▸ Hospital · PA · CCN 390016

UPMC Jameson

1211 WILMINGTON AVENUE, NEW CASTLE, PA, 16105-2595

110 bedsAcute Care Hospitals2

Compliance grade

100/100

Rates published

30,629

last crawl 2026-05-24

Procedures tracked

159

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All PA hospitals JSON

Source MRF: https://dam.upmc.com/-/media/upmc/locations/hospitals/documents/cdm-json-files/250965406_upmc-jameson_standardcharges.csv? · CSV

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
behavioral
Psychoses	MS-DRG	885	9	—	—	$1,500	$11,264	$14,222
Psychiatric diagnostic evaluation	CPT	90791	11	$424	$254.4	$30.19	$233.2	$373.12
Psychotherapy 30 minutes	CPT	90832	11	$204	$122.4	$28.6	$89.59	$179.52
Psychotherapy 45 minutes	CPT	90834	11	$303	$181.8	$42.9	$125.05	$266.64
Psychotherapy 60 minutes	CPT	90837	11	$396	$237.6	$57.2	$172.56	$348.48
emergency
ED visit level 1	CPT	99281	13	$96	$57.6	$51.26	$84.48	$356
ED visit level 2	CPT	99282	13	$377	$226.2	$34.91	$160.3	$356
ED visit level 3	CPT	99283	13	$643	$385.8	$45.5	$275.39	$612
ED visit level 4	CPT	99284	13	$1,009	$605.4	$65.01	$423.51	$1,733
ED visit level 5	CPT	99285	13	$1,481	$888.6	$65.01	$604.6	$1,733
Critical care, first hour	CPT	99291	13	$2,297	$1,378.2	$166.79	$820.28	$2,558
imaging
CT head without contrast	CPT	70450	13	$1,054	$632.4	$89.12	$157.03	$927.52
CT head with contrast	CPT	70460	13	$1,381	$828.6	$92	$199.2	$1,215.28
CT head with and without contrast	CPT	70470	13	$1,476	$885.6	$115	$216.61	$1,298.88
CT neck with contrast	CPT	70491	13	$1,786	$1,071.6	$94.88	$201.63	$1,571.68
MRI brain without contrast	CPT	70551	13	$3,186	$1,911.6	$202.14	$454.09	$2,803.68
MRI brain with contrast	CPT	70552	13	$3,532	$2,119.2	$279.12	$455.96	$3,108.16
MRI brain with and without contrast	CPT	70553	13	$4,307	$2,584.2	$309.35	$455.96	$3,812.26
Chest X-ray single view	CPT	71045	13	$359	$215.4	$6.54	$89.16	$315.92
Chest X-ray 2 views	CPT	71046	13	$359	$215.4	$11.99	$89.16	$315.92
Chest X-ray 3 views	CPT	71047	13	$359	$215.4	$15.25	$90.67	$315.92
CT chest without contrast	CPT	71250	13	$1,337	$802.2	$95.56	$179.68	$1,176.56
CT chest with contrast	CPT	71260	13	$1,649	$989.4	$100.62	$206.95	$1,451.12
CT chest with and without contrast	CPT	71270	13	$2,012	$1,207.2	$119.03	$225.12	$1,770.56
MRI chest without contrast	CPT	71550	13	$1,712	$1,027.2	$230.45	$452.21	$1,809.42
MRI chest with and without contrast	CPT	71552	13	$1,943	$1,165.8	$340.48	$776.74	$2,441.6
Lumbosacral spine X-ray	CPT	72100	13	$359	$215.4	$25.88	$107.67	$315.92
CT cervical spine without contrast	CPT	72125	13	$2,105	$1,263	$95.56	$179.68	$1,852.4
CT thoracic spine without contrast	CPT	72128	13	$2,269	$1,361.4	$101.38	$189.77	$1,996.72
CT lumbar spine without contrast	CPT	72131	13	$1,250	$750	$101.31	$186.41	$1,100
MRI cervical spine without contrast	CPT	72141	13	$2,533	$1,519.8	$197.59	$455.96	$2,229.04
MRI thoracic spine without contrast	CPT	72146	13	$4,660	$2,796	$197.27	$351.52	$4,100.8
MRI lumbar spine without contrast	CPT	72148	13	$2,533	$1,519.8	$197.92	$344.52	$2,229.04
MRI lumbar spine with and without contrast	CPT	72149	13	$3,141	$1,884.6	$280.42	$455.96	$2,764.08
MRI cervical spine with and without contrast	CPT	72156	13	$4,910	$2,946	$309.35	$455.96	$4,320.8
MRI lumbar spine with contrast	CPT	72158	13	$4,910	$2,946	$309.35	$455.96	$4,320.8
CT pelvis without contrast	CPT	72192	13	$1,625	$975	$77.62	$151.31	$1,430
