Anora (draw only) at UPMC Jameson
1211 Wilmington Avenue, New Castle, PA · UPMC · · NPI 111471575
$32.40
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$54.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$5.86 with Highmark BCBS of PA vs $47.52 with National Provider Network — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $5.86 | ↓ -82% |
| United Healthcare | Commercial | $6.15 | ↓ -81% |
| Aetna of PA | Medicare | $13.00 | ↓ -60% |
| UPMC Health Plan | Commercial | $14.64 | ↓ -55% |
| Cigna | Commercial | $16.63 | ↓ -49% |
| UPMC Health Plan | CHIP | $23.74 | ↓ -27% |
| Highmark Wholecare (prev Gateway) | Medicare | $27.00 | ↓ -17% |
| PA Health & Wellness | PA Medicaid HMO | $29.70 | ↓ -8% |
| Geisinger | Medicaid/CHIP | $29.70 | ↓ -8% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $40.50 | ↑ +25% |
| Humana | Commercial | $43.20 | ↑ +33% |
| National Provider Network | PPO | $47.52 | ↑ +47% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
Anora (draw only) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $20.40 | $5.76 – $27.20 |
| UPMC Bedford | Everett | $3.00 | $1.25 – $23.74 |
| UPMC Carlisle | Carlisle | $136.80 | $1.37 – $8.50 |
| UPMC Community Osteopathic | Harrisburg | $24.00 | $2.00 – $36.03 |
| UPMC Hamot | Erie | $35.40 | $5.76 – $48.49 |
| UPMC Hanover | Hanover | $136.80 | $6.91 – $23.74 |
| UPMC Kane | Kane | $36.60 | $7.49 – $29.65 |
| UPMC Lititz | Lititz | $136.80 | $6.91 – $23.74 |