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Umass Memorial Healthalliance Hospitals

UMASS MEMORIAL HEALTHALLIANCE HOSPITALS in Leominster, MA charges 3.3x the Medicare reimbursement rate on average across 53 analyzed procedures, reflecting typical pricing patterns for nonprofit hospitals in Massachusetts.

Leominster, MA 01453 · Acute Care Hospitals · CMS Rating: 2/5

By Kevin Nyk , Medical Billing Analyst · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
About the analyst

Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.

53 procedures analyzed
CMS price transparency data
Updated 2026-04-03
Median 3.0x1.3x15.0x
3.3x
Medicare markup ratio
MA lowestUmass Memorial Healtha...MA highest
3.3x
Avg markup ratio
3.3x
Median markup
53
Procedures
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Pricing grade

C

Average

Avg markup vs Medicare

3.32x

Charge / Medicare rate

Max markup

4.68x

Worst procedure

Procedures analyzed

53

With pricing data

Outlier procedures

0%

Above 90th percentile

Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.

ProcedureCodeGross chargeCash priceMedicareMarkup
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC699$39,506$19,7534.7x
GASTROINTESTINAL HEMORRHAGE WITH CC378$33,806$16,9034.5x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$70,149$35,0754.4x
TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC069$23,645$11,8234.2x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC309$23,038$11,5194.2x
PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE175$48,654$24,3274.2x
CHEST PAIN313$21,269$10,6344.1x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC308$36,082$18,0414.1x
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC394$30,281$15,1404x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$24,757$12,3793.9x
SIMPLE PNEUMONIA AND PLEURISY WITH CC194$22,910$11,4553.9x
DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC439$21,635$10,8183.8x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$21,608$10,8043.7x
SIGNS AND SYMPTOMS WITHOUT MCC948$21,050$10,5253.7x
OTHER DISORDERS OF NERVOUS SYSTEM WITH CC092$29,240$14,6203.7x
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC690$21,683$10,8423.7x
CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC432$54,750$27,3753.7x
RED BLOOD CELL DISORDERS WITHOUT MCC812$24,515$12,2573.6x
CELLULITIS WITHOUT MCC603$22,896$11,4483.6x
PULMONARY EMBOLISM WITHOUT MCC176$20,054$10,0273.5x
GASTROINTESTINAL HEMORRHAGE WITH MCC377$53,516$26,7583.4x
RENAL FAILURE WITH CC683$22,688$11,3443.4x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$25,711$12,8553.4x
PULMONARY EDEMA AND RESPIRATORY FAILURE189$31,957$15,9793.3x
GASTROINTESTINAL OBSTRUCTION WITH CC389$19,772$9,8863.3x
SYNCOPE AND COLLAPSE312$22,087$11,0443.3x
COAGULATION DISORDERS813$43,745$21,8733.3x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC853$135,911$67,9553.3x
SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS870$193,768$96,8843.2x
FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC563$20,541$10,2703.2x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC178$28,640$14,3203.2x
RENAL FAILURE WITH MCC682$36,939$18,4703.1x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC640$33,362$16,6813.1x
KIDNEY AND URINARY TRACT INFECTIONS WITH MCC689$26,857$13,4283x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$43,674$21,8372.9x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC190$24,235$12,1182.9x
BRONCHITIS AND ASTHMA WITH CC/MCC202$19,994$9,9972.9x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC177$42,979$21,4892.9x
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC698$36,579$18,2902.9x
MEDICAL BACK PROBLEMS WITHOUT MCC552$19,704$9,8522.8x
HEART FAILURE AND SHOCK WITH MCC291$27,390$13,6952.8x
FRACTURES OF HIP AND PELVIS WITHOUT MCC536$17,114$8,5572.8x
ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC897$17,760$8,8802.8x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$28,265$14,1322.8x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$14,777$7,3892.7x
DIABETES WITH CC638$18,396$9,1982.7x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC191$17,658$8,8292.6x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC280$31,124$15,5622.6x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$17,617$8,8082.6x
RED BLOOD CELL DISORDERS WITH MCC811$29,428$14,7142.6x

Showing 50 of 53 procedures

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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

Related pricing data

Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.

Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.

This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use

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