CT pelvis with contrast	CPT	72193	13	$1,981	$1,188.6	$99.47	$213.69	$1,743.28
Shoulder X-ray	CPT	73030	13	$359	$215.4	$18.98	$90.67	$315.92
Humerus X-ray	CPT	73060	13	$359	$215.4	$13.22	$90.67	$315.92
Hand X-ray 3 views	CPT	73130	13	$525	$315	$13.22	$90.67	$462
MRI upper extremity joint without contrast	CPT	73221	13	$4,868	$2,920.8	$208.69	$1,046.56	$4,283.84
MRI upper extremity joint with and without contrast	CPT	73223	13	$6,384	$3,830.4	$340.48	$1,122.38	$5,617.92
Knee X-ray 1-2 views	CPT	73560	13	$359	$215.4	$18.98	$90.67	$315.92
Ankle X-ray 3 views	CPT	73610	13	$430	$258	$21.54	$90.67	$378.4
MRI lower extremity joint without contrast	CPT	73721	13	$4,660	$2,796	$208.37	$1,035.75	$4,100.8
MRI lower extremity joint with and without contrast	CPT	73723	13	$6,337	$3,802.2	$340.48	$1,122.38	$5,576.56
CT abdomen without contrast	CPT	74150	13	$1,979	$1,187.4	$89.12	$173.51	$1,741.52
CT abdomen with contrast	CPT	74160	13	$2,609	$1,565.4	$103.5	$216.41	$2,295.92
CT abdomen with and without contrast	CPT	74170	13	$3,033	$1,819.8	$128.22	$237.36	$2,669.04
CT abdomen and pelvis without contrast	CPT	74176	13	$3,603	$2,161.8	$116.23	$267.85	$3,170.64
CT abdomen and pelvis with contrast	CPT	74177	13	$4,591	$2,754.6	$221.64	$396.66	$4,040.08
CT abdomen and pelvis with and without contrast	CPT	74178	13	$5,562	$3,337.2	$292.9	$447.51	$4,894.56
MRI abdomen without contrast	CPT	74181	13	$3,093	$1,855.8	$202.77	$452.21	$2,721.84
MRI abdomen with and without contrast	CPT	74183	13	$4,910	$2,946	$340.48	$775.89	$4,320.8
Abdominal ultrasound complete	CPT	76700	13	$1,520	$912	$66.12	$129.57	$1,337.6
Abdominal ultrasound limited	CPT	76705	13	$1,172	$703.2	$43.12	$109.49	$1,031.36
Retroperitoneal ultrasound complete	CPT	76770	13	$587	$352.2	$56.35	$120	$516.56
Obstetric ultrasound first trimester	CPT	76801	13	$404	$242.4	$44.15	$121.8	$490.84
Obstetric ultrasound after first trimester	CPT	76805	13	$404	$242.4	$53.48	$122.82	$486.98
Obstetric ultrasound with fetal anatomy	CPT	76811	12	$2,638	$1,582.8	$105.13	$436.06	$2,321.44
Transvaginal ultrasound	CPT	76830	13	$658	$394.8	$53.48	$110.13	$579.04
Pelvic ultrasound complete	CPT	76856	13	$658	$394.8	$53.48	$110.13	$579.04
Scrotal ultrasound	CPT	76870	13	$1,076	$645.6	$50.6	$109.49	$946.88
Diagnostic mammography unilateral	CPT	77065	11	$293	$175.8	$58.73	$178	$364.39
Diagnostic mammography bilateral	CPT	77066	11	$510	$306	$74.91	$255	$675.02
Screening mammography bilateral	CPT	77067	11	$342	$205.2	$62.03	$178.43	$551.43
EKG tracing only	CPT	93005	13	$264	$158.4	$11.51	$60.65	$232.32
Transthoracic echocardiogram complete	CPT	93306	13	$3,127	$1,876.2	$112.86	$555.18	$2,751.76
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	10	—	—	$1,500	$15,968	$20,476
Intracranial hemorrhage/CVA w CC	MS-DRG	065	10	—	—	$1,500	$8,303.14	$10,287
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	10	—	—	$1,500	$5,807.02	$6,968.56
Respiratory infections & inflammations w MCC	MS-DRG	177	10	—	—	$1,500	$12,534	$15,911
COPD w MCC	MS-DRG	190	10	—	—	$1,500	$9,049.12	$11,279
COPD w CC	MS-DRG	191	10	—	—	$1,500	$7,022.07	$45,468
COPD w/o CC/MCC	MS-DRG	192	10	—	—	$1,500	$5,482.51	$18,124
Simple pneumonia & pleurisy w CC	MS-DRG	194	10	—	—	$1,500	$6,737.9	$17,047
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	10	—	—	$1,500	$5,379.1	$25,295
AMI discharged alive w MCC	MS-DRG	280	10	—	—	$1,500	$12,851	$16,333
