantification cytomegalovirus at UPMC Somerset
225 South Center Avenue, Somerset, PA · UPMC · · NPI 1912900168
$259.20
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.
$432.00
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.
$42.34 with UPMC Work Partners vs $332.02 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 | $42.34 | ↓ -84% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Together Blue Medicare Advantage | $42.41 | ↓ -84% |
| AmeriHealth Caritas | Medicare | $42.84 | ↓ -83% |
| UPMC Health Plan | Managed Medicare | $42.84 | ↓ -83% |
| United Healthcare | Medicare | $42.84 | ↓ -83% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $43.70 | ↓ -83% |
| Highmark Wholecare (prev Gateway) | Medicare | $46.26 | ↓ -82% |
| UPMC Health Plan | Managed Medicaid | $53.39 | ↓ -79% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $55.72 | ↓ -79% |
| United Healthcare Community Plan for Families | PA Medicaid | $55.82 | ↓ -78% |
| Highmark Wholecare (prev Gateway) | Medicaid | $62.28 | ↓ -76% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $63.54 | ↓ -75% |
| Geisinger | Medicaid | $67.47 | ↓ -74% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $80.42 | ↓ -69% |
| Highmark BCBS of PA | Medicare Advantage | $112.55 | ↓ -57% |
| United Healthcare | Commercial | $138.90 | ↓ -46% |
| Geisinger | Commercial | $156.73 | ↓ -40% |
| Aetna of PA | TPA/Carrier | $159.20 | ↓ -39% |
| Multiplan | PPO (Includes PHCS as a Payer) | $199.00 | ↓ -23% |
| UPMC Health Plan | Commercial | $229.03 | ↓ -12% |
| Galaxy Health Plan | Commercial | $258.70 | ↓ -0% |
| Humana | Commercial | $298.50 | ↑ +15% |
| UPMC Health Plan | CHIP | $332.02 | ↑ +28% |
Visitor-reported prices
Comments
Mayo infectious agent nucleic acid quantification cytomegalovirus at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $271.20 | $35.71 – $406.80 |
| UPMC Muncy | Muncy | $505.20 | $42.34 – $673.60 |
| UPMC Northwest | Seneca | $236.40 | $38.85 – $334.90 |
| UPMC Passavant-McCandless | Pittsburgh | $309.00 | $39.81 – $437.75 |
| UPMC Presbyterian | Pittsburgh | $350.40 | $42.34 – $496.40 |
| UPMC St. Margaret | Pittsburgh | $366.60 | $36.99 – $519.35 |
| UPMC Wellsboro | Wellsboro | $611.20 | $42.34 – $687.60 |
| UPMC Williamsport | Williamsport | $505.20 | $42.34 – $673.60 |