Massachusetts / Umass Memorial Healh - Harrington Hospital

CMS certification 220019 · Southbridge, MA

Umass Memorial Healh - Harrington Hospital: charges and Medicare payments

Umass Memorial Healh - Harrington Hospital reported 907 Medicare inpatient stays across 31 DRGs in 2024. Across them it charged 2.39 times what it was paid — among the higher ratios in Massachusetts, number 13 of 52 hospitals with at least 100 stays (state median 2×, national 4.15×). Its most frequent stay was DRG 885, Psychoses: 136 stays at an average charge of $45,483, 3% above the national average. It also billed 1,215 outpatient services, charging 6.53 times what Medicare paid.

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  1. 1Medicare inpatient stays 907
  2. 2Charge ÷ paid, inpatient 2.39×
  3. 3Rank in MA (highest ratio = 1) 13 of 52
  4. 4CMS price-transparency actions 0
DRG 885$45,483DRG 291$21,368DRG 871$31,650DRG 193$23,460DRG 177$26,792DRG 190$18,364DRG 689$27,994DRG 194$15,855DRG 690$16,900DRG 872$18,233
Average charge per stay at Umass Memorial Healh - Harrington Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 31 DRGs that can be compared with the national average, Umass Memorial Healh - Harrington Hospital charged more than the national average in 1 (3%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
885 Psychoses136$45,483+3%$13,398
291 Heart Failure and Shock with MCC108$21,368-62%$10,770
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC68$31,650-65%$15,639
193 Simple Pneumonia and Pleurisy with MCC56$23,460-61%$11,119
177 Respiratory Infections and Inflammations with MCC48$26,792-62%$13,305
190 Chronic Obstructive Pulmonary Disease with MCC48$18,364-64%$9,630
689 Kidney and Urinary Tract Infections with MCC39$27,994-45%$10,557
194 Simple Pneumonia and Pleurisy with CC34$15,855-59%$7,408
690 Kidney and Urinary Tract Infections without MCC32$16,900-55%$6,735
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC29$18,233-63%$8,502
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...24$16,106-60%$6,897
178 Respiratory Infections and Inflammations with CC21$17,484-61%$8,238
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...18$26,363-56%$11,218
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...17$17,043-54%$6,790
683 Renal Failure with CC17$21,340-48%$7,846
698 Other Kidney and Urinary Tract Diagnoses with MCC17$19,071-74%$12,357
682 Renal Failure with MCC16$26,809-59%$12,615
897 Alcohol, Drug Abuse or Dependence without Rehabilitation...16$20,551-45%$7,374
191 Chronic Obstructive Pulmonary Disease with CC15$18,516-53%$7,322
312 Syncope and Collapse15$21,710-52%$7,709
603 Cellulitis without MCC15$14,895-60%$7,759
638 Diabetes with CC13$15,108-64%$7,503
644 Endocrine Disorders with CC13$15,478-68%$8,574
189 Pulmonary Edema and Respiratory Failure12$20,162-65%$10,614
481 Hip and Femur Procedures except Major Joint with CC12$57,071-43%$16,893
602 Cellulitis with MCC12$16,648-72%$12,361
881 Depressive Neuroses12$20,150-37%$7,906
280 Acute Myocardial Infarction, Discharged Alive with MCC11$22,141-71%$12,735
308 Cardiac Arrhythmia and Conduction Disorders with MCC11$30,835-46%$9,890
378 Gastrointestinal Hemorrhage with CC11$20,592-58%$8,513
812 Red Blood Cell Disorders without MCC11$17,029-62%$7,890

Outpatient services

Against the Massachusetts average

For Psychoses (DRG 885), Umass Memorial Healh - Harrington Hospital charged $45,483 on average, 4% more than the Massachusetts average of $43,581, and was paid $13,398 against a state average of $15,957. For Heart Failure and Shock with MCC (DRG 291), Umass Memorial Healh - Harrington Hospital charged $21,368 on average, 30% less than the Massachusetts average of $30,373, and was paid $10,770 against a state average of $12,996. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Umass Memorial Healh - Harrington Hospital charged $31,650 on average, 30% less than the Massachusetts average of $45,229, and was paid $15,639 against a state average of $19,536. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Umass Memorial Healh - Harrington Hospital charged $23,460 on average, 16% less than the Massachusetts average of $28,077, and was paid $11,119 against a state average of $12,627. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $23,892 was 71% above the state average of $14,010. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $15,759 was 120% above the state average of $7,172. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $2,361 was 9% below the state average of $2,606. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $17,558 was 166% above the state average of $6,596.

Price-transparency record

No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.

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.