AMI discharged alive w CC	MS-DRG	281	10	—	—	$1,500	$7,604.61	$9,358.28
AMI discharged alive w/o CC/MCC	MS-DRG	282	10	—	—	$1,500	$6,103.43	$7,362.6
Heart failure & shock w MCC	MS-DRG	291	10	—	—	$1,500	$10,398	$13,072
Heart failure & shock w CC	MS-DRG	292	10	—	—	$1,500	$7,068.03	$27,993
Heart failure & shock w/o CC/MCC	MS-DRG	293	10	—	—	$1,500	$4,900.41	$11,943
Cardiac arrhythmia w MCC	MS-DRG	308	10	—	—	$1,500	$9,787.15	$14,888
Cardiac arrhythmia w CC	MS-DRG	309	10	—	—	$1,500	$6,200.2	$8,204.19
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	10	—	—	$1,500	$4,901.17	$9,426.95
GI hemorrhage w CC	MS-DRG	378	10	—	—	$1,500	$8,076.41	$9,985.49
GI hemorrhage w/o CC/MCC	MS-DRG	379	10	—	—	$1,500	$5,393.42	$6,418.73
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	10	—	—	$1,500	$6,536.46	$32,958
Fractures of femur w/o MCC	MS-DRG	533	9	—	—	$1,500	$12,573	$15,962
Kidney/UTI w MCC	MS-DRG	689	9	—	—	$1,500	$9,452.43	$11,814
Kidney/UTI w/o MCC	MS-DRG	690	9	—	—	$1,500	$6,765.48	$8,242.33
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	9	—	—	$1,500	$15,444	$19,779
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	9	—	—	$1,500	$8,403.08	$10,419
lab
Basic metabolic panel (BMP)	CPT	80048	13	$134	$80.4	$8.36	$10.58	$117.92
Electrolyte panel	CPT	80051	13	$91	$54.6	$6.92	$7.91	$80.08
Comprehensive metabolic panel	CPT	80053	13	$207	$124.2	$10.43	$13.21	$182.16
Lipid panel	CPT	80061	13	$126	$75.6	$13.24	$15.82	$110.88
Renal function panel	CPT	80069	13	$172	$103.2	$8.58	$10.85	$151.36
Hepatic function panel	CPT	80076	13	$146	$87.6	$8.08	$10.21	$128.48
Urinalysis non-automated	CPT	81002	13	$45	$27	$3.44	$4.03	$39.6
Urinalysis automated	CPT	81003	13	$41	$24.6	$2.22	$4.31	$36.08
Glucose quantitative	CPT	82947	13	$25	$15	$3.89	$4.52	$30.35
Hemoglobin A1c	CPT	83036	13	$52	$31.2	$7.7	$10.49	$67.98
Thyroid stimulating hormone (TSH)	CPT	84443	13	$100	$60	$16.6	$26.23	$101.3
Complete blood count with automated differential	CPT	85025	13	$53	$31.8	$6.6	$8.39	$49.45
Complete blood count without differential	CPT	85027	13	$47	$28.2	$6.39	$8.5	$41.36
Urine culture bacterial	CPT	87086	13	$91	$54.6	$7.98	$9.04	$80.08
Urine culture identification	CPT	87088	13	$43	$25.8	$8	$9.04	$50.46
Tissue exam by pathologist level IV	CPT	88305	13	$164	$98.4	$10.35	$55.01	$158.79
maternity
Vaginal delivery only	CPT	59409	13	$5,420	$3,252	$1,111.99	$3,159.22	$4,769.6
office
Office visit, new patient, 15-29 min	CPT	99202	12	$434	$260.4	$19.81	$100.71	$381.92
Office visit, new patient, 30-44 minutes	CPT	99203	12	$564	$338.4	$25.29	$130.44	$496.32
Office visit, new patient, 45-59 min	CPT	99204	12	$723	$433.8	$27.66	$196.77	$636.24
Office visit, new patient, 60-74 min	CPT	99205	12	$877	$526.2	$29.68	$226.22	$771.76
Office visit, established patient, 5 min	CPT	99211	12	$235	$141	$10.18	$93.63	$206.8
Office visit, established patient, 10-19 min	CPT	99212	12	$315	$189	$15.42	$86.1	$277.2
Office visit, established patient, 20-29 minutes	CPT	99213	12	$360	$216	$17.84	$86.1	$316.8
Office visit, established patient, 30-39 minutes	CPT	99214	12	$418	$250.8	$23.27	$122.03	$367.84
Office visit, established patient, 40-54 min	CPT	99215	12	$448	$268.8	$26.75	$148.23	$394.24
preventive
Upper GI endoscopy diagnostic	CPT	43235	13	$3,121	$1,872.6	$137.74	$949.32	$2,746.48
Upper GI endoscopy with biopsy	CPT	43239	13	$2,197	$1,318.2	$163.44	$959.26	$2,316.5
