Umass Memorial Medical Center Inc: charges and Medicare payments

Umass Memorial Medical Center Inc reported 8,992 Medicare inpatient stays across 212 DRGs in 2024. Across them it charged 3.26 times what it was paid — among the higher ratios in Massachusetts, number 5 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: 762 stays at an average charge of $80,122, 11% below the national average. It also billed 9,097 outpatient services, charging 7 times what Medicare paid.

1Medicare inpatient stays 8,992
2Charge ÷ paid, inpatient 3.26×
3Rank in MA (highest ratio = 1) 5 of 52
4CMS price-transparency actions 0

Average charge per stay at Umass Memorial Medical Center Inc, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 212 DRGs that can be compared with the national average, Umass Memorial Medical Center Inc charged more than the national average in 54 (25%). 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	762	$80,122	-11%	$26,281
291 Heart Failure and Shock with MCC	379	$53,316	-5%	$17,494
193 Simple Pneumonia and Pleurisy with MCC	221	$44,045	-26%	$17,211
177 Respiratory Infections and Inflammations with MCC	210	$61,160	-13%	$21,505
189 Pulmonary Edema and Respiratory Failure	139	$55,370	-4%	$16,714
190 Chronic Obstructive Pulmonary Disease with MCC	134	$41,045	-19%	$15,125
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	134	$33,709	-16%	$11,054
274 Percutaneous and Other Intracardiac Procedures without MCC	128	$94,575	-40%	$37,291
698 Other Kidney and Urinary Tract Diagnoses with MCC	121	$61,121	-17%	$21,090
853 Infectious and Parasitic Diseases with O.R. Procedures with...	121	$192,626	-16%	$64,212
378 Gastrointestinal Hemorrhage with CC	120	$48,025	-1%	$13,507
683 Renal Failure with CC	120	$33,465	-18%	$12,075
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	117	$43,282	-12%	$13,926
690 Kidney and Urinary Tract Infections without MCC	109	$33,967	-10%	$10,876
481 Hip and Femur Procedures except Major Joint with CC	108	$93,037	-8%	$25,711
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	108	$54,290	-10%	$18,082
682 Renal Failure with MCC	106	$71,000	+8%	$22,450
689 Kidney and Urinary Tract Infections with MCC	103	$57,608	+12%	$16,876
280 Acute Myocardial Infarction, Discharged Alive with MCC	96	$80,309	+6%	$22,250
312 Syncope and Collapse	90	$36,844	-19%	$11,497
870 Septicemia or Severe Sepsis with MV >96 Hours	84	$236,603	-27%	$78,951
322 Percutaneous Cardiovascular Procedures with Intraluminal...	81	$137,969	+20%	$24,710
309 Cardiac Arrhythmia and Conduction Disorders with CC	80	$30,746	-15%	$10,021
552 Medical Back Problems without MCC	80	$38,799	-21%	$12,766
321 Percutaneous Cardiovascular Procedures with Intraluminal...	76	$192,080	+17%	$41,224
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	75	$105,531	+6%	$28,467
603 Cellulitis without MCC	74	$40,604	+9%	$12,249
470 Major Hip and Knee Joint Replacement or Reattachment of...	73	$89,894	-4%	$23,151
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	70	$43,106	-23%	$12,667
377 Gastrointestinal Hemorrhage with MCC	70	$85,194	0%	$23,652
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	69	$33,485	-10%	$10,992
330 Major Small and Large Bowel Procedures with CC	68	$76,757	-36%	$29,856
897 Alcohol, Drug Abuse or Dependence without Rehabilitation...	68	$42,088	+14%	$11,620
184 Major Chest Trauma with CC	65	$45,602	-18%	$14,158
267 Endovascular Cardiac Valve Replacement and Supplement...	65	$169,724	-23%	$57,590
699 Other Kidney and Urinary Tract Diagnoses with CC	61	$44,080	-7%	$13,175
183 Major Chest Trauma with MCC	59	$76,552	+3%	$20,891
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	59	$61,781	+1%	$17,809
194 Simple Pneumonia and Pleurisy with CC	57	$32,804	-15%	$11,073
281 Acute Myocardial Infarction, Discharged Alive with CC	56	$57,346	+14%	$12,346
286 Circulatory Disorders except AMI, with Cardiac...	55	$111,234	-1%	$30,193
308 Cardiac Arrhythmia and Conduction Disorders with MCC	54	$71,867	+27%	$18,368
164 Major Chest Procedures with CC	52	$123,597	-3%	$32,085
057 Degenerative Nervous System Disorders without MCC	51	$62,161	+10%	$19,133
314 Other Circulatory System Diagnoses with MCC	51	$104,813	+11%	$29,552
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	51	$92,229	-10%	$25,678
812 Red Blood Cell Disorders without MCC	49	$36,624	-17%	$11,873
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	48	$44,980	-31%	$17,861
178 Respiratory Infections and Inflammations with CC	48	$51,120	+13%	$14,915
394 Other Digestive System Diagnoses with CC	48	$40,542	-14%	$12,802
638 Diabetes with CC	47	$40,467	-3%	$12,179
287 Circulatory Disorders except AMI, with Cardiac...	46	$82,807	+30%	$15,350
480 Hip and Femur Procedures except Major Joint with MCC	46	$123,730	-11%	$36,761
023 Craniotomy with Major Device Implant or Acute Complex Cns...	44	$205,150	-27%	$69,389
208 Respiratory System Diagnosis with Ventilator Support <=96...	43	$117,852	-13%	$34,375
025 Craniotomy and Endovascular Intracranial Procedures with MCC	42	$173,868	-25%	$57,745
811 Red Blood Cell Disorders with MCC	42	$58,039	-15%	$18,172
917 Poisoning and Toxic Effects of Drugs with MCC	41	$89,358	+19%	$26,860
266 Endovascular Cardiac Valve Replacement and Supplement...	40	$193,266	-32%	$72,608
472 Cervical Spinal Fusion with CC	40	$132,190	-8%	$36,027

