52/100
#1,210 nationally
Umass Memorial Medical Center/University Campus
55 Lake Avenue North, Worcester, MA 01655 · (508) 334-1000
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Umass Memorial Medical Center/University Campus billed $3.67 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
- 3.7x
- volume-weighted across all its priced work
- Procedures priced
- 267
- inpatient and outpatient combined
- Rank in MA
- #47
- 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 66% of U.S. hospitals.
Better than 53% of U.S. hospitals.
Better than 40% of U.S. hospitals.
Better than 33% 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 |
1,350 | $29,549 | $2,908 | +52% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
1,017 | $2,288 | $729 | -27% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
762 | $80,122 | $26,281 | +23% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
619 | $10,641 | $1,711 | +6% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
519 | $14,589 | $2,025 | +24% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
480 | $13,242 | $2,470 | +13% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
474 | $8,255 | $2,150 | -36% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
379 | $53,316 | $17,494 | +23% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
260 | $18,348 | $3,019 | +4% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
251 | $20,362 | $3,395 | +7% |
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 |
|---|---|---|---|
|
Psychoses
MS-DRG 885 · Inpatient stay |
$112,319 | $30,388 | +211% |
|
Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio
MS-DRG 809 · Inpatient stay |
$145,467 | $37,582 | +164% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
$124,673 | $34,332 | +150% |
|
Skin Infection (severe)
MS-DRG 602 · Inpatient stay |
$124,114 | $28,016 | +142% |
|
Lymphoma and Non-acute Leukemia with Major Complications
MS-DRG 840 · Inpatient stay |
$321,880 | $85,084 | +125% |
|
Acute Adjustment Reaction and Psychosocial Dysfunction
MS-DRG 880 · Inpatient stay |
$80,164 | $17,670 | +95% |
|
Alcohol, Drug Abuse or Dependence, Left Ama
MS-DRG 894 · Inpatient stay |
$27,272 | $7,890 | +95% |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
$115,662 | $30,860 | +80% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 7 Radiation Therapy
APC 5627 · Hospital outpatient visit |
$11,984 | $8,362 | -80% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$6,018 | $2,074 | -47% |
|
Other Ear, Nose, Mouth and Throat Diagnoses with Complications
MS-DRG 155 · Inpatient stay |
$32,058 | $13,160 | -44% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
$6,527 | $1,811 | -43% |
|
Stomach, Esophageal and Duodenal Procedures with Major Complications
MS-DRG 326 · Inpatient stay |
$142,346 | $62,727 | -36% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$8,255 | $2,150 | -36% |
|
Other Musculoskeletal System and Connective Tissue Operating Room Procedures with
MS-DRG 516 · Inpatient stay |
$56,558 | $24,548 | -36% |
|
Stomach, Esophageal and Duodenal Procedures with Complications
MS-DRG 327 · Inpatient stay |
$75,494 | $30,032 | -34% |
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.