Hospital Profile Acute Care Hospitals Voluntary non-profit - Private

UPMC Somerset

225 S CENTER AVE, Somerset, PA 15501

CMS Overall Rating ★★★★☆

How this hospital's prices compare 110 procedures scored

1.0×

the fair BaseRate, typically

about the fair price

Across 110 shoppable procedures, UPMC Somerset typically charges about the fair BaseRate for the procedures it prices. 22 of them run 30%+ above the fair BaseRate.

Where it's most above the fair price

Total knee replacement fair $6,497 → $12,267 1.9×
Total hip replacement fair $6,546 → $12,267 1.9×
Bunion correction surgery fair $1,673 → $3,093 1.8×

How we calculate the BaseRate →

UPMC Somerset publishes prices for 111 shoppable procedures in Somerset, PA. It's classified by CMS as Acute Care Hospitals (Voluntary non-profit - Private). CMS rates it 4/5 stars, and 68% of patients would recommend it.

Facility Overview

Setting: rural Bed Count: 56 Beds Teaching Status: Non-Teaching Annual Discharges: 2,356

Patient Experience

Recommendation Rate: 68% High Patient Rating: 73% ER Wait Time (Med): 217 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 111 codes Typical vs Fair BaseRate: 1.0× Price File In Index: Yes MRF Version: 3.0.0

Prices at UPMC Somerset

Every shoppable procedure, ranked by how far its price sits above the fair BaseRate. Fair BaseRate is the modeled typical charge; vs Fair is how many times higher this hospital's price is.

