healthcosts.net
Warde 1005020 citrate 24 hour urine at UPMC Somerset
225 South Center Avenue, Somerset, PA · UPMC · · NPI 1912900168
$141.60
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.
?
What you pay up front if you don't use insurance.
$236.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$19.50 with United Healthcare Community Plan for Families vs $146.22 with UPMC Health Plan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $19.50 | ↓ -86% |
| UPMC Work Partners | Workers Comp | $27.47 | ↓ -81% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Together Blue Medicare Advantage | $27.52 | ↓ -81% |
| AmeriHealth Caritas | Medicare | $27.80 | ↓ -80% |
| UPMC Health Plan | Managed Medicare | $27.80 | ↓ -80% |
| United Healthcare | Medicare | $27.80 | ↓ -80% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $28.36 | ↓ -80% |
| Highmark Wholecare (prev Gateway) | Medicare | $30.02 | ↓ -79% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $41.23 | ↓ -71% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $52.19 | ↓ -63% |
| Highmark BCBS of PA | Medicare Advantage | $53.18 | ↓ -62% |
| United Healthcare | Commercial | $67.36 | ↓ -52% |
| Geisinger | Commercial | $76.00 | ↓ -46% |
| Aetna of PA | TPA/Carrier | $77.20 | ↓ -45% |
| Multiplan | PPO (Includes PHCS as a Payer) | $96.50 | ↓ -32% |
| UPMC Health Plan | Commercial | $100.86 | ↓ -29% |
| Geisinger | Medicaid | $106.15 | ↓ -25% |
| Galaxy Health Plan | Commercial | $125.45 | ↓ -11% |
| Humana | Commercial | $144.75 | ↑ +2% |
| UPMC Health Plan | CHIP | $146.22 | ↑ +3% |
Visitor-reported prices
Comments
Warde 1005020 citrate 24 hour urine at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $469.20 | $25.83 – $145.35 |
| UPMC Mercy | Pittsburgh | $210.60 | $23.17 – $315.90 |
| UPMC Muncy | Muncy | $243.00 | $21.71 – $324.00 |
| UPMC Northwest | Seneca | $110.40 | $25.21 – $156.40 |
| UPMC Presbyterian | Pittsburgh | $720.00 | $20.35 – $1,020.00 |
| UPMC St. Margaret | Pittsburgh | $244.80 | $24.00 – $346.80 |
| UPMC Wellsboro | Wellsboro | $294.40 | $14.22 – $71.10 |
| UPMC Williamsport | Williamsport | $52.20 | $21.71 – $66.40 |