82/100
#314 nationally
Upmc Jameson
1211 Wilmington Avenue, New Castle, PA 16105 · (724) 656-4100
Charges close to what care is actually paid for
For every $1 of care Medicare actually paid for here, Upmc Jameson billed $3.26 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 3.3x
- volume-weighted across all its priced work
- Procedures priced
- 43
- inpatient and outpatient combined
- Rank in PA
- #14
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 75% of U.S. hospitals.
Better than 80% of U.S. hospitals.
Better than 87% of U.S. hospitals.
Better than 93% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
77 | $38,625 | $12,624 | -41% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
72 | $7,334 | $2,058 | -38% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
70 | $25,879 | $9,411 | -40% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
54 | $7,397 | $1,400 | -27% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
54 | $5,767 | $1,436 | -49% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
50 | $15,502 | $2,873 | -39% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
45 | $24,207 | $9,551 | -48% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
45 | $22,127 | $4,559 | -19% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
40 | $9,819 | $2,299 | -49% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
38 | $34,769 | $11,208 | -44% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$22,127 | $4,559 | -19% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$10,063 | $1,733 | -22% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$8,964 | $1,700 | -24% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$15,612 | $3,114 | -24% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$7,397 | $1,400 | -27% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$8,327 | $1,725 | -27% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$13,676 | $2,847 | -28% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$37,175 | $11,117 | -30% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
$10,019 | $5,832 | -67% |
|
Fainting
MS-DRG 312 · Inpatient stay |
$14,919 | $6,436 | -59% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
$19,204 | $7,301 | -58% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
$10,144 | $3,405 | -57% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
$17,385 | $8,499 | -57% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$14,025 | $5,898 | -57% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$24,534 | $11,126 | -55% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
$39,456 | $15,534 | -55% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.