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Healthcare Pricing Data: SAN FRANCISCO, CA

10 hospitals with public pricing data · 30 procedures reported to CMS

Hospitals

10

With CMS data

Procedures

30

DRG categories

Avg Charge-to-Medicare Ratio

5.5x

Across all procedures

vs National Average

+82%

Chargemaster rates

About This Data

SAN FRANCISCO, CA has 10 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 5.5x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)

The procedure with the highest average listed charges in SAN FRANCISCO is INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC (DRG 853), with an average chargemaster rate of $384,681 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

ProcedureDRGAvg Listed ChargeHospitals ReportingCharge-to-Medicare Ratio
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$129,61794.8x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC177$103,98894.2x
HEART FAILURE AND SHOCK WITH MCC291$92,96595.4x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$78,74386.1x
PULMONARY EDEMA AND RESPIRATORY FAILURE189$98,56475.5x
RENAL FAILURE WITH CC683$71,48976.6x
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC690$54,78175.1x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC853$384,68164.8x
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC470$130,34565.5x
RENAL FAILURE WITH MCC682$111,88965.4x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$110,67068.0x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$100,46065.7x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC640$94,18065.3x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC178$67,19264.5x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$61,99466.0x
CELLULITIS WITHOUT MCC603$56,35364.4x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC064$168,82455.8x
GASTROINTESTINAL HEMORRHAGE WITH MCC377$159,84955.6x
POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC917$147,88755.4x
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC698$135,39254.9x
GASTROINTESTINAL HEMORRHAGE WITH CC378$75,40455.6x
MEDICAL BACK PROBLEMS WITHOUT MCC552$68,39555.1x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$56,82155.5x
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC025$261,94544.2x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$165,20845.8x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC280$154,05445.9x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC190$94,92446.2x
KIDNEY AND URINARY TRACT INFECTIONS WITH MCC689$88,75645.4x
SEIZURES WITHOUT MCC101$79,84346.4x
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC699$69,25544.8x

Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.

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Data 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