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Pt repositioning canalith procedure(s) per day at UPMC Somerset
225 South Center Avenue, Somerset, PA · UPMC · · NPI 1912900168
$78.60
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.
$131.00
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.
$25.44 with United Healthcare Community Plan for Families vs $105.84 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 |
|---|---|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $25.44 | ↓ -68% |
| Geisinger | Commercial | $51.59 | ↓ -34% |
| Aetna of PA | TPA/Carrier | $52.40 | ↓ -33% |
| United Healthcare | Commercial | $56.46 | ↓ -28% |
| UPMC Health Plan | Commercial | $63.39 | ↓ -19% |
| Highmark Wholecare (prev Gateway) | Medicare | $65.50 | ↓ -17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $65.50 | ↓ -17% |
| Geisinger | Medicaid | $72.05 | ↓ -8% |
| Highmark BCBS of PA | Medicare Advantage | $73.31 | ↓ -7% |
| Galaxy Health Plan | Commercial | $85.15 | ↑ +8% |
| Humana | Commercial | $98.25 | ↑ +25% |
| UPMC Health Plan | CHIP | $105.84 | ↑ +35% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
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Pt repositioning canalith procedure(s) per day at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $367.80 | $74.05 – $551.70 |
| UPMC Muncy | Muncy | $223.20 | $28.31 – $334.80 |
| UPMC Northwest | Seneca | $384.00 | $128.08 – $544.00 |
| UPMC Passavant-McCandless | Pittsburgh | $478.20 | $74.76 – $677.45 |
| UPMC Presbyterian | Pittsburgh | $350.40 | $26.54 – $496.40 |
| UPMC St. Margaret | Pittsburgh | $455.40 | $74.76 – $645.15 |
| UPMC Wellsboro | Wellsboro | $269.60 | $28.31 – $303.30 |
| UPMC Williamsport | Williamsport | $223.20 | $28.31 – $334.80 |