CMS Price Transparency Data

CT scan, head (with contrast)

Facility: UPMC Somerset

Billing Code: 70460 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$178
about 1.0× the $179 Medicare rate · typically $167–$206
modeled estimate · not a bill or quote
What this hospital charges insurers
$173
About the fair price
about $5 under the fair price · 1.0× Medicare
Medicare pays $179 Fair price $178 This hospital $173 Cash price $1,295 Hospital's list price $2,158

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $96 Priciest $173

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, head (with contrast) is about $178 (about 1.0× the $179 Medicare rate). UPMC Somerset charges insurers about $173, or about $1,295 in cash — about the fair price. Located in Somerset, PA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $92 - $930 51%
Blue Cross Blue Shieldmajor $168 - $319 94%
Aetnamajor $863 482%
Humanamajor $1,618 903%
AmeriHealth $154 - $170 86%
Geisinger $186 - $850 104%
UPMC Health Plan $147 - $990 82%
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 225 South Center Avenue, Somerset, PA 15501
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals