Marinhealth Medical Center
MarinHealth Medical Center in Greenbrae, CA charges 10.0x the Medicare reimbursement rate across 87 analyzed procedures, with 91% showing significant price variations compared to other facilities.
Greenbrae, CA 94904 · Acute Care Hospitals · CMS Rating: 4/5
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.
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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
F
Very high
Avg markup vs Medicare
9.99x
Charge / Medicare rate
Max markup
16.79x
Worst procedure
Procedures analyzed
87
With pricing data
Outlier procedures
90.8%
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 |
|---|---|---|---|---|---|
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $118,551 | $59,276 | — | 16.8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $192,206 | $96,103 | — | 14.8x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $114,508 | $57,254 | — | 14.7x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $114,365 | $57,182 | — | 14.1x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $132,641 | $66,320 | — | 13.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $82,266 | $41,133 | — | 13.7x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $106,638 | $53,319 | — | 13.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $125,912 | $62,956 | — | 13.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $142,629 | $71,315 | — | 13.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $102,479 | $51,239 | — | 13.4x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $178,806 | $89,403 | — | 13.1x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $113,713 | $56,857 | — | 13.1x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $148,768 | $74,384 | — | 12.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $246,373 | $123,186 | — | 12.4x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $124,819 | $62,409 | — | 12.2x |
| HYPERTENSION WITHOUT MCC | 305 | $89,218 | $44,609 | — | 12.2x |
| CERVICAL SPINAL FUSION WITH CC | 472 | $420,599 | $210,300 | — | 12.2x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $117,259 | $58,629 | — | 12.1x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $102,186 | $51,093 | — | 12x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $117,651 | $58,825 | — | 11.7x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $99,908 | $49,954 | — | 11.6x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $113,197 | $56,598 | — | 11.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $99,642 | $49,821 | — | 11.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $85,660 | $42,830 | — | 11.5x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $85,782 | $42,891 | — | 11.5x |
| MAJOR CHEST TRAUMA WITH CC | 184 | $115,708 | $57,854 | — | 11.1x |
| SEIZURES WITHOUT MCC | 101 | $100,891 | $50,446 | — | 11x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $82,061 | $41,030 | — | 10.9x |
| HEART FAILURE AND SHOCK WITH CC | 292 | $96,642 | $48,321 | — | 10.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $88,776 | $44,388 | — | 10.8x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $121,402 | $60,701 | — | 10.4x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $547,895 | $273,948 | — | 10.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $109,342 | $54,671 | — | 10.4x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $54,880 | $27,440 | — | 10.4x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $339,053 | $169,527 | — | 10.2x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $233,679 | $116,840 | — | 10.1x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | 244 | $198,905 | $99,453 | — | 10.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $170,596 | $85,298 | — | 10.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $469,455 | $234,727 | — | 10.1x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $88,664 | $44,332 | — | 10x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $143,240 | $71,620 | — | 9.9x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $194,935 | $97,468 | — | 9.8x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $172,943 | $86,471 | — | 9.8x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $228,700 | $114,350 | — | 9.8x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $124,396 | $62,198 | — | 9.8x |
| SYNCOPE AND COLLAPSE | 312 | $85,752 | $42,876 | — | 9.7x |
| CELLULITIS WITHOUT MCC | 603 | $81,318 | $40,659 | — | 9.7x |
| RENAL FAILURE WITH CC | 683 | $87,748 | $43,874 | — | 9.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $129,449 | $64,725 | — | 9.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $71,221 | $35,610 | — | 9.6x |
Showing 50 of 87 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 — government 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