El Camino Health

El Camino Health in Mountain View, CA charges 9.1x the Medicare reimbursement rate on average, with 82% of procedures showing significant price variations.

Mountain View, CA 94040 · Acute Care Hospitals · CMS Rating: 4/5

By Priya Iyengar , Senior Billing Analyst · Published March 15, 2026 · Updated April 3, 2026

Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.

About the analyst

Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.

130 procedures analyzed

CMS price transparency data

Updated 2026-04-03

9.1x

Medicare markup ratio

CA lowestEl Camino HealthCA highest

9.1x

Avg markup ratio

9.0x

Median markup

130

Procedures

82%

Outlier procedures

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Billing patterns — government

Government hospitals in our dataset demonstrate distinct billing patterns compared to other ownership types. With 374 facilities analyzed, these hospitals show an average markup of 4.2x Medicare rates, which typically falls below the industry average for comparable services. Government hospitals often maintain more standardized pricing structures due to regulatory oversight and public accountability requirements. Patients may encounter charges above the benchmark for certain procedures, though the potential difference between government hospital billing and private facilities can vary significantly by service type and geographic region. Common charge patterns include transparent itemization of services and adherence to established fee schedules. Patients should be aware that government hospitals frequently offer financial assistance programs and sliding scale payment options based on income eligibility. These facilities often provide detailed cost estimates upon request and maintain patient financial counselors to discuss billing arrangements before treatment when possible.

Pricing grade

Very high

Avg markup vs Medicare

9.09x

Charge / Medicare rate

Max markup

15.92x

Worst procedure

Procedures analyzed

130

With pricing data

Outlier procedures

82.3%

Above 90th percentile

Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.

Procedure	Code	Gross charge	Cash price	Medicare	Markup
PULMONARY EMBOLISM WITHOUT MCC	176	$115,769	$57,884	—	15.9x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC	066	$96,444	$48,222	—	14.4x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC	310	$69,398	$34,699	—	13.8x
DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC	439	$123,148	$61,574	—	12.6x
DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC	442	$120,512	$60,256	—	12.5x
SYNCOPE AND COLLAPSE	312	$108,426	$54,213	—	12.5x
SIGNS AND SYMPTOMS WITHOUT MCC	948	$99,556	$49,778	—	12.4x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC	309	$88,526	$44,263	—	12.4x
TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC	069	$105,131	$52,566	—	12.3x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS	065	$124,727	$62,363	—	12.3x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC	281	$109,364	$54,682	—	12.3x
GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC	390	$64,098	$32,049	—	12x
DIGESTIVE MALIGNANCY WITH CC	375	$156,259	$78,130	—	12x
DISORDERS OF THE BILIARY TRACT WITH CC	445	$133,945	$66,972	—	12x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC	282	$84,333	$42,166	—	12x
BONE DISEASES AND ARTHROPATHIES WITHOUT MCC	554	$95,898	$47,949	—	11.8x
SEIZURES WITHOUT MCC	101	$104,093	$52,046	—	11.4x
DYSEQUILIBRIUM	149	$84,704	$42,352	—	11.4x
RED BLOOD CELL DISORDERS WITHOUT MCC	812	$100,931	$50,465	—	11.3x
KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC	658	$177,459	$88,729	—	11.1x
GASTROINTESTINAL OBSTRUCTION WITH CC	389	$85,225	$42,613	—	11.1x
MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATIO	809	$139,906	$69,953	—	11.1x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC	331	$184,475	$92,237	—	10.9x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC	190	$112,108	$56,054	—	10.6x
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC	418	$174,829	$87,415	—	10.5x
FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC	563	$89,333	$44,666	—	10.4x
SIMPLE PNEUMONIA AND PLEURISY WITH CC	194	$82,465	$41,233	—	10.4x
ENDOCRINE DISORDERS WITHOUT CC/MCC	645	$73,195	$36,598	—	10.4x
PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC	543	$114,996	$57,498	—	10.4x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC	308	$125,099	$62,549	—	10.3x
RENAL FAILURE WITH CC	683	$93,404	$46,702	—	10.3x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC	641	$78,674	$39,337	—	10.3x
OTHER DISORDERS OF NERVOUS SYSTEM WITH CC	092	$109,489	$54,745	—	10.3x
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC	436	$118,926	$59,463	—	10.3x
ENDOCRINE DISORDERS WITH CC	644	$101,515	$50,757	—	10.3x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC	247	$203,855	$101,927	—	10.2x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC	191	$92,347	$46,174	—	10.2x
PULMONARY EDEMA AND RESPIRATORY FAILURE	189	$145,009	$72,505	—	10x
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC	394	$94,811	$47,405	—	10x
GASTROINTESTINAL HEMORRHAGE WITH CC	378	$103,737	$51,869	—	10x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC	392	$77,613	$38,807	—	9.9x
BRONCHITIS AND ASTHMA WITH CC/MCC	202	$93,313	$46,657	—	9.9x
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	470	$193,255	$96,628	—	9.9x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC	872	$102,864	$51,432	—	9.9x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC	193	$139,355	$69,678	—	9.8x
RESPIRATORY NEOPLASMS WITH CC	181	$146,467	$73,234	—	9.8x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC	286	$283,209	$141,605	—	9.8x
UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC	737	$205,037	$102,519	—	9.8x
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC	417	$276,578	$138,289	—	9.7x
COMPLICATIONS OF TREATMENT WITH MCC	919	$189,254	$94,627	—	9.7x

Showing 50 of 130 procedures

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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

FAQ — government hospital billing

How do government hospital billing rates compare to Medicare benchmarks?

Based on available data from 374 government hospitals, charges average 4.2 times the Medicare benchmark rates. Government hospitals, while publicly owned, still establish their own pricing structures that can result in charges above standard Medicare rates.

Why do government hospitals charge above Medicare rates if they're publicly owned?

Government hospitals operate as independent entities that must cover operational costs, equipment, and staffing expenses. Public ownership doesn't require hospitals to limit charges to Medicare benchmark levels, as they still need to maintain financial sustainability for continued operations.

What should I expect when reviewing a government hospital bill?

Government hospital bills typically show charges that may be several times higher than Medicare benchmark rates, with the average markup being approximately 4.2x across sampled facilities. The final amount you pay will depend on your insurance coverage, negotiated rates, and any applicable financial assistance programs.

Are there potential billing differences between government hospitals and other facility types?

Government hospitals show similar billing patterns to other hospital types, with charges typically set above Medicare benchmarks. The potential difference in what patients ultimately pay often depends more on individual insurance plans and hospital financial assistance policies than on the ownership structure of the facility.

Related pricing data

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Mountain View, CA costsCity-level pricing data

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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.

Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.

This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use