CMS Price Transparency Data

X-ray, hand

Facility: UPMC Somerset

Billing Code: 73130 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$77
about 0.9× the $89 Medicare rate · typically $26–$98
modeled estimate · not a bill or quote
What this hospital charges insurers
$26
Below the fair price — a good deal
about $51 under the fair price · 0.3× Medicare
Medicare pays $89 Fair price $77 This hospital $26 Cash price $188 Hospital's list price $314

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

A typical price — 2 charge more and 5 charge less, among the 9 PA hospitals compared.

Cheapest $17 Priciest $28

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 X-ray, hand is about $77 (about 0.9× the $89 Medicare rate). UPMC Somerset charges insurers about $26, or about $188 in cash — below the fair price — a good deal. 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 $13 - $135 15%
Blue Cross Blue Shieldmajor $24 - $157 27%
Aetnamajor $126 142%
Humanamajor $236 265%
AmeriHealth $22 25%
Geisinger $26 - $124 29%
UPMC Health Plan $21 - $96 24%
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

Insurance Before you use insurance

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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