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Memorial Medical Center

Memorial Medical Center in Modesto, CA charges 6.8x the Medicare reimbursement rate on average across 123 analyzed procedures at this nonprofit-private hospital.

Modesto, CA 95355 · Acute Care Hospitals · CMS Rating: 2/5

By Elena Vasquez , Medical Billing Research Lead · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
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.

123 procedures analyzed
CMS price