CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: UPMC Jameson

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$80
about 0.7× the $118 Medicare rate · typically $68–$136
modeled estimate · not a bill or quote
What this hospital charges insurers
$73
About the fair price
about $7 under the fair price · 0.6× Medicare
Medicare pays $118 Fair price $80 This hospital $73 Cash price $338 Hospital's list price $564

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $25 Priciest $73

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a New patient office visit (30-44 min) is about $80 (about 0.7× the $118 Medicare rate). UPMC Jameson charges insurers about $73, or about $338 in cash — about the fair price. Located in New Castle, PA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $62 - $208 53%
Blue Cross Blue Shieldmajor $25 - $282 21%
Aetnamajor $61 - $109 52%
Cignamajor $86 73%
Humanamajor $451 384%
AmeriHealth $71 60%
Geisinger $75 64%
UPMC Health Plan $60 - $289 51%
+ 2 smaller / regional plans $92 - $496
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 1211 Wilmington Avenue, New Castle, PA 16105
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals