UPMC Somerset is a nonprofit short-term acute care hospital in Somerset, Pennsylvania. Its CMS Certification Number (CCN) is 390039 and its NPI is 1912900168.
CMS Certification Number
National Provider Identifier
Billing entity in payer files
Somerset, PA
Negotiated rates
In-network rates for clinicians billing at this hospital, from each insurer's price transparency files. Median rate, with the range when more than one contract applies.
| Service | Code | Physician rate | vs. Pennsylvania hospitals |
|---|---|---|---|
| Emergency room visit, high severity | 99285 | $1931 rate | 45th percentile · state median $202, mean $224 |
| CT scan, abdomen and pelvis, with contrast | 74177 | $2843 rates, all the same | 18th percentile · state median $359, mean $398 |
| MRI, brain, with and without contrast | 70553 | $3173 rates, all the same | 18th percentile · state median $494, mean $557 |
| Colonoscopy, diagnostic | 45378 | $457$264–$457 · 3 rates | 60th percentile · state median $424, mean $455 |
See UnitedHealthcare rates for every billing code at UPMC Somerset
Free account required.
Get more ratesThe full rate file for UPMC Somerset, with a free MedReveal account
Every billing code
CPT, HCPCS, MS-DRG and revenue codes, not just the four shown here.
Institutional rates
What each insurer pays the hospital itself, its facility fees.
Professional rates
What insurers pay physicians and clinicians billing here.
Inpatient and outpatient
Per-stay rates for admissions and per-visit rates for outpatient care.
The table above shows physician rates: what the insurer pays clinicians for the service. Facility rates are in the full data. Source: insurer Transparency in Coverage files.
From the hospital's Medicare enrollment record.
From CMS Care Compare. Each measure is compared with the national rate.
CMS overall rating
4 out of 5 stars
0 better5 no different0 worsethan national
0 better3 no different0 worsethan national
1 better6 no different0 worsethan national
Units Medicare certifies separately, each with its own CCN.
Swing-bed unit
UPMC Somerset
CCN 39U039
Conemaugh Meyersdale Medical Center
Meyersdale, PA
UPMC Bedford Memorial
Everett, PA
Compare negotiated rates from UHC, Aetna, Cigna and BCBS with the rest of the market, down to the TIN.
Quick answers about UPMC Somerset.
UPMC Somerset's CMS Certification Number (CCN) is 390039. Medicare uses the CCN to identify the hospital in cost reports, quality reporting and claims.
UPMC Somerset bills under National Provider Identifier (NPI) 1912900168.
UPMC Somerset bills insurers under tax ID (EIN) 25-0965570, held by UPMC. Insurers publish negotiated rates by tax ID, so this is the number to look up in price transparency files.
UPMC Somerset is enrolled in Medicare as a short-term acute care hospital with nonprofit ownership. Its legal business name is UPMC Somerset.
UPMC Somerset is at 225 S Center Ave, Somerset, PA 15501.
UPMC Somerset has a CMS overall star rating of 4 out of 5. CMS bases the rating on mortality, safety, readmission, patient experience and timely care measures.
Yes. UPMC Somerset reports emergency services to CMS.
Yes. UPMC Somerset has 1 Medicare-certified unit: swing-bed unit.
Enrollment records show how a hospital is registered with Medicare; confirm services and coverage with the hospital directly.