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Tb test cell mediated immunity antigen response gamma interferon at UPMC Somerset
225 South Center Avenue, Somerset, PA · UPMC · · NPI 1912900168
$345.00
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.
$575.00
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.
$61.26 with UPMC Work Partners vs $359.58 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 | $61.26 | ↓ -82% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Together Blue Medicare Advantage | $61.36 | ↓ -82% |
| AmeriHealth Caritas | Medicare | $61.98 | ↓ -82% |
| UPMC Health Plan | Managed Medicare | $61.98 | ↓ -82% |
| United Healthcare | Medicare | $61.98 | ↓ -82% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $63.22 | ↓ -82% |
| Highmark Wholecare (prev Gateway) | Medicare | $66.93 | ↓ -81% |
| UPMC Health Plan | Managed Medicaid | $78.12 | ↓ -77% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $81.53 | ↓ -76% |
| United Healthcare Community Plan for Families | PA Medicaid | $81.67 | ↓ -76% |
| Highmark Wholecare (prev Gateway) | Medicaid | $91.12 | ↓ -74% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $91.92 | ↓ -73% |
| Geisinger | Medicaid | $98.71 | ↓ -71% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $116.35 | ↓ -66% |
| United Healthcare | Commercial | $150.07 | ↓ -57% |
| Highmark BCBS of PA | Medicare Advantage | $159.33 | ↓ -54% |
| Geisinger | Commercial | $169.33 | ↓ -51% |
| Aetna of PA | TPA/Carrier | $172.00 | ↓ -50% |
| Multiplan | PPO (Includes PHCS as a Payer) | $215.00 | ↓ -38% |
| UPMC Health Plan | Commercial | $248.04 | ↓ -28% |
| Galaxy Health Plan | Commercial | $279.50 | ↓ -19% |
| Humana | Commercial | $322.50 | ↓ -7% |
| UPMC Health Plan | CHIP | $359.58 | ↑ +4% |
Visitor-reported prices
Comments
Tb test cell mediated immunity antigen response gamma interferon at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $559.80 | $57.60 – $793.05 |
| UPMC Mercy | Pittsburgh | $415.80 | $51.67 – $623.70 |
| UPMC Muncy | Muncy | $209.40 | $52.35 – $279.20 |
| UPMC Northwest | Seneca | $547.20 | $56.21 – $775.20 |
| UPMC Presbyterian | Pittsburgh | $763.20 | $61.26 – $1,081.20 |
| UPMC St. Margaret | Pittsburgh | $510.00 | $53.51 – $722.50 |
| UPMC Wellsboro | Wellsboro | $252.80 | $56.88 – $284.40 |
| UPMC Williamsport | Williamsport | $209.40 | $61.26 – $279.20 |