▸ Hospital · MA · CCN 220163

Umass Memorial Medical Center Inc

55 LAKE AVE. NORTH, WORCESTER, MA, 220163

Compliance grade

100/100

Procedures tracked

176

of 209 target codes

Payers

with negotiated rates

Rates published

107,685

last crawl 2026-05-24

▸ Compare with other hospitals All MA hospitals JSON Full cost report on HCRIS.io →

Source MRF: https://ummh-price-transparency.s3.us-east-2.amazonaws.com/043358564_umass-memorial-medical-center-inc._standardcharges.csv · CSV

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
behavioral
Psychoses	MS-DRG	885	21	$59,237	$59,237	$743.3	$1,356.44	$30,357
Psychiatric diagnostic evaluation	CPT	90791	26	$607	$607	$37.14	$345.99	$672.16
Psychiatric eval with medical services	CPT	90792	26	$552	$552	$37.14	$314.64	$672.16
Psychotherapy 30 minutes	CPT	90832	26	$458	$458	$33.91	$296	$672.16
Psychotherapy 45 minutes	CPT	90834	26	$549	$549	$37.14	$288.23	$672.16
Psychotherapy 60 minutes	CPT	90837	26	$607	$607	$37.14	$345.99	$672.16
Crisis psychotherapy 60 minutes	CPT	90839	26	$552	$552	$37.14	$314.64	$672.16
emergency
ED visit level 1	CPT	99281	28	$484	$484	$101.06	$411.4	$1,177.8
ED visit level 2	CPT	99282	28	$887	$887	$150.7	$686.08	$1,177.8
ED visit level 3	CPT	99283	37	$2,425	$2,425	$173.88	$805	$2,425
ED visit level 4	CPT	99284	37	$3,502	$3,502	$457.73	$1,187.18	$3,502
ED visit level 5	CPT	99285	37	$4,226	$4,226	$457.73	$1,432.61	$4,226
Critical care, first hour	CPT	99291	37	$6,358	$6,358	$672.16	$3,306.16	$6,358
imaging
CT head without contrast	CPT	70450	34	$2,466	$2,466	$125.29	$135.72	$2,466
CT head with contrast	CPT	70460	34	$3,020	$3,020	$210.21	$653.31	$3,020
CT head with and without contrast	CPT	70470	34	$3,198	$3,198	$210.21	$678.67	$3,198
CT neck with contrast	CPT	70491	34	$3,197	$3,197	$210.21	$227.71	$3,197
MRI brain without contrast	CPT	70551	34	$3,763	$3,763	$285.95	$769.55	$3,763
MRI brain with contrast	CPT	70552	24	$4,412	$4,412	$418.11	$3,309	$4,412
MRI brain with and without contrast	CPT	70553	34	$5,423	$5,423	$418.11	$1,237.2	$5,423
Chest X-ray single view	CPT	71045	37	$50,064	$50,064	$7.46	$606	$52,410
Chest X-ray 2 views	CPT	71046	38	$7,807	$7,807	$5.33	$185.22	$3,563.91
Chest X-ray 3 views	CPT	71047	37	$954	$954	$104.29	$319.12	$954
CT chest without contrast	CPT	71250	35	$3,165	$3,165	$65.78	$166.45	$3,165
CT chest with contrast	CPT	71260	35	$10,720	$10,720	$110.36	$289.88	$3,684
CT chest with and without contrast	CPT	71270	34	$3,849	$3,849	$210.21	$1,857.14	$3,849
MRI chest without contrast	CPT	71550	34	$3,763	$3,763	$285.95	$796.38	$3,763
MRI chest with and without contrast	CPT	71552	33	$4,528	$4,528	$418.11	$1,296.15	$4,572.57
Lumbosacral spine X-ray	CPT	72100	37	$727	$727	$33.42	$342.47	$727
CT cervical spine without contrast	CPT	72125	34	$3,127	$3,127	$125.29	$542.71	$3,127
CT thoracic spine without contrast	CPT	72128	34	$3,127	$3,127	$125.29	$542.71	$3,127
CT lumbar spine without contrast	CPT	72131	34	$3,127	$3,127	$125.29	$542.71	$3,127
MRI cervical spine without contrast	CPT	72141	35	$3,763	$3,763	$151.98	$710.24	$3,763
MRI thoracic spine without contrast	CPT	72146	35	$3,763	$3,763	$151.98	$710.24	$3,763
MRI lumbar spine without contrast	CPT	72148	35	$3,763	$3,763	$151.98	$710.24	$3,763
MRI lumbar spine with and without contrast	CPT	72149	34	$4,069	$4,069	$418.11	$1,178.24	$4,069
MRI cervical spine with and without contrast	CPT	72156	35	$5,423	$5,423	$222.22	$1,113.21	$5,423
MRI lumbar spine with contrast	CPT	72158	35	$5,423	$5,423	$222.22	$1,113.21	$5,423
CT pelvis without contrast	CPT	72192	34	$2,685	$2,685	$125.29	$542.71	$2,685
CT pelvis with contrast	CPT	72193	34	$3,044	$3,044	$210.21	$653.31	$3,044
Shoulder X-ray	CPT	73030	38	$3,552	$3,552	$10.89	$159.56	$672.16
Humerus X-ray	CPT	73060	37	$657	$657	$26.05	$185.22	$672.16
