Massachusetts / Umass Memorial Health-Milford Regional Medical Ctr

CMS certification 220090 · Milford, MA

Umass Memorial Health-Milford Regional Medical Ctr: charges and Medicare payments

Umass Memorial Health-Milford Regional Medical Ctr reported 2,710 Medicare inpatient stays across 69 DRGs in 2024. Across them it charged 1.56 times what it was paid — among the lower ratios in Massachusetts, number 50 of 52 hospitals with at least 100 stays (state median 2×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 396 stays at an average charge of $23,789, 74% below the national average. It also billed 3,268 outpatient services, charging 2.64 times what Medicare paid.

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  1. 1Medicare inpatient stays 2,710
  2. 2Charge ÷ paid, inpatient 1.56×
  3. 3Rank in MA (highest ratio = 1) 50 of 52
  4. 4CMS price-transparency actions 0
DRG 871$23,789DRG 291$17,578DRG 177$20,322DRG 193$15,988DRG 189$15,684DRG 392$10,660DRG 378$15,782DRG 872$14,875DRG 683$12,554DRG 690$11,937
Average charge per stay at Umass Memorial Health-Milford Regional Medical Ctr, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 69 DRGs that can be compared with the national average, Umass Memorial Health-Milford Regional Medical Ctr charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC396$23,789-74%$16,093
291 Heart Failure and Shock with MCC323$17,578-69%$10,955
177 Respiratory Infections and Inflammations with MCC214$20,322-71%$13,557
193 Simple Pneumonia and Pleurisy with MCC158$15,988-73%$11,099
189 Pulmonary Edema and Respiratory Failure122$15,684-73%$10,866
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...73$10,660-73%$7,019
378 Gastrointestinal Hemorrhage with CC63$15,782-67%$8,566
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC57$14,875-70%$8,650
683 Renal Failure with CC51$12,554-69%$7,792
690 Kidney and Urinary Tract Infections without MCC49$11,937-68%$6,887
280 Acute Myocardial Infarction, Discharged Alive with MCC47$18,221-76%$12,696
377 Gastrointestinal Hemorrhage with MCC43$26,105-69%$15,041
178 Respiratory Infections and Inflammations with CC42$14,152-69%$8,155
194 Simple Pneumonia and Pleurisy with CC36$11,860-69%$7,105
682 Renal Failure with MCC36$21,622-67%$12,290
312 Syncope and Collapse35$11,933-74%$7,657
698 Other Kidney and Urinary Tract Diagnoses with MCC35$17,450-76%$13,483
689 Kidney and Urinary Tract Infections with MCC34$12,325-76%$9,599
389 Gastrointestinal Obstruction with CC30$11,764-70%$7,241
603 Cellulitis without MCC30$10,418-72%$7,351
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...30$12,212-67%$6,863
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...29$16,517-70%$8,547
481 Hip and Femur Procedures except Major Joint with CC28$27,395-73%$17,128
812 Red Blood Cell Disorders without MCC28$14,745-67%$8,034
811 Red Blood Cell Disorders with MCC26$16,708-75%$12,147
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...25$15,975-74%$11,280
522 Hip Replacement with Principal Diagnosis of Hip Fracture...25$28,142-72%$17,534
309 Cardiac Arrhythmia and Conduction Disorders with CC24$13,163-64%$6,638
390 Gastrointestinal Obstruction without CC/MCC23$9,052-68%$5,067
470 Major Hip and Knee Joint Replacement or Reattachment of...23$28,685-69%$16,386
372 Major Gastrointestinal Disorders and Peritoneal Infections...22$12,977-73%$8,686
552 Medical Back Problems without MCC21$13,684-72%$7,931
164 Major Chest Procedures with CC20$51,372-60%$22,018
638 Diabetes with CC20$13,004-69%$7,925
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...20$16,957-72%$10,950
101 Seizures without MCC19$16,542-66%$7,993
165 Major Chest Procedures without CC/MCC19$44,609-57%$16,226
394 Other Digestive System Diagnoses with CC19$13,981-70%$8,185
190 Chronic Obstructive Pulmonary Disease with MCC18$17,135-66%$9,512
602 Cellulitis with MCC18$18,180-70%$12,482
445 Disorders of The Biliary Tract with CC17$13,912-76%$9,295
853 Infectious and Parasitic Diseases with O.R. Procedures with...17$31,942-86%$33,472
092 Other Disorders of Nervous System with CC16$16,804-67%$8,452
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale16$18,428-72%$11,470
202 Bronchitis and Asthma with CC/MCC16$11,603-75%$8,351
180 Respiratory Neoplasms with MCC15$22,835-74%$15,222
441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic...15$25,394-71%$13,868
813 Coagulation Disorders15$15,658-80%$13,570
064 Intracranial Hemorrhage or Cerebral Infarction with MCC14$19,825-80%$14,884
308 Cardiac Arrhythmia and Conduction Disorders with MCC14$16,098-72%$10,598
388 Gastrointestinal Obstruction with MCC14$17,774-74%$12,058
393 Other Digestive System Diagnoses with MCC14$21,380-72%$13,575
521 Hip Replacement with Principal Diagnosis of Hip Fracture...14$36,505-73%$23,783
281 Acute Myocardial Infarction, Discharged Alive with CC13$15,179-70%$8,003
100 Seizures with MCC12$30,884-67%$17,194
432 Cirrhosis and Alcoholic Hepatitis with MCC12$23,713-75%$16,968
897 Alcohol, Drug Abuse or Dependence without Rehabilitation...12$10,247-72%$6,782
948 Signs and Symptoms without MCC12$13,324-65%$6,991
057 Degenerative Nervous System Disorders without MCC11$14,611-74%$10,304
091 Other Disorders of Nervous System with MCC11$21,682-74%$13,790

Showing the 60 most frequent of 69 DRGs.

Outpatient services

Against the Massachusetts average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Umass Memorial Health-Milford Regional Medical Ctr charged $23,789 on average, 47% less than the Massachusetts average of $45,229, and was paid $16,093 against a state average of $19,536. For Heart Failure and Shock with MCC (DRG 291), Umass Memorial Health-Milford Regional Medical Ctr charged $17,578 on average, 42% less than the Massachusetts average of $30,373, and was paid $10,955 against a state average of $12,996. For Respiratory Infections and Inflammations with MCC (DRG 177), Umass Memorial Health-Milford Regional Medical Ctr charged $20,322 on average, 45% less than the Massachusetts average of $37,072, and was paid $13,557 against a state average of $15,861. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Umass Memorial Health-Milford Regional Medical Ctr charged $15,988 on average, 43% less than the Massachusetts average of $28,077, and was paid $11,099 against a state average of $12,627. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $7,424 was 47% below the state average of $14,010. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $5,502 was 17% below the state average of $6,596. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $24,188 was 32% below the state average of $35,549. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $3,615 was 53% below the state average of $7,692.

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.