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Thyroid (TSH) Test at UPMC Somerset
225 South Center Avenue, Somerset, PA · UPMC · · NPI 1912900168
$85.80
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.
$143.00
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.
$16.60 with UPMC Work Partners vs $101.30 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 | $16.60 | ↓ -81% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Together Blue Medicare Advantage | $16.63 | ↓ -81% |
| AmeriHealth Caritas | Medicare | $16.80 | ↓ -80% |
| UPMC Health Plan | Managed Medicare | $16.80 | ↓ -80% |
| United Healthcare | Medicare | $16.80 | ↓ -80% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $17.14 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicare | $18.14 | ↓ -79% |
| CBHNP | Commercial | $23.21 | ↓ -73% |
| CCBHN | Commercial | $23.21 | ↓ -73% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $24.92 | ↓ -71% |
| UPMC Health Plan | Managed Medicaid | $25.53 | ↓ -70% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $26.65 | ↓ -69% |
| United Healthcare Community Plan for Families | PA Medicaid | $26.69 | ↓ -69% |
| Highmark Wholecare (prev Gateway) | Medicaid | $29.78 | ↓ -65% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $31.54 | ↓ -63% |
| Highmark BCBS of PA | Medicare Advantage | $32.14 | ↓ -63% |
| Geisinger | Medicaid | $32.26 | ↓ -62% |
| United Healthcare | Commercial | $40.48 | ↓ -53% |
| Geisinger | Commercial | $45.68 | ↓ -47% |
| Aetna of PA | TPA/Carrier | $46.40 | ↓ -46% |
| Multiplan | PPO (Includes PHCS as a Payer) | $58.00 | ↓ -32% |
| UPMC Health Plan | Commercial | $69.88 | ↓ -19% |
| Galaxy Health Plan | Commercial | $75.40 | ↓ -12% |
| Humana | Commercial | $87.00 | ↑ +1% |
| UPMC Health Plan | CHIP | $101.30 | ↑ +18% |
Visitor-reported prices
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Thyroid (TSH) Test at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $251.40 | $16.60 – $335.20 |
| UPMC Passavant-McCandless | Pittsburgh | $400.80 | $15.61 – $505.75 |
| UPMC Hamot | Erie | $257.40 | $16.60 – $300.30 |
| UPMC Carlisle | Carlisle | $85.80 | $16.63 – $121.55 |
| UPMC Altoona | Altoona | $126.00 | $16.60 – $168.00 |
| UPMC Bedford | Everett | $91.20 | $6.06 – $136.80 |
| UPMC Cole | Coudersport | $78.60 | $10.92 – $104.80 |
| UPMC Community Osteopathic | Harrisburg | $85.80 | $16.63 – $101.30 |