Hand X-ray 3 views	CPT	73130	37	$529	$529	$26.84	$179.07	$672.16
MRI upper extremity joint without contrast	CPT	73221	34	$3,763	$3,763	$285.95	$796.38	$3,763
MRI upper extremity joint with and without contrast	CPT	73223	34	$5,423	$5,423	$418.11	$1,237.2	$5,423
Knee X-ray 1-2 views	CPT	73560	37	$2,738.57	$2,738.57	$24.53	$214.94	$3,563.91
Ankle X-ray 3 views	CPT	73610	37	$663	$663	$26.84	$150.94	$672.16
MRI lower extremity joint without contrast	CPT	73721	34	$3,763	$3,763	$285.95	$796.38	$3,763
MRI lower extremity joint with and without contrast	CPT	73723	34	$5,423	$5,423	$418.11	$1,237.2	$5,423
CT abdomen without contrast	CPT	74150	34	$2,668	$2,668	$125.29	$542.71	$2,668
CT abdomen with contrast	CPT	74160	34	$3,625	$3,625	$210.21	$227.71	$3,625
CT abdomen with and without contrast	CPT	74170	34	$3,761	$3,761	$210.21	$678.67	$3,761
CT abdomen and pelvis without contrast	CPT	74176	35	$5,243	$5,243	$150.12	$305.97	$5,243
CT abdomen and pelvis with contrast	CPT	74177	35	$8,405.36	$8,405.36	$219.51	$618.6	$4,796
CT abdomen and pelvis with and without contrast	CPT	74178	34	$5,096	$5,096	$418.11	$1,488.92	$5,096
MRI abdomen without contrast	CPT	74181	34	$3,732	$3,732	$285.95	$796.38	$3,732
MRI abdomen with and without contrast	CPT	74183	34	$4,551	$4,551	$418.11	$1,237.2	$4,572.57
Abdominal ultrasound complete	CPT	76700	34	$1,965	$1,965	$111.92	$513.01	$1,965
Abdominal ultrasound limited	CPT	76705	34	$2,815	$2,815	$84.33	$133.19	$1,103
Retroperitoneal ultrasound complete	CPT	76770	34	$1,664	$1,664	$110.08	$462.93	$1,664
Obstetric ultrasound first trimester	CPT	76801	36	$1,491	$1,491	$101.64	$498.74	$1,491
Obstetric ultrasound after first trimester	CPT	76805	36	$1,507	$1,507	$114.99	$504.09	$1,507
Obstetric ultrasound with fetal anatomy	CPT	76811	36	$2,429	$2,429	$151.89	$812.39	$2,429
Transvaginal ultrasound	CPT	76830	36	$2,496	$2,496	$66.59	$134.06	$1,056
Pelvic ultrasound complete	CPT	76856	35	$3,920	$3,920	$96.89	$205.74	$1,440
Scrotal ultrasound	CPT	76870	34	$1,644	$1,644	$97.82	$135.25	$1,644
Diagnostic mammography unilateral	CPT	77065	37	$12,590	$12,590	$27.79	$319.2	$2,374.3
Diagnostic mammography bilateral	CPT	77066	37	$760	$760	$116.25	$395.2	$760
Screening mammography bilateral	CPT	77067	36	$799	$799	$50.36	$295.23	$799
EKG tracing only	CPT	93005	37	$312	$312	$61.35	$150.54	$672.16
Transthoracic echocardiogram complete	CPT	93306	37	$3,039	$3,039	$523.81	$1,373.58	$3,039
Transthoracic echocardiogram	CPT	93307	37	$2,789	$2,789	$171.21	$831.47	$2,789
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	20	$65,510	$65,510	$758.07	$20,104	$43,705
Intracranial hemorrhage/CVA w CC	MS-DRG	065	21	$38,108	$38,108	$758.07	$10,653	$43,707
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	21	$29,822	$29,822	$758.07	$7,450.88	$43,707
Respiratory infections & inflammations w MCC	MS-DRG	177	22	$224,665	$224,665	$758.07	$16,082	$61,577
COPD w MCC	MS-DRG	190	22	$176,997	$176,997	$758.07	$11,936	$57,904
COPD w CC	MS-DRG	191	22	$85,569	$85,569	$758.07	$9,009.39	$47,395
COPD w/o CC/MCC	MS-DRG	192	22	$176,277	$176,277	$758.07	$7,654	$97,206
Simple pneumonia & pleurisy w CC	MS-DRG	194	22	$75,944	$75,944	$758.07	$8,887.19	$52,140
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	20	$20,468	$20,468	$758.07	$6,901.54	$13,659
AMI discharged alive w MCC	MS-DRG	280	21	$155,670	$155,670	$758.07	$16,489	$78,951
AMI discharged alive w CC	MS-DRG	281	22	$100,727	$100,727	$758.07	$9,757.19	$64,470
AMI discharged alive w/o CC/MCC	MS-DRG	282	22	$87,713	$87,713	$758.07	$8,050.74	$92,353
Heart failure & shock w MCC	MS-DRG	291	20	$45,280	$45,280	$758.07	$13,092	$27,901
Heart failure & shock w CC	MS-DRG	292	20	$31,685	$31,685	$758.07	$8,898.83	$18,451
