UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS
WORCESTER, MA 01655 · Acute Care Hospitals
217 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 26, 2026 · Methodology
Procedures Analyzed
217
With CMS pricing data
Avg Charge-to-Medicare Ratio
3.9x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Voluntary non-profit - Private
Above 90th Percentile
1%
Compared to MA hospitals
Understanding Your Costs
When you receive a bill from UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS lists chargemaster rates that average 3.9x the corresponding Medicare reimbursement amount across 217 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).
The median hospital in MA has a chargemaster-to-Medicare ratio of 2.3x, with ratios across the state ranging from 1.2x to 5.6x. At 3.9x, this facility’s average ratio is above the state median. 54 hospitals in MA report pricing data to CMS (Source: CMS IPPS Provider Summary).
The procedure with the largest gap between the listed price and Medicare reimbursement at UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS is KIDNEY TRANSPLANT (DRG 652). The listed chargemaster rate is $266,253, while Medicare reimburses $29,098 for the same procedure — a ratio of 9.2x (Source: CMS IPPS Provider Summary, FY2024).
What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.
2 of 217 procedures (1%) at this facility have listed rates above the 90th percentile compared to other MA hospitals reporting the same procedure data to CMS (Source: CMS IPPS Provider Summary).
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS is a voluntary non-profit - private acute care hospitals facility with a CMS quality rating of 3/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.
Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio
Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Procedure Pricing Lookup
Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.
| Procedure | DRG | Listed Charge | Medicare Reimb. | Ratio | State Position | |
|---|---|---|---|---|---|---|
| KIDNEY TRANSPLANT | 652 | $266,253 | $29,098 | 9.2x | 0th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $135,659 | $18,480 | 7.3x | 1th | Compare your bill |
| TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | 558 | $61,841 | $9,231 | 6.7x | 1th | Compare your bill |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $68,291 | $10,635 | 6.4x | 1th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $126,891 | $20,673 | 6.1x | 1th | Compare your bill |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | 371 | $103,477 | $17,900 | 5.8x | 1th | Compare your bill |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $62,397 | $11,058 | 5.6x | 1th | Compare your bill |
| MAJOR CHEST PROCEDURES WITHOUT CC/MCC | 165 | $102,325 | $18,697 | 5.5x | 1th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $175,694 | $32,286 | 5.4x | 1th | Compare your bill |
| AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | 617 | $124,026 | $22,873 | 5.4x | 1th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/ | 321 | $178,658 | $33,294 | 5.4x | 1th | Compare your bill |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $60,800 | $11,523 | 5.3x | 1th | Compare your bill |
| NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 987 | $182,946 | $34,993 | 5.2x | 1th | Compare your bill |
| OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | 254 | $114,400 | $22,049 | 5.2x | 1th | Compare your bill |
| PNEUMOTHORAX WITH CC | 200 | $55,332 | $10,765 | 5.1x | 1th | Compare your bill |
| DENTAL AND ORAL DISEASES WITH CC | 158 | $49,723 | $9,772 | 5.1x | 0th | Compare your bill |
| DISORDERS OF THE BILIARY TRACT WITH MCC | 444 | $93,191 | $18,385 | 5.1x | 1th | Compare your bill |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $24,269 | $4,834 | 5.0x | 1th | Compare your bill |
| SYNCOPE AND COLLAPSE | 312 | $43,457 | $8,785 | 5.0x | 1th | Compare your bill |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | 027 | $127,294 | $25,762 | 4.9x | 1th | Compare your bill |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | 896 | $98,997 | $20,062 | 4.9x | 1th | Compare your bill |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $43,041 | $8,731 | 4.9x | 1th | Compare your bill |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $57,562 | $11,714 | 4.9x | 1th | Compare your bill |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | 543 | $54,784 | $11,197 | 4.9x | 1th | Compare your bill |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | 244 | $103,641 | $21,259 | 4.9x | 1th | Compare your bill |
| CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | 847 | $62,849 | $13,102 | 4.8x | 1th | Compare your bill |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | 085 | $125,696 | $26,214 | 4.8x | 1th | Compare your bill |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $36,615 | $7,681 | 4.8x | 1th | Compare your bill |
| OTHER FACTORS INFLUENCING HEALTH STATUS | 951 | $28,149 | $5,916 | 4.8x | 1th | Compare your bill |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $118,073 | $24,914 | 4.7x | 1th | Compare your bill |
| PSYCHOSES | 885 | $83,431 | $17,591 | 4.7x | 1th | Compare your bill |
| MAJOR CHEST TRAUMA WITH MCC | 183 | $84,377 | $17,841 | 4.7x | 1th | Compare your bill |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $93,225 | $19,813 | 4.7x | 1th | Compare your bill |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $94,235 | $20,077 | 4.7x | 1th | Compare your bill |
| INFLAMMATORY BOWEL DISEASE WITH MCC | 385 | $79,817 | $17,050 | 4.7x | 0th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $33,575 | $7,182 | 4.7x | 0th | Compare your bill |
| OTHER O.R. PROCEDURES FOR INJURIES WITH CC | 908 | $96,069 | $20,640 | 4.7x | 1th | Compare your bill |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $129,036 | $27,778 | 4.7x | 1th | Compare your bill |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $48,298 | $10,540 | 4.6x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $30,038 | $6,564 | 4.6x | 0th | Compare your bill |
| ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WIT | 062 | $83,141 | $18,265 | 4.5x | 0th | Compare your bill |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | 982 | $113,767 | $25,152 | 4.5x | 1th | Compare your bill |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | 056 | $121,442 | $27,154 | 4.5x | 1th | Compare your bill |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | 082 | $127,073 | $28,536 | 4.5x | 1th | Compare your bill |
| SEIZURES WITHOUT MCC | 101 | $41,316 | $9,302 | 4.4x | 1th | Compare your bill |
| AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | 269 | $236,522 | $53,336 | 4.4x | 1th | Compare your bill |
| DYSEQUILIBRIUM | 149 | $30,534 | $6,974 | 4.4x | 0th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $41,506 | $9,523 | 4.4x | 0th | Compare your bill |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $106,756 | $24,477 | 4.4x | 1th | Compare your bill |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | 026 | $126,847 | $29,147 | 4.3x | 0th | Compare your bill |
Showing 50 of 217 procedures
All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Statewide Context
Charge-to-Medicare ratio range across MA hospitals
54 hospitals in MA report pricing data to CMS. This facility's average ratio of 3.9x places it at the upper-middle range of the state range (Source: CMS IPPS Provider Summary).
What You Can Do
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How it worksData: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).
Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.
Frequently Asked Questions About UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS
How much does UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS charge compared to Medicare?
According to CMS IPPS data, UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS's listed chargemaster rates average 3.9x the Medicare reimbursement amount across 217 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.
What is the most expensive procedure at UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS?
The procedure with the highest chargemaster-to-Medicare ratio at UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS is KIDNEY TRANSPLANT (DRG 652), with a listed charge of $266,253 compared to Medicare reimbursement of $29,098 — a ratio of 9.2x. Source: CMS IPPS Provider Summary.
Is UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS expensive compared to other MA hospitals?
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS's average chargemaster-to-Medicare ratio is 3.9x. Ratios vary significantly across MA hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.
Where does the pricing data for UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS come from?
All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.
How can I check if my bill from UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS is correct?
You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.
Does UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS in WORCESTER, MA accept Medicare?
UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.