Maryland / U P M C Western Maryland
CMS certification 210027 · Cumberland, MD · 3 entries in CMS's price-transparency list
U P M C Western Maryland: charges and Medicare payments
U P M C Western Maryland reported 3,090 Medicare inpatient stays across 93 DRGs in 2024. Across them it charged 1.13 times what it was paid — among the higher ratios in Maryland, number 13 of 43 hospitals with at least 100 stays (state median 1.12×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 362 stays at an average charge of $25,049, 72% below the national average.
- 1Medicare inpatient stays 3,090
- 2Charge ÷ paid, inpatient 1.13×
- 3Rank in MD (highest ratio = 1) 13 of 43
- 4CMS price-transparency actions 3
Inpatient stays
For the 93 DRGs that can be compared with the national average, U P M C Western Maryland charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 362 | $25,049 | -72% | $22,293 |
| 291 Heart Failure and Shock with MCC | 184 | $17,280 | -69% | $15,382 |
| 885 Psychoses | 102 | $14,986 | -66% | $13,337 |
| 189 Pulmonary Edema and Respiratory Failure | 91 | $23,701 | -59% | $21,021 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 83 | $16,981 | -65% | $15,083 |
| 057 Degenerative Nervous System Disorders without MCC | 73 | $26,766 | -53% | $23,866 |
| 177 Respiratory Infections and Inflammations with MCC | 62 | $26,763 | -62% | $23,737 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 61 | $66,198 | -58% | $58,659 |
| 945 Rehabilitation with CC/MCC | 57 | $27,175 | -51% | $24,087 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 56 | $15,564 | -72% | $13,880 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 56 | $16,719 | -67% | $14,957 |
| 560 Aftercare, Musculoskeletal System and Connective Tissue with... | 54 | $30,762 | -34% | $27,255 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 53 | $21,578 | -71% | $19,418 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 52 | $12,175 | -66% | $10,843 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 48 | $25,403 | -75% | $22,533 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 48 | $45,227 | -80% | $40,107 |
| 690 Kidney and Urinary Tract Infections without MCC | 47 | $12,020 | -68% | $10,682 |
| 481 Hip and Femur Procedures except Major Joint with CC | 45 | $31,288 | -69% | $27,688 |
| 092 Other Disorders of Nervous System with CC | 39 | $21,905 | -58% | $19,458 |
| 071 Other Cerebrovascular Disorders with CC | 38 | $14,797 | -71% | $13,136 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 38 | $18,657 | -67% | $16,596 |
| 193 Simple Pneumonia and Pleurisy with MCC | 37 | $17,923 | -70% | $15,886 |
| 194 Simple Pneumonia and Pleurisy with CC | 37 | $14,073 | -63% | $12,563 |
| 069 Transient Ischemia without Thrombolytic | 36 | $15,030 | -70% | $13,339 |
| 312 Syncope and Collapse | 35 | $13,686 | -70% | $12,159 |
| 389 Gastrointestinal Obstruction with CC | 35 | $11,945 | -69% | $10,626 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 33 | $111,113 | -50% | $98,378 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 33 | $28,414 | -83% | $25,206 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 33 | $9,542 | -74% | $8,489 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 32 | $12,448 | -69% | $11,040 |
| 178 Respiratory Infections and Inflammations with CC | 30 | $14,202 | -69% | $12,612 |
| 378 Gastrointestinal Hemorrhage with CC | 30 | $14,421 | -70% | $12,838 |
| 603 Cellulitis without MCC | 30 | $15,509 | -58% | $13,768 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 28 | $8,201 | -78% | $7,277 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 27 | $29,314 | -61% | $25,950 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 27 | $16,505 | -86% | $14,685 |
| 070 Other Cerebrovascular Disorders with MCC | 26 | $23,704 | -69% | $21,057 |
| 682 Renal Failure with MCC | 26 | $17,657 | -73% | $15,688 |
| 683 Renal Failure with CC | 26 | $14,037 | -66% | $12,490 |
| 270 Other Major Cardiovascular Procedures with MCC | 25 | $71,871 | -72% | $63,723 |
| 884 Organic Disturbances and Intellectual Disability | 25 | $14,364 | -77% | $12,785 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 24 | $13,575 | -73% | $12,065 |
| 638 Diabetes with CC | 23 | $10,022 | -76% | $8,909 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 23 | $51,186 | -76% | $45,641 |
| 091 Other Disorders of Nervous System with MCC | 22 | $22,182 | -73% | $19,669 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 22 | $113,946 | -60% | $100,799 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 22 | $31,729 | -72% | $28,067 |
| 271 Other Major Cardiovascular Procedures with CC | 21 | $58,096 | -67% | $51,352 |
| 377 Gastrointestinal Hemorrhage with MCC | 21 | $18,348 | -79% | $16,240 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 20 | $29,368 | -68% | $26,027 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 19 | $40,596 | -70% | $36,049 |
| 314 Other Circulatory System Diagnoses with MCC | 19 | $32,338 | -66% | $28,751 |
| 330 Major Small and Large Bowel Procedures with CC | 19 | $47,163 | -60% | $41,646 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 18 | $65,315 | -69% | $57,978 |
| 253 Other Vascular Procedures with CC | 18 | $40,092 | -70% | $35,649 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 18 | $10,072 | -65% | $8,974 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 18 | $20,755 | -66% | $18,354 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 18 | $33,235 | -68% | $29,482 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 18 | $20,448 | -66% | $18,069 |
| 039 Extracranial Procedures without CC/MCC | 17 | $23,032 | -64% | $20,422 |
Showing the 60 most frequent of 93 DRGs.
Against the Maryland average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), U P M C Western Maryland charged $25,049 on average, 7% less than the Maryland average of $26,908, and was paid $22,293 against a state average of $24,452. For Heart Failure and Shock with MCC (DRG 291), U P M C Western Maryland charged $17,280 on average, 6% less than the Maryland average of $18,481, and was paid $15,382 against a state average of $16,664. For Psychoses (DRG 885), U P M C Western Maryland charged $14,986 on average, 42% less than the Maryland average of $25,841, and was paid $13,337 against a state average of $23,130. For Pulmonary Edema and Respiratory Failure (DRG 189), U P M C Western Maryland charged $23,701 on average, 2% more than the Maryland average of $23,291, and was paid $21,021 against a state average of $20,993.
Price-transparency record
CMS's enforcement list records these actions for a hospital named U P M C Western Maryland in Cumberland, MD, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-09-13 (CMS case 2606)
- CAP Request — 2025-01-08 (CMS case 2606)
- Closure Notice — 2025-03-13 (CMS case 2606)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.