Heart failure & shock w/o CC/MCC	MS-DRG	293	20	$14,426	$14,426	$758.07	$6,287.39	$12,301
Cardiac arrhythmia w MCC	MS-DRG	308	24	$159,806	$159,806	$758.07	$12,557	$99,945
Cardiac arrhythmia w CC	MS-DRG	309	23	$124,195	$124,195	$758.07	$8,654.03	$143,859
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	23	$127,536	$127,536	$758.07	$6,991.65	$65,698
GI hemorrhage w CC	MS-DRG	378	20	$40,161	$40,161	$758.07	$10,169	$21,314
GI hemorrhage w/o CC/MCC	MS-DRG	379	20	$15,047	$15,047	$758.07	$6,920.23	$13,700
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	21	$27,636	$27,636	$758.07	$8,229.62	$18,940
Fractures of femur w/o MCC	MS-DRG	533	20	$55,263	$55,263	$758.07	$15,829	$34,071
Kidney/UTI w MCC	MS-DRG	689	20	$37,540	$37,540	$758.07	$11,901	$25,217
Kidney/UTI w/o MCC	MS-DRG	690	22	$390,231	$390,231	$758.07	$8,680.18	$236,323
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	20	$68,590	$68,590	$758.07	$19,444	$42,216
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	21	$39,179	$39,179	$758.07	$10,580	$87,657
lab
Basic metabolic panel (BMP)	CPT	80048	37	$94	$94	$7.46	$29.96	$672.16
Electrolyte panel	CPT	80051	37	$65	$65	$6.18	$29.32	$672.16
Comprehensive metabolic panel	CPT	80053	37	$181	$181	$10.56	$68.35	$672.16
Lipid panel	CPT	80061	38	$141	$141	$11.81	$62.73	$672.16
Renal function panel	CPT	80069	37	$109	$109	$7.65	$49.16	$672.16
Hepatic function panel	CPT	80076	37	$221	$221	$7.2	$89.61	$672.16
Urinalysis non-automated	CPT	81002	38	$126	$126	$2.44	$6.73	$672.16
Urinalysis automated	CPT	81003	38	$87	$87	$1.98	$37.43	$672.16
Glucose quantitative	CPT	82947	38	$102	$102	$3.47	$35.97	$672.16
Hemoglobin A1c	CPT	83036	38	$123	$123	$8.56	$23.06	$672.16
Thyroid stimulating hormone (TSH)	CPT	84443	38	$742	$742	$14.82	$251.54	$742
Complete blood count with automated differential	CPT	85025	38	$175	$175	$6.85	$64.17	$672.16
Complete blood count without differential	CPT	85027	38	$105	$105	$5.71	$43.3	$672.16
Urine culture bacterial	CPT	87086	38	$130	$130	$7.12	$19.19	$672.16
Urine culture identification	CPT	87088	38	$94	$94	$7.13	$33.34	$672.16
Tissue exam by pathologist level IV	CPT	88305	37	$656	$656	$27.79	$262.4	$672.16
maternity
Fetal non-stress test	CPT	59025	37	$957	$957	$13.23	$485.73	$957
Vaginal delivery only	CPT	59409	27	$6,829	$6,829	$672.16	$5,224.19	$10,904
C-section delivery only	CPT	59514	37	$9,577	$9,577	$672.16	$4,620.9	$9,577
Vaginal delivery w complicating dx	MS-DRG	774	2	$34,684	$34,684	$11,070	$16,250	$22,735
Vaginal delivery w/o complicating dx	MS-DRG	775	2	$63,361	$63,361	$10,407	$21,387	$75,901
office
Office visit, new patient, 15-29 min	CPT	99202	36	$228	$228	$31.33	$135	$672.16
Office visit, new patient, 30-44 minutes	CPT	99203	36	$307	$307	$35.91	$163.31	$672.16
Office visit, new patient, 45-59 min	CPT	99204	36	$455	$455	$35.91	$170.73	$672.16
Office visit, new patient, 60-74 min	CPT	99205	36	$586	$586	$35.91	$205.2	$672.16
Office visit, established patient, 5 min	CPT	99211	36	$228	$228	$7.78	$99	$672.16
Office visit, established patient, 10-19 min	CPT	99212	36	$228	$228	$31.33	$116	$672.16
Office visit, established patient, 20-29 minutes	CPT	99213	36	$258	$258	$35.91	$149	$672.16
Office visit, established patient, 30-39 minutes	CPT	99214	36	$351	$351	$35.91	$167.53	$672.16
Office visit, established patient, 40-54 min	CPT	99215	36	$465	$465	$35.91	$186	$672.16
preventive
Upper GI endoscopy diagnostic	CPT	43235	37	$18,411	$18,411	$2.89	$1,141.32	$3,563.91
Upper GI endoscopy with biopsy	CPT	43239	38	$17,413	$17,413	$2.89	$1,141.32	$4,770.98
Sigmoidoscopy diagnostic	CPT	45330	36	$9,018.1	$9,018.1	$27.79	$1,134.13	$3,563.91
Sigmoidoscopy with biopsy	CPT	45331	37	$12,294	$12,294	$7.46	$1,159.58	$3,563.91
Colonoscopy diagnostic	CPT	45378	36	$12,060	$12,060	$55.58	$1,170.23	$4,770.98
