CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: UPMC Somerset

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$14,761
about 1.2× the $12,807 Medicare rate · typically $12,396–$16,302
modeled estimate · not a bill or quote
What this hospital charges insurers
$14,274
About the fair price
about $487 under the fair price · 1.1× Medicare
Medicare pays $12,807 Fair price $14,761 This hospital $14,274

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 $6,351 Priciest $14,274

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

A fair price for a Heart stent placement (inpatient stay) is about $14,761 (about 1.2× the $12,807 Medicare rate). UPMC Somerset charges insurers about $14,274 — 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 $13,218 - $18,607 103%
Blue Cross Blue Shieldmajor $13,086 - $26,445 102%
Aetnamajor $13,218 103%
AmeriHealth $13,218 103%
Geisinger $16,947 132%
UPMC Health Plan $5,132 - $18,715 40%
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

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