Sigmoidoscopy diagnostic	CPT	45330	13	$997	$598.2	$58.47	$833.41	$1,173.43
Sigmoidoscopy with biopsy	CPT	45331	13	$3,121	$1,872.6	$70.04	$906.76	$2,746.48
Colonoscopy diagnostic	CPT	45378	13	$2,500	$1,500	$198.55	$938.71	$2,315.6
Colonoscopy with biopsy	CPT	45380	13	$4,127	$2,476.2	$247.96	$1,193.87	$3,631.76
Colonoscopy with polyp removal	CPT	45385	13	$4,127	$2,476.2	$294.89	$1,193.87	$3,631.76
surgery
Total shoulder arthroplasty	CPT	23472	10	—	—	$892.4	$17,533	$23,669
PCI w drug-eluting stent w MCC	MS-DRG	246	1	—	—	$4,784.43	$5,237.59	$5,690.75
PCI w drug-eluting stent w/o MCC	MS-DRG	247	1	—	—	$4,787.02	$5,240.43	$5,693.84
ACL reconstruction	CPT	29888	10	—	—	$851.73	$6,810.69	$9,194.43
Major small/large bowel procedures w MCC	MS-DRG	329	10	—	—	$3,713.14	$35,772	$46,802
Major small/large bowel procedures w CC	MS-DRG	330	10	—	—	$2,512.06	$18,926	$24,534
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	10	—	—	$8,604.01	$13,455	$17,442
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	10	—	—	$8,331.43	$13,522	$17,528
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	10	—	—	$8,041.54	$11,026	$14,294
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	10	—	—	$5,510.44	$26,662	$34,691
Laparoscopic appendectomy	CPT	44970	10	—	—	$892.4	$5,562.36	$7,509.19
Spinal fusion (non-cervical) w MCC	MS-DRG	459	1	—	—	$15,181	$16,618	$18,056
Spinal fusion (non-cervical) w/o MCC	MS-DRG	460	1	—	—	$8,673.23	$9,494.73	$10,316
Major joint replacement w MCC	MS-DRG	469	9	—	—	$22,035	$23,884	$30,884
Major joint replacement w/o MCC	MS-DRG	470	9	—	—	$14,203	$15,340	$19,885
Laparoscopic cholecystectomy	CPT	47562	10	—	—	$892.4	$5,797.09	$7,509.19
Lap cholecystectomy with cholangiography	CPT	47563	10	—	—	$892.4	$5,797.09	$7,509.19
Hip & femur procedures except major joint w MCC	MS-DRG	480	10	—	—	$21,178	$23,093	$187,922
Hip & femur procedures except major joint w CC	MS-DRG	481	10	—	—	$15,378	$16,688	$157,554
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	10	—	—	$12,090	$13,105	$37,805
Lap inguinal hernia repair	CPT	49650	10	—	—	$818.32	$5,562.36	$7,509.19
OR procedure for obesity w MCC	MS-DRG	619	9	—	—	$21,001	$22,763	$29,401
OR procedure for obesity w CC	MS-DRG	620	9	—	—	$11,873	$12,823	$16,622
OR procedure for obesity w/o CC/MCC	MS-DRG	621	9	—	—	$11,221	$12,119	$15,709
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	9	—	—	$9,322.44	$10,068	$13,051
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	9	—	—	$15,056	$16,274	$21,078
PCI single major coronary artery	CPT	92920	11	$13,355	$8,013	$505.83	$6,677.5	$11,752
PCI with drug-eluting stent	CPT	92928	11	$19,012	$11,407	$562.82	$9,506	$16,731
Left heart catheterization	CPT	93452	13	$9,455	$5,673	$892.4	$3,311.78	$8,320.4
Coronary angiography with cath	CPT	93455	13	$7,643	$4,585.8	$892.4	$3,311.78	$6,725.84
Coronary angiography with bypass cath	CPT	93458	13	$13,125	$7,875	$892.4	$3,311.78	$11,550

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 13)

Payer	Codes covered	Median rate
pa health & wellness	155	$248.89
Humana	155	$581.46
upmc health plan	155	$355.53
Blue Cross Blue Shield	155	$543.49
Cigna	155	$670.35
Aetna	155	$161.83
amerihealth caritas	152	$183.43
UnitedHealthcare	152	$356
upmc work partners	143	$1,158.68
occunet	136	$425.6
national provider network	106	$907.72
Multiplan	106	$802.3
geisinger	106	$132.46

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