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Urinalysis (without microscopy) at UPMC Somerset
225 South Center Avenue, Somerset, PA · UPMC · · NPI 1912900168
$17.40
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.
$29.00
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.
$2.22 with UPMC Work Partners vs $24.08 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 | $2.22 | ↓ -87% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Together Blue Medicare Advantage | $2.23 | ↓ -87% |
| AmeriHealth Caritas | Medicare | $2.25 | ↓ -87% |
| UPMC Health Plan | Managed Medicare | $2.25 | ↓ -87% |
| United Healthcare | Medicare | $2.25 | ↓ -87% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $2.29 | ↓ -87% |
| Highmark Wholecare (prev Gateway) | Medicare | $2.43 | ↓ -86% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $3.34 | ↓ -81% |
| UPMC Health Plan | Managed Medicaid | $3.41 | ↓ -80% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $3.56 | ↓ -80% |
| United Healthcare Community Plan for Families | PA Medicaid | $3.56 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicaid | $3.98 | ↓ -77% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $4.22 | ↓ -76% |
| Geisinger | Medicaid | $4.31 | ↓ -75% |
| CBHNP | Commercial | $4.37 | ↓ -75% |
| Highmark BCBS of PA | Medicare Advantage | $6.05 | ↓ -65% |
| United Healthcare | Commercial | $8.38 | ↓ -52% |
| Geisinger | Commercial | $9.45 | ↓ -46% |
| Aetna of PA | TPA/Carrier | $9.60 | ↓ -45% |
| Multiplan | PPO (Includes PHCS as a Payer) | $12.00 | ↓ -31% |
| Galaxy Health Plan | Commercial | $15.60 | ↓ -10% |
| UPMC Health Plan | Commercial | $16.61 | ↓ -5% |
| Humana | Commercial | $18.00 | ↑ +3% |
| UPMC Health Plan | CHIP | $24.08 | ↑ +38% |
Visitor-reported prices
Comments
Urinalysis (without microscopy) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC East | Monroeville | $46.80 | $2.22 – $35.20 |
| UPMC Passavant-McCandless | Pittsburgh | $71.40 | $2.09 – $101.15 |
| UPMC Hamot | Erie | $36.60 | $2.22 – $42.70 |
| UPMC Carlisle | Carlisle | $17.40 | $2.23 – $24.65 |
| UPMC Altoona | Altoona | $45.60 | $2.22 – $60.80 |
| UPMC Bedford | Everett | $19.20 | $0.81 – $28.80 |
| UPMC Cole | Coudersport | $19.20 | $1.46 – $25.60 |
| UPMC Community Osteopathic | Harrisburg | $17.40 | $2.23 – $24.08 |