Marian Regional Medical Center
MARIAN REGIONAL MEDICAL CENTER in Santa Maria, CA charges 6.4x the Medicare reimbursement rate on average across 95 analyzed procedures at this nonprofit-religious hospital.
Santa Maria, CA 93454 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
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Billing patterns — nonprofit-religious
Nonprofit religious hospitals, representing 203 facilities in the dataset, demonstrate an average markup of 5.4x Medicare rates, positioning them in the mid-range compared to other ownership types. These institutions typically maintain standardized charge structures across their health system networks, often reflecting their mission-driven approach to healthcare delivery. Patients at nonprofit religious hospitals may encounter charges above the benchmark for routine procedures, though many offer financial assistance programs and charity care policies that can significantly reduce out-of-pocket expenses for qualifying individuals. Common billing patterns include transparent pricing for elective procedures and comprehensive financial counseling services. The potential difference between listed charges and actual patient responsibility can be substantial, particularly for uninsured patients who may qualify for sliding-scale payment options. Patients should inquire about available financial assistance programs during the admissions process, as these hospitals often have more flexible payment arrangements compared to for-profit facilities, reflecting their tax-exempt status and community benefit obligations.
Pricing grade
D
High
Avg markup vs Medicare
6.44x
Charge / Medicare rate
Max markup
9.93x
Worst procedure
Procedures analyzed
95
With pricing data
Outlier procedures
3.2%
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 |
|---|---|---|---|---|---|
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $44,429 | $22,215 | — | 9.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $57,559 | $28,779 | — | 8.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $75,032 | $37,516 | — | 8.9x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $40,364 | $20,182 | — | 8.9x |
| SEIZURES WITHOUT MCC | 101 | $70,372 | $35,186 | — | 8.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $67,804 | $33,902 | — | 8.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $142,547 | $71,273 | — | 8.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $124,803 | $62,401 | — | 8.4x |
| COAGULATION DISORDERS | 813 | $123,338 | $61,669 | — | 8.2x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $67,030 | $33,515 | — | 8.1x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $71,838 | $35,919 | — | 7.9x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $99,259 | $49,629 | — | 7.8x |
| HEART FAILURE AND SHOCK WITH CC | 292 | $55,496 | $27,748 | — | 7.7x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $68,207 | $34,103 | — | 7.7x |
| SYNCOPE AND COLLAPSE | 312 | $58,510 | $29,255 | — | 7.5x |
| DISORDERS OF THE BILIARY TRACT WITH MCC | 444 | $147,413 | $73,706 | — | 7.5x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $89,633 | $44,817 | — | 7.4x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | 085 | $147,612 | $73,806 | — | 7.4x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $72,248 | $36,124 | — | 7.4x |
| DIABETES WITH CC | 638 | $56,432 | $28,216 | — | 7.3x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $64,205 | $32,102 | — | 7.3x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $50,552 | $25,276 | — | 7.3x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $130,664 | $65,332 | — | 7.3x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $85,778 | $42,889 | — | 7.2x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $121,752 | $60,876 | — | 7x |
| ENDOCRINE DISORDERS WITH MCC | 643 | $100,214 | $50,107 | — | 6.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $200,215 | $100,108 | — | 6.9x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $48,599 | $24,300 | — | 6.9x |
| CELLULITIS WITHOUT MCC | 603 | $46,834 | $23,417 | — | 6.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $75,827 | $37,914 | — | 6.8x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $59,305 | $29,653 | — | 6.8x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $92,259 | $46,129 | — | 6.8x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $69,015 | $34,508 | — | 6.8x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $55,548 | $27,774 | — | 6.8x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $48,480 | $24,240 | — | 6.7x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $284,605 | $142,302 | — | 6.7x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $69,775 | $34,888 | — | 6.7x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $100,441 | $50,221 | — | 6.7x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $55,122 | $27,561 | — | 6.7x |
| TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | 605 | $55,406 | $27,703 | — | 6.6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $46,420 | $23,210 | — | 6.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $58,688 | $29,344 | — | 6.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $112,705 | $56,353 | — | 6.5x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $50,519 | $25,260 | — | 6.4x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $74,660 | $37,330 | — | 6.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $77,031 | $38,516 | — | 6.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $46,916 | $23,458 | — | 6.4x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $241,920 | $120,960 | — | 6.4x |
| DIABETES WITH MCC | 637 | $81,385 | $40,692 | — | 6.4x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | 442 | $55,728 | $27,864 | — | 6.4x |
Showing 50 of 95 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.
FAQ — nonprofit-religious hospital billing
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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