Umass Memorial Healthcare-marlborough Hospital
UMASS Memorial Healthcare-Marlborough Hospital in Marlborough, MA charges 3.3x the Medicare reimbursement rate across 34 analyzed procedures, reflecting typical pricing patterns for nonprofit private hospitals.
Marlborough, MA 01752 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
No credit card required. Results in 60 seconds.
Pricing grade
C
Average
Avg markup vs Medicare
3.29x
Charge / Medicare rate
Max markup
5.82x
Worst procedure
Procedures analyzed
34
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.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $30,903 | $15,452 | — | 5.8x |
| PSYCHOSES | 885 | $66,695 | $33,348 | — | 5.4x |
| CHEST PAIN | 313 | $24,305 | $12,153 | — | 4.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $61,629 | $30,815 | — | 4.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $27,448 | $13,724 | — | 4.1x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $21,432 | $10,716 | — | 4.1x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $21,166 | $10,583 | — | 3.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $27,792 | $13,896 | — | 3.8x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $21,064 | $10,532 | — | 3.7x |
| SYNCOPE AND COLLAPSE | 312 | $22,444 | $11,222 | — | 3.7x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $24,685 | $12,343 | — | 3.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $41,277 | $20,638 | — | 3.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $15,849 | $7,925 | — | 3.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $25,341 | $12,670 | — | 3.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $18,826 | $9,413 | — | 3.3x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $32,837 | $16,418 | — | 3.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $17,343 | $8,672 | — | 3.2x |
| CELLULITIS WITHOUT MCC | 603 | $18,049 | $9,024 | — | 3.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $17,251 | $8,625 | — | 3.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $22,132 | $11,066 | — | 3x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $25,763 | $12,881 | — | 2.9x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $22,244 | $11,122 | — | 2.9x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $24,098 | $12,049 | — | 2.8x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $25,398 | $12,699 | — | 2.7x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $31,602 | $15,801 | — | 2.7x |
| RENAL FAILURE WITH CC | 683 | $16,675 | $8,337 | — | 2.7x |
| RENAL FAILURE WITH MCC | 682 | $26,855 | $13,427 | — | 2.5x |
| COAGULATION DISORDERS | 813 | $29,284 | $14,642 | — | 2.5x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $23,416 | $11,708 | — | 2.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $33,801 | $16,900 | — | 2.3x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $15,016 | $7,508 | — | 2.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $20,250 | $10,125 | — | 2.2x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $26,906 | $13,453 | — | 2.2x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $30,144 | $15,072 | — | 2.2x |
Got a bill from UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL?
Upload your bill and our AI compares every line item against these benchmark prices. Free analysis in 60 seconds. You only pay if we find savings.
Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
Related pricing data
Got a bill from Umass Memorial Healthcare-marlborough Hospital?
Free guides to help you take action
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