Pennsylvania / UPMC Memorial
CMS certification 390101 · York, PA · 3 entries in CMS's price-transparency list
UPMC Memorial: charges and Medicare payments
UPMC Memorial reported 997 Medicare inpatient stays across 43 DRGs in 2024. Across them it charged 4.71 times what it was paid — mid-range in Pennsylvania, number 51 of 117 hospitals with at least 100 stays (state median 4.27×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 134 stays at an average charge of $65,249, 28% below the national average. It also billed 2,117 outpatient services, charging 7.24 times what Medicare paid.
- 1Medicare inpatient stays 997
- 2Charge ÷ paid, inpatient 4.71×
- 3Rank in PA (highest ratio = 1) 51 of 117
- 4CMS price-transparency actions 3
Inpatient stays
For the 43 DRGs that can be compared with the national average, UPMC Memorial charged more than the national average in 4 (9%). 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 | 134 | $65,249 | -28% | $14,922 |
| 291 Heart Failure and Shock with MCC | 80 | $47,781 | -15% | $9,141 |
| 556 Signs and Symptoms of Musculoskeletal System and Connective... | 45 | $31,207 | -23% | $6,042 |
| 189 Pulmonary Edema and Respiratory Failure | 36 | $55,406 | -4% | $11,847 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 29 | $30,240 | -25% | $6,093 |
| 378 Gastrointestinal Hemorrhage with CC | 27 | $42,274 | -13% | $6,853 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 27 | $42,002 | -14% | $8,548 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 26 | $43,694 | -53% | $13,314 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 25 | $42,600 | -29% | $8,982 |
| 177 Respiratory Infections and Inflammations with MCC | 24 | $44,825 | -37% | $11,094 |
| 193 Simple Pneumonia and Pleurisy with MCC | 24 | $53,397 | -11% | $9,872 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 24 | $39,306 | +9% | $5,532 |
| 481 Hip and Femur Procedures except Major Joint with CC | 23 | $64,234 | -36% | $15,857 |
| 603 Cellulitis without MCC | 23 | $27,557 | -26% | $7,333 |
| 683 Renal Failure with CC | 22 | $26,534 | -35% | $6,622 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 21 | $74,922 | -33% | $15,653 |
| 690 Kidney and Urinary Tract Infections without MCC | 21 | $28,764 | -24% | $6,146 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 20 | $41,679 | -35% | $7,790 |
| 389 Gastrointestinal Obstruction with CC | 20 | $26,138 | -33% | $5,721 |
| 638 Diabetes with CC | 20 | $30,516 | -27% | $7,313 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 20 | $26,308 | -29% | $5,645 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 19 | $48,225 | -13% | $7,089 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 19 | $139,216 | -39% | $33,660 |
| 194 Simple Pneumonia and Pleurisy with CC | 16 | $37,446 | -2% | $6,694 |
| 329 Major Small and Large Bowel Procedures with MCC | 16 | $157,828 | -27% | $34,993 |
| 552 Medical Back Problems without MCC | 16 | $32,892 | -33% | $6,832 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 15 | $29,673 | +3% | $4,155 |
| 689 Kidney and Urinary Tract Infections with MCC | 15 | $34,649 | -32% | $7,932 |
| 948 Signs and Symptoms without MCC | 15 | $32,170 | -16% | $6,663 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 14 | $47,086 | -17% | $8,625 |
| 312 Syncope and Collapse | 14 | $28,743 | -37% | $6,407 |
| 330 Major Small and Large Bowel Procedures with CC | 14 | $89,564 | -25% | $18,967 |
| 812 Red Blood Cell Disorders without MCC | 14 | $53,726 | +21% | $6,619 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 13 | $31,537 | -20% | $6,925 |
| 377 Gastrointestinal Hemorrhage with MCC | 13 | $54,056 | -37% | $11,683 |
| 178 Respiratory Infections and Inflammations with CC | 12 | $32,619 | -28% | $6,944 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 12 | $63,933 | +26% | $10,336 |
| 390 Gastrointestinal Obstruction without CC/MCC | 12 | $21,595 | -23% | $4,785 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 12 | $67,432 | -34% | $14,518 |
| 682 Renal Failure with MCC | 12 | $53,151 | -19% | $11,242 |
| 057 Degenerative Nervous System Disorders without MCC | 11 | $51,543 | -9% | $8,634 |
| 393 Other Digestive System Diagnoses with MCC | 11 | $63,044 | -18% | $12,624 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 11 | $42,832 | -42% | $13,280 |
Outpatient services
Against the Pennsylvania average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), UPMC Memorial charged $65,249 on average, 26% less than the Pennsylvania average of $88,167, and was paid $14,922 against a state average of $16,881. For Heart Failure and Shock with MCC (DRG 291), UPMC Memorial charged $47,781 on average, 17% less than the Pennsylvania average of $57,362, and was paid $9,141 against a state average of $11,112. For Signs and Symptoms of Musculoskeletal System and Connective Tissue without MCC (DRG 556), UPMC Memorial charged $31,207 on average, 22% less than the Pennsylvania average of $39,925, and was paid $6,042 against a state average of $7,438. For Pulmonary Edema and Respiratory Failure (DRG 189), UPMC Memorial charged $55,406 on average, 15% less than the Pennsylvania average of $65,329, and was paid $11,847 against a state average of $11,268. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $7,493 was 48% below the state average of $14,403. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,247 was 21% below the state average of $21,732. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,842 was 35% below the state average of $13,651. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $9,930 was 40% below the state average of $16,557.
Price-transparency record
CMS's enforcement list records these actions for a hospital named UPMC Memorial in York, PA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2024-11-05 (CMS case 2894)
- Met Requirements — 2025-07-23 (CMS case 5913)
- Met Requirements — 2026-05-18 (CMS case 7684)
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.