CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: UPMC Somerset

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$6,457
about 1.1× the $5,676 Medicare rate · typically $5,383–$7,931
modeled estimate · not a bill or quote
What this hospital charges insurers
$6,794
About the fair price
about $337 over the fair price · 1.2× Medicare
Medicare pays $5,676 Fair price $6,457 This hospital $6,794

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 $4,806 Priciest $6,794

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

A fair price for a Digestive disorders treatment (inpatient stay) is about $6,457 (about 1.1× the $5,676 Medicare rate). UPMC Somerset charges insurers about $6,794 — 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $6,202 - $7,906 109%
Blue Cross Blue Shieldmajor $6,140 - $7,500 108%
Aetnamajor $6,202 109%
AmeriHealth $6,202 109%
Geisinger $7,494 132%
UPMC Health Plan $6,202 - $30,074 109%
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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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