Tc-99m oxidronate at UPMC Somerset
225 South Center Avenue, Somerset, PA · UPMC · · NPI 1912900168
$88.80
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.
$148.00
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.
$46.52 with UPMC Health Plan vs $111.00 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 Health Plan | Commercial | $46.52 | ↓ -48% |
| Geisinger | Commercial | $58.28 | ↓ -34% |
| Aetna of PA | TPA/Carrier | $59.20 | ↓ -33% |
| Highmark BCBS of PA | Medicare Advantage | $60.41 | ↓ -32% |
| Highmark Wholecare (prev Gateway) | Medicare | $74.00 | ↓ -17% |
| Multiplan | PPO (Includes PHCS as a Payer) | $74.00 | ↓ -17% |
| UPMC Health Plan | CHIP | $77.67 | ↓ -13% |
| Geisinger | Medicaid | $81.40 | ↓ -8% |
| Galaxy Health Plan | Commercial | $96.20 | ↑ +8% |
| Humana | Commercial | $111.00 | ↑ +25% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Tc-99m oxidronate at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $107.40 | $61.02 – $151.38 |
| UPMC Carlisle | Carlisle | $88.80 | $20.28 – $125.80 |
| UPMC Community Osteopathic | Harrisburg | $88.80 | $29.60 – $125.80 |
| UPMC Hamot | Erie | $108.00 | $50.16 – $139.06 |
| UPMC Hanover | Hanover | $88.80 | $63.28 – $77.67 |
| UPMC Lititz | Lititz | $88.80 | $44.88 – $77.67 |
| UPMC Memorial | York | $88.80 | $40.98 – $77.67 |
| UPMC Muncy | Muncy | $44.40 | $11.10 – $66.60 |