Colonoscopy with biopsy	CPT	45380	37	$26,228	$26,228	$1.98	$1,505.82	$4,770.98
Colonoscopy with polyp removal	CPT	45385	36	$24,449	$24,449	$27.79	$1,528.79	$5,658.35
surgery
Total shoulder arthroplasty	CPT	23472	23	$112,274	$112,274	$7.46	$21,013	$35,744
PCI w drug-eluting stent w MCC	MS-DRG	246	2	$57,647	$57,647	$17,021	$25,919	$37,101
PCI w drug-eluting stent w/o MCC	MS-DRG	247	2	$61,275	$61,275	$13,519	$25,043	$64,807
Total hip replacement	CPT	27130	24	$74,925	$74,925	$1.44	$15,386	$35,083
Total knee replacement	CPT	27447	24	$60,726	$60,726	$7.46	$15,386	$31,035
Knee revision arthroplasty single component	CPT	27486	22	$96,035	$96,035	$1.44	$15,386	$26,172
Shoulder arthroscopy with decompression	CPT	29826	24	$124,672	$124,672	$2.89	$8,696.19	$14,792
Shoulder arthroscopy with rotator cuff repair	CPT	29827	24	$54,099	$54,099	$672.16	$8,696.19	$14,792
Knee arthroscopy with meniscectomy	CPT	29881	25	$59,428	$59,428	$7.46	$8,696.19	$26,172
ACL reconstruction	CPT	29888	24	$53,919	$53,919	$578	$8,696.19	$14,792
Major small/large bowel procedures w MCC	MS-DRG	329	18	$143,783	$143,783	$758.07	$45,036	$99,896
Major small/large bowel procedures w CC	MS-DRG	330	19	$79,756	$79,756	$758.07	$23,828	$52,098
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	19	$70,472	$70,472	$758.07	$16,940	$36,574
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	19	$76,990	$76,990	$758.07	$17,024	$36,764
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	21	$57,297	$57,297	$758.07	$13,882	$34,420
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	23	$106,046	$106,046	$758.07	$33,567	$77,402
Open appendectomy	CPT	44950	24	$75,676	$75,676	$8.73	$7,758.53	$13,197
Laparoscopic appendectomy	CPT	44970	26	$44,879	$44,879	$6.52	$6,521.39	$12,324
Major joint replacement w MCC	MS-DRG	469	22	$106,958	$106,958	$758.07	$29,961	$65,921
Major joint replacement w/o MCC	MS-DRG	470	24	$80,189	$80,189	$758.07	$19,680	$44,691
Laparoscopic cholecystectomy	CPT	47562	37	$32,808	$32,808	$7.46	$7,245.25	$14,352
Lap cholecystectomy with cholangiography	CPT	47563	26	$26,162	$26,162	$6.52	$7,245.25	$12,324
Hip & femur procedures except major joint w MCC	MS-DRG	480	22	$123,880	$123,880	$758.07	$29,344	$71,755
Hip & femur procedures except major joint w CC	MS-DRG	481	19	$101,109	$101,109	$758.07	$20,909	$45,520
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	22	$60,206	$60,206	$758.07	$16,440	$35,447
Lap inguinal hernia repair	CPT	49650	26	$45,648	$45,648	$2.64	$7,752.41	$21,670
Lap salpingo-oophorectomy	CPT	58661	26	$61,279	$61,279	$5.71	$7,245.25	$21,670
OR procedure for obesity w MCC	MS-DRG	619	22	$77,123	$77,123	$758.07	$28,555	$62,752
OR procedure for obesity w CC	MS-DRG	620	23	$64,603	$64,603	$758.07	$16,451	$39,025
OR procedure for obesity w/o CC/MCC	MS-DRG	621	24	$281,717	$281,717	$758.07	$16,191	$153,341
Complex cataract surgery	CPT	66982	23	$37,130	$37,130	$2.89	$2,931.76	$11,223
Cataract surgery with lens implant	CPT	66984	24	$49,026	$49,026	$2.89	$4,704.64	$11,223
Intravitreal injection	CPT	67028	37	$1,435	$1,435	$89	$719.3	$3,563.91
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	21	$49,978	$49,978	$758.07	$12,676	$26,964
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	21	$42,188	$42,188	$758.07	$20,471	$44,533
PCI single major coronary artery	CPT	92920	36	$24,776	$24,776	$672.16	$9,910.4	$24,776
PCI with drug-eluting stent	CPT	92928	36	$32,762	$32,762	$672.16	$14,790	$32,762
PCI bypass graft	CPT	92937	36	$37,631	$37,631	$672.16	$14,928	$37,631
Left heart catheterization	CPT	93452	36	$20,952	$20,952	$672.16	$6,608.87	$20,952
Coronary angiography with cath	CPT	93455	36	$30,192	$30,192	$672.16	$6,629.18	$30,192
Coronary angiography with bypass cath	CPT	93458	36	$35,092	$35,092	$672.16	$6,629.18	$35,092