Search Procedures & Codes

Procedure & Code	Cash Price	This Hospital	Fair BaseRate	vs Fair
Total knee replacement CPT Code: `27447`	—	$12,267	$6,497	1.9×
Total hip replacement CPT Code: `27130`	—	$12,267	$6,546	1.9×
Bunion correction surgery CPT Code: `28296`	—	$3,093	$1,673	1.8×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$3,093	$1,678	1.8×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,124	$698	1.6×
Upper endoscopy with biopsy CPT Code: `43239`	$2,051	$894	$567	1.6×
Colonoscopy (diagnostic) CPT Code: `45378`	$887	$869	$566	1.5×
Cataract surgery with lens implant CPT Code: `66984`	—	$2,174	$1,428	1.5×
Breathing treatment (nebulizer) CPT Code: `94640`	$418	$194	$128	1.5×
X-ray, pelvis CPT Code: `72170`	$263	$100	$68	1.5×
Blood test, hemoglobin CPT Code: `85018`	$13	$4	$3	1.5×
Blood test, thyroid (TSH) CPT Code: `84443`	$78	$26	$19	1.4×
Blood test, calcium CPT Code: `82310`	$26	$8	$6	1.4×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,505	$523	$388	1.3×
MRI, brain (no contrast) CPT Code: `70551`	$959	$371	$276	1.3×
Blood test, vitamin D CPT Code: `82306`	$140	$45	$33	1.3×
Blood test, PSA (prostate screen) CPT Code: `84153`	$113	$27	$20	1.3×
Culture, blood CPT Code: `87040`	$57	$15	$11	1.3×
Hepatitis C antibody test CPT Code: `86803`	$108	$21	$16	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$21	$6	$5	1.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$33	$9	$7	1.3×
MRI, knee or other leg joint CPT Code: `73721`	$1,656	$461	$355	1.3×
Blood test, potassium CPT Code: `84132`	$22	$7	$5	1.3×
X-ray, chest (single view) CPT Code: `71045`	$153	$84	$66	1.3×
Blood test, sodium CPT Code: `84295`	$23	$7	$6	1.2×
Diagnostic procedure preparation HCPCS Code: `G0279`	$65	$49	$40	1.2×
Blood transfusion CPT Code: `36430`	$1,476	$413	$340	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$26	$7	$6	1.2×
X-ray, chest (two views) CPT Code: `71046`	$153	$84	$69	1.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$188	$84	$70	1.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$197	$56	$48	1.2×
Blood test, basic metabolic panel CPT Code: `80048`	$51	$11	$9	1.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$56	$13	$11	1.2×
X-ray, lower back CPT Code: `72110`	$210	$101	$88	1.1×
Blood test, liver function panel CPT Code: `80076`	$50	$10	$9	1.1×
MRI, lower back (no contrast) CPT Code: `72148`	$1,656	$294	$259	1.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$83	$16	$14	1.1×
Blood test, glucose (blood sugar) CPT Code: `82947`	$21	$5	$4	1.1×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$22	$5	$5	1.1×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$876	$152	$140	1.1×
Hepatitis B vaccine HCPCS Code: `90744`	$33	$32	$30	1.1×
CT scan, chest (no contrast) CPT Code: `71250`	$575	$150	$139	1.1×
CT scan, neck (cervical spine) CPT Code: `72125`	$797	$150	$139	1.1×
Blood test, magnesium CPT Code: `83735`	$37	$8	$7	1.1×
CT scan, sinuses CPT Code: `70486`	$797	$149	$139	1.1×
CT scan, head (no contrast) CPT Code: `70450`	$951	$134	$127	1.1×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$6,794	$6,457	1.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$48	$10	$10	1.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,855	$389	$379	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$47	$43	$42	1.0×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,822	$234	$231	1.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,298	$183	$181	1.0×
Drug screening test HCPCS Code: `G0480`	$137	$114	$113	1.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$298	$101	$100	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$150	$28	$28	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$64	$14	$14	1.0×
Rabies immune globulin HCPCS Code: `90375`	$408	$280	$279	1.0×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$450	$230	$229	1.0×
Culture, bacterial CPT Code: `87070`	$47	$9	$9	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$42	$8	$8	1.0×
Blood test, lipase CPT Code: `83690`	$38	$7	$7	1.0×
Injection procedure for pain management HCPCS Code: `G0260`	$2,647	$667	$671	1.0×
Typhoid vaccine HCPCS Code: `90675`	$254	$314	$316	1.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,662	$347	$352	1.0×
CT scan, pelvis CPT Code: `72192`	$551	$129	$131	1.0×
Ultrasound, pelvis CPT Code: `76856`	$337	$103	$105	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$298	$109	$112	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$71	$15	$15	1.0×
CT scan, head (with contrast) CPT Code: `70460`	$1,295	$173	$178	1.0×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$14,274	$14,761	1.0×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$15,040	$15,634	1.0×
Occupational therapy (self-care training) CPT Code: `97535`	$97	$42	$44	1.0×
Colorectal cancer screening HCPCS Code: `G0010`	$99	$44	$46	1.0×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$15,146	$15,823	1.0×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$147	$25	$26	1.0×
Hepatitis B immune globulin HCPCS Code: `90371`	$106	$134	$141	0.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$382	$101	$107	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$55	$28	$31	0.9×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$87	$20	$22	0.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	$302	$153	$173	0.9×
Blood test, amylase CPT Code: `82150`	$35	$6	$7	0.9×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$22	$3	$3	0.9×
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$24,220	$28,085	0.9×
Orthotic fitting and training CPT Code: `97760`	$61	$52	$60	0.9×
Screening mammogram (both breasts) CPT Code: `77067`	$257	$127	$148	0.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$310	$158	$191	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$78	$24	$32	0.7×
New patient office visit (30-44 min) CPT Code: `99203`	$160	$75	$101	0.7×
Psychiatric evaluation (first visit) CPT Code: `90791`	$514	$156	$211	0.7×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$54	$27	$38	0.7×
C-section delivery (full package) CPT Code: `59510`	$10,034	$2,054	$3,071	0.7×
Office visit, established patient (30-39 min) CPT Code: `99214`	$93	$76	$116	0.7×
Office visit, established patient (20-29 min) CPT Code: `99213`	$132	$49	$76	0.6×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$59	$18	$29	0.6×
Physical therapy (gait training) CPT Code: `97116`	$44	$18	$29	0.6×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$65	$19	$34	0.6×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$32	$13	$26	0.5×
X-ray, shoulder CPT Code: `73030`	$188	$35	$75	0.5×
X-ray, hip CPT Code: `73502`	$188	$40	$89	0.4×
X-ray, ankle CPT Code: `73610`	$188	$34	$78	0.4×
Blood antibody screen CPT Code: `86850`	$65	$10	$26	0.4×
X-ray, foot CPT Code: `73630`	$188	$26	$73	0.4×
X-ray, hand CPT Code: `73130`	$188	$26	$77	0.3×
Psychological testing evaluation CPT Code: `96136`	$55	$23	$115	0.2×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$2,270	—	$2,847	—
Hospital observation (per hour) HCPCS Code: `G0378`	$112	—	$59	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$298	—	$81	—
Breast lump removal CPT Code: `19120`	$1,078	—	$1,711	—
Inguinal hernia repair CPT Code: `49505`	$1,697	—	$1,641	—
Flu vaccine injection HCPCS Code: `G0008`	$13	—	$42	—
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$54	—	$63	—