49/100
#1,304 nationally
Upmc Memorial
1701 Innovation Drive, York, PA 17408 · (717) 843-8623
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Upmc Memorial billed $5.15 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
- 5.1x
- volume-weighted across all its priced work
- Procedures priced
- 76
- inpatient and outpatient combined
- Rank in PA
- #56
- lower markup ranks higher
- CMS quality stars
- 4/5
- 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 36% of U.S. hospitals.
Better than 53% of U.S. hospitals.
Better than 58% of U.S. hospitals.
Better than 62% 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 |
|---|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
728 | $7,493 | $1,208 | -36% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
245 | $17,247 | $2,487 | -11% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
134 | $65,249 | $14,922 | about average |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
118 | $8,842 | $1,391 | -12% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
101 | $9,930 | $1,077 | -23% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
89 | $19,828 | $2,331 | -28% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
80 | $47,781 | $9,141 | +10% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
69 | $19,740 | $2,868 | +3% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
67 | $15,587 | $3,015 | -38% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
63 | $31,162 | $4,772 | -11% |
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 |
|---|---|---|---|
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$63,933 | $10,336 | +53% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
$53,726 | $6,619 | +44% |
|
Level 5 Gynecologic Procedures
APC 5415 · Hospital outpatient visit |
$40,104 | $4,383 | +34% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
$39,307 | $5,532 | +28% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
$37,446 | $6,694 | +18% |
|
Irregular Heartbeat (uncomplicated)
MS-DRG 310 · Inpatient stay |
$29,673 | $4,155 | +18% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$53,397 | $9,872 | +15% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$55,406 | $11,847 | +14% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
$8,176 | $1,498 | -51% |
|
Level 6 Urology and Related Services
APC 5376 · Hospital outpatient visit |
$22,202 | $4,425 | -50% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$10,607 | $1,701 | -48% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
$43,694 | $13,314 | -45% |
|
Level 3 Intraocular Procedures
APC 5493 · Hospital outpatient visit |
$13,879 | $3,146 | -43% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
$76,292 | $20,618 | -42% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
$10,579 | $2,888 | -42% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$37,455 | $11,789 | -40% |
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.