Healthcare Pricing Data: MODESTO, CA
3 hospitals with public pricing data · 30 procedures reported to CMS
Hospitals
3
With CMS data
Procedures
30
DRG categories
Avg Charge-to-Medicare Ratio
11.1x
Across all procedures
vs National Average
+106%
Chargemaster rates
About This Data
MODESTO, CA has 3 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 11.1x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)
The procedure with the highest average listed charges in MODESTO is CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC (DRG 233), with an average chargemaster rate of $864,929 across reporting hospitals.
Important: Chargemaster rates are hospital list prices and are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage. Use this data as a starting point for understanding pricing in your area.
Procedure Pricing Data
| Procedure | DRG | Avg Listed Charge | Hospitals Reporting | Charge-to-Medicare Ratio |
|---|---|---|---|---|
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $146,625 | 3 | 9.4x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | 233 | $864,929 | 2 | 11.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $711,250 | 2 | 10.8x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | 266 | $603,706 | 2 | 9.4x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | 207 | $600,043 | 2 | 8.7x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $526,685 | 2 | 10.3x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | 270 | $455,568 | 2 | 7.5x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $446,590 | 2 | 9.2x |
| OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | 673 | $429,674 | 2 | 13.5x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $425,033 | 2 | 10.4x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $424,329 | 2 | 9.3x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $316,599 | 2 | 12.2x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $315,327 | 2 | 12.1x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | 242 | $300,983 | 2 | 8.9x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $291,226 | 2 | 8.6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $287,519 | 2 | 10.6x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $280,041 | 2 | 9.0x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | 082 | $246,215 | 2 | 11.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $233,554 | 2 | 13.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $227,725 | 2 | 12.1x |
| SEIZURES WITH MCC | 100 | $227,248 | 2 | 12.3x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 432 | $224,777 | 2 | 11.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $220,931 | 2 | 12.2x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $219,305 | 2 | 11.2x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $210,312 | 2 | 10.6x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $209,055 | 2 | 13.6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $206,211 | 2 | 11.0x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $206,099 | 2 | 12.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $193,387 | 2 | 13.6x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $191,915 | 2 | 14.7x |
Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.
Hospitals in MODESTO With Pricing Data
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Upload your bill — free comparisonData from CMS Inpatient Prospective Payment System (IPPS) Provider Summary. All data publicly available under federal law (45 CFR Part 180).
Listed chargemaster rates are not what most insured patients pay. This information is for educational purposes only. Read our methodology·Report a data error