Payer mix (top 30)

Payer	Codes covered	Median rate
correctional care [11003]	172	$826.52
UnitedHealthcare	172	$366.7
Blue Cross Blue Shield	172	$469.27
Medicaid	172	$125.29
institution [10406]	172	$586
hsno/free care [10801]	171	$672.16
tufts [11201]	171	$823.2
senior whole health [10110]	166	$447.37
Medicare	164	$395.85
commonwealth care mcr [10115]	162	$415.65
tufts connectorcare [10507]	162	$711.2
tufts dual [10111]	162	$418.11
tufts mcr supp [20209]	162	$439.01
mgb mcr [10124]	162	$439.01
eternalhealth mcr replace [10116]	162	$439.01
harvard pilgrim mcr supp [20203]	162	$439.01
fallon mcr [10105]	162	$439.01
fallon mcaid carelon hlth [29]	157	$2,064.74
wellpoint [11112]	153	$627.22
hne [11108]	129	$750.46
workers compensation [20501]	129	$285
fallon connectorcare [10503]	128	$451.49
CHAMPVA	127	$226.42
tufts us family [11203]	125	$285.95
grants [20507]	124	$474.5
Cigna	123	$2,546.88
connecticare [11105]	114	$695
evernorth behavioral health [27]	114	$556
First Health	114	$521.25
wellfleet [11106]	114	$625.5