Showing the 60 most frequent of 212 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	1,350	$29,549	$2,908
Level 2 Urology and Related Services	1,017	$2,288	$729
Level 2 Excision/ Biopsy/ Incision and Drainage	619	$10,641	$1,711
Level 2 Upper GI Procedures	519	$14,589	$2,025
Level 1 Intraocular Procedures	480	$13,242	$2,470
Level 3 Urology and Related Services	474	$8,255	$2,150
Level 3 Excision/ Biopsy/ Incision and Drainage	260	$18,348	$3,019
Level 3 Vascular Procedures	251	$20,362	$3,395
Level 1 Laparoscopy and Related Services	250	$31,558	$6,073
Level 1 Endovascular Procedures	247	$39,119	$3,495
Level 1 Nerve Procedures	221	$6,018	$2,074
Level 4 Urology and Related Services	218	$19,661	$3,703
Level 4 Vascular Procedures	205	$34,178	$5,482
Level 5 Musculoskeletal Procedures	187	$62,738	$13,796
Level 3 Electrophysiologic Procedures	174	$159,991	$25,162
Level 5 Urology and Related Services	173	$26,824	$5,541
Level 5 Airway Endoscopy	139	$48,548	$7,266
Level 2 Endovascular Procedures	129	$41,753	$6,125
Level 3 Endovascular Procedures	125	$92,351	$11,542
Level 3 Airway Endoscopy	120	$6,527	$1,811
Level 3 Lower GI Procedures	109	$19,195	$2,979
Level 2 Laparoscopy and Related Services	109	$54,747	$10,384
Level 2 Intraocular Procedures	105	$23,726	$4,346
Level 3 Upper GI Procedures	96	$32,496	$4,057
Level 1 Breast/Lymphatic Surgery and Related Procedures	95	$17,597	$4,059

Against the Massachusetts average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Umass Memorial Medical Center Inc charged $80,122 on average, 77% more than the Massachusetts average of $45,229, and was paid $26,281 against a state average of $19,536. For Heart Failure and Shock with MCC (DRG 291), Umass Memorial Medical Center Inc charged $53,316 on average, 76% more than the Massachusetts average of $30,373, and was paid $17,494 against a state average of $12,996. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Umass Memorial Medical Center Inc charged $44,045 on average, 57% more than the Massachusetts average of $28,077, and was paid $17,211 against a state average of $12,627. For Respiratory Infections and Inflammations with MCC (DRG 177), Umass Memorial Medical Center Inc charged $61,160 on average, 65% more than the Massachusetts average of $37,072, and was paid $21,505 against a state average of $15,861. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $29,549 was 111% above the state average of $14,010. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $2,288 was 12% below the state average of $2,606. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,641 was 61% above the state average of $6,596. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $14,589 was 75% above the state average of $8,334.

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.