Umass Memorial Medical Center/university Campus
UMASS Memorial Medical Center/University Campus in Worcester, MA charges 3.9x the Medicare reimbursement rate on average, based on analysis of 217 common medical procedures.
Worcester, MA 01655 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Pricing grade
C
Average
Avg markup vs Medicare
3.93x
Charge / Medicare rate
Max markup
9.15x
Worst procedure
Procedures analyzed
217
With pricing data
Outlier procedures
0.9%
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 |
|---|---|---|---|---|---|
| KIDNEY TRANSPLANT | 652 | $266,253 | $133,126 | — | 9.2x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $135,659 | $67,829 | — | 7.3x |
| TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | 558 | $61,841 | $30,921 | — | 6.7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $68,291 | $34,145 | — | 6.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $126,891 | $63,445 | — | 6.1x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | 371 | $103,477 | $51,738 | — | 5.8x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $62,397 | $31,199 | — | 5.6x |
| MAJOR CHEST PROCEDURES WITHOUT CC/MCC | 165 | $102,325 | $51,162 | — | 5.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $175,694 | $87,847 | — | 5.4x |
| AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | 617 | $124,026 | $62,013 | — | 5.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/ | 321 | $178,658 | $89,329 | — | 5.4x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $60,800 | $30,400 | — | 5.3x |
| NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 987 | $182,946 | $91,473 | — | 5.2x |
| OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | 254 | $114,400 | $57,200 | — | 5.2x |
| PNEUMOTHORAX WITH CC | 200 | $55,332 | $27,666 | — | 5.1x |
| DENTAL AND ORAL DISEASES WITH CC | 158 | $49,723 | $24,862 | — | 5.1x |
| DISORDERS OF THE BILIARY TRACT WITH MCC | 444 | $93,191 | $46,596 | — | 5.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $24,269 | $12,134 | — | 5x |
| SYNCOPE AND COLLAPSE | 312 | $43,457 | $21,729 | — | 5x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | 027 | $127,294 | $63,647 | — | 4.9x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $43,041 | $21,521 | — | 4.9x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | 896 | $98,997 | $49,498 | — | 4.9x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $57,562 | $28,781 | — | 4.9x |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | 543 | $54,784 | $27,392 | — | 4.9x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | 244 | $103,641 | $51,821 | — | 4.9x |
| CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | 847 | $62,849 | $31,424 | — | 4.8x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | 085 | $125,696 | $62,848 | — | 4.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $36,615 | $18,307 | — | 4.8x |
| OTHER FACTORS INFLUENCING HEALTH STATUS | 951 | $28,149 | $14,074 | — | 4.8x |
| PSYCHOSES | 885 | $83,431 | $41,716 | — | 4.7x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $118,073 | $59,037 | — | 4.7x |
| MAJOR CHEST TRAUMA WITH MCC | 183 | $84,377 | $42,188 | — | 4.7x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $93,225 | $46,612 | — | 4.7x |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $94,235 | $47,117 | — | 4.7x |
| INFLAMMATORY BOWEL DISEASE WITH MCC | 385 | $79,817 | $39,909 | — | 4.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $33,575 | $16,787 | — | 4.7x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $129,036 | $64,518 | — | 4.7x |
| OTHER O.R. PROCEDURES FOR INJURIES WITH CC | 908 | $96,069 | $48,035 | — | 4.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $30,038 | $15,019 | — | 4.6x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $48,298 | $24,149 | — | 4.6x |
| ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WIT | 062 | $83,141 | $41,570 | — | 4.6x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | 982 | $113,767 | $56,884 | — | 4.5x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | 056 | $121,442 | $60,721 | — | 4.5x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | 082 | $127,073 | $63,537 | — | 4.5x |
| SEIZURES WITHOUT MCC | 101 | $41,316 | $20,658 | — | 4.4x |
| AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | 269 | $236,522 | $118,261 | — | 4.4x |
| DYSEQUILIBRIUM | 149 | $30,534 | $15,267 | — | 4.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $41,506 | $20,753 | — | 4.4x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $106,756 | $53,378 | — | 4.4x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | 026 | $126,847 | $63,423 | — | 4.4x |
Showing 50 of 217 procedures
How UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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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.
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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