Pennsylvania / UPMC Jameson
CMS certification 390016 · New Castle, PA · 3 entries in CMS's price-transparency list
UPMC Jameson: charges and Medicare payments
UPMC Jameson reported 515 Medicare inpatient stays across 24 DRGs in 2024. Across them it charged 2.83 times what it was paid — among the lower ratios in Pennsylvania, number 102 of 117 hospitals with at least 100 stays (state median 4.27×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 77 stays at an average charge of $38,625, 57% below the national average. It also billed 648 outpatient services, charging 5.29 times what Medicare paid.
- 1Medicare inpatient stays 515
- 2Charge ÷ paid, inpatient 2.83×
- 3Rank in PA (highest ratio = 1) 102 of 117
- 4CMS price-transparency actions 3
Inpatient stays
For the 24 DRGs that can be compared with the national average, UPMC Jameson charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 77 | $38,625 | -57% | $12,624 |
| 291 Heart Failure and Shock with MCC | 70 | $25,879 | -54% | $9,411 |
| 193 Simple Pneumonia and Pleurisy with MCC | 45 | $24,207 | -59% | $9,551 |
| 378 Gastrointestinal Hemorrhage with CC | 25 | $21,625 | -55% | $7,276 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 24 | $32,730 | -57% | $11,776 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 23 | $14,025 | -65% | $5,898 |
| 683 Renal Failure with CC | 23 | $16,177 | -60% | $6,719 |
| 177 Respiratory Infections and Inflammations with MCC | 22 | $24,534 | -65% | $11,126 |
| 690 Kidney and Urinary Tract Infections without MCC | 19 | $17,986 | -52% | $5,945 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 16 | $19,204 | -66% | $7,301 |
| 312 Syncope and Collapse | 15 | $14,919 | -67% | $6,436 |
| 189 Pulmonary Edema and Respiratory Failure | 14 | $27,445 | -52% | $8,472 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 14 | $23,067 | -54% | $6,027 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 14 | $39,456 | -65% | $15,534 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 13 | $10,019 | -72% | $5,832 |
| 377 Gastrointestinal Hemorrhage with MCC | 12 | $40,278 | -53% | $13,200 |
| 682 Renal Failure with MCC | 12 | $37,175 | -44% | $11,117 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 11 | $63,287 | -45% | $13,101 |
| 481 Hip and Femur Procedures except Major Joint with CC | 11 | $40,458 | -60% | $14,171 |
| 603 Cellulitis without MCC | 11 | $16,348 | -56% | $6,817 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 11 | $16,666 | -55% | $6,014 |
| 689 Kidney and Urinary Tract Infections with MCC | 11 | $17,385 | -66% | $8,499 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 11 | $32,363 | -56% | $12,119 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 11 | $21,328 | -57% | $7,398 |
Outpatient services
Against the Pennsylvania average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), UPMC Jameson charged $38,625 on average, 56% less than the Pennsylvania average of $88,167, and was paid $12,624 against a state average of $16,881. For Heart Failure and Shock with MCC (DRG 291), UPMC Jameson charged $25,879 on average, 55% less than the Pennsylvania average of $57,362, and was paid $9,411 against a state average of $11,112. For Simple Pneumonia and Pleurisy with MCC (DRG 193), UPMC Jameson charged $24,207 on average, 59% less than the Pennsylvania average of $59,404, and was paid $9,551 against a state average of $11,319. For Gastrointestinal Hemorrhage with CC (DRG 378), UPMC Jameson charged $21,625 on average, 59% less than the Pennsylvania average of $52,595, and was paid $7,276 against a state average of $8,780. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $7,334 was 49% below the state average of $14,403. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,397 was 46% below the state average of $13,651. For Level 2 Musculoskeletal Procedures (outpatient APC 5112), its average charge of $5,767 was 54% below the state average of $12,460. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $15,502 was 46% below the state average of $28,496.
Price-transparency record
CMS's enforcement list records these actions for a hospital named UPMC Jameson in New Castle, PA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-10-02 (CMS case 2751)
- CAP Request — 2025-01-15 (CMS case 2751)
- Closure Notice — 2025-04-02 (CMS case 2751)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.