Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Payer comparison · CDM 65200029 · SOMERSET, PA

65200029 — Hc Pancreas Acq No Related Kidney

What each payer pays UPMC SOMERSET (CCN 390039) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$104,459 All-payer median here
$125,351 Cash / self-pay here
8 payer/plan-name variants
← This hospital National rates for 65200029 →
Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan Median negotiated vs all-payer median Rate rows
   
Humana $156,688 50.0% 1
Galaxy Health Plan $135,797 30.0% 1
MultiPlan $120,128 15.0% 2
Highmark $104,459 0.0% 1
Highmark BCBS $103,414 -1.0% 1
Geisinger Health Plan $98,588 -5.6% 2
UPMC Health Plan $94,013 -10.0% 3
Aetna $83,567 -20.0% 1

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.