71/100
#631 nationally
Umass Memorial Healthalliance Hospitals
60 Hospital Road, Leominster, MA 01453 · (978) 466-2000
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Umass Memorial Healthalliance Hospitals billed $3.18 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 3.2x
- volume-weighted across all its priced work
- Procedures priced
- 81
- inpatient and outpatient combined
- Rank in MA
- #45
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 74% of U.S. hospitals.
Better than 73% of U.S. hospitals.
Better than 70% of U.S. hospitals.
Better than 64% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
322 | $12,098 | $2,901 | -38% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
249 | $49,006 | $17,285 | -25% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
209 | $31,184 | $11,357 | -28% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
109 | $44,307 | $14,480 | -19% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
108 | $9,436 | $1,677 | -6% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
107 | $30,207 | $12,166 | -35% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
103 | $34,304 | $11,147 | -18% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
102 | $63,180 | $13,987 | about average |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
81 | $17,651 | $3,049 | -8% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
79 | $2,394 | $734 | -24% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major
MS-DRG 897 · Inpatient stay |
$46,512 | $12,774 | +43% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$16,711 | $2,378 | +42% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$105,437 | $19,966 | +27% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
$14,285 | $1,823 | +25% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$9,900 | $1,720 | +15% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$12,425 | $2,044 | +6% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$63,180 | $13,987 | about average |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$13,012 | $2,103 | about average |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$31,964 | $14,233 | -58% |
|
Other Disorders of Nervous System with Major Complications
MS-DRG 091 · Inpatient stay |
$32,453 | $15,283 | -54% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
$25,624 | $14,032 | -49% |
|
Disorders of Pancreas Except Malignancy with Complications
MS-DRG 439 · Inpatient stay |
$18,790 | $8,415 | -48% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
$18,299 | $8,042 | -47% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
$25,329 | $11,332 | -47% |
|
COPD (with complications)
MS-DRG 191 · Inpatient stay |
$18,082 | $7,538 | -46% |
|
Bronchitis and Asthma with Complications/mcc
MS-DRG 202 · Inpatient stay |
$21,607 | $8,769 | -45% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.