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Mayo oxalate 24 hour urine at UPMC Somerset
225 South Center Avenue, Somerset, PA · UPMC · · NPI 1912900168
$73.80
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.
$123.00
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.
$14.28 with UPMC Work Partners vs $67.50 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 | $14.28 | ↓ -81% |
| UPMC Health Plan | Managed Medicaid | $14.30 | ↓ -81% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Together Blue Medicare Advantage | $14.31 | ↓ -81% |
| AmeriHealth Caritas | Medicare | $14.45 | ↓ -80% |
| UPMC Health Plan | Managed Medicare | $14.45 | ↓ -80% |
| United Healthcare | Medicare | $14.45 | ↓ -80% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $14.74 | ↓ -80% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $14.92 | ↓ -80% |
| United Healthcare Community Plan for Families | PA Medicaid | $14.95 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicare | $15.60 | ↓ -79% |
| Highmark Wholecare (prev Gateway) | Medicaid | $16.68 | ↓ -77% |
| Geisinger | Medicaid | $18.07 | ↓ -76% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $21.43 | ↓ -71% |
| Highmark BCBS of PA | Medicare Advantage | $24.64 | ↓ -67% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $27.13 | ↓ -63% |
| United Healthcare | Commercial | $31.41 | ↓ -57% |
| Geisinger | Commercial | $35.44 | ↓ -52% |
| Aetna of PA | TPA/Carrier | $36.00 | ↓ -51% |
| UPMC Health Plan | Commercial | $43.92 | ↓ -40% |
| Multiplan | PPO (Includes PHCS as a Payer) | $45.00 | ↓ -39% |
| Galaxy Health Plan | Commercial | $58.50 | ↓ -21% |
| UPMC Health Plan | CHIP | $63.67 | ↓ -14% |
| Humana | Commercial | $67.50 | ↓ -9% |
Visitor-reported prices
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Mayo oxalate 24 hour urine at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $249.60 | $13.43 – $353.60 |
| UPMC Mercy | Pittsburgh | $97.20 | $12.05 – $145.80 |
| UPMC Muncy | Muncy | $170.40 | $14.28 – $227.20 |
| UPMC Northwest | Seneca | $60.00 | $13.10 – $85.00 |
| UPMC Presbyterian | Pittsburgh | $357.00 | $13.00 – $505.75 |
| UPMC St. Margaret | Pittsburgh | $282.60 | $12.48 – $400.35 |
| UPMC Wellsboro | Wellsboro | $205.60 | $13.00 – $71.10 |
| UPMC Williamsport | Williamsport | $52.20 | $14.28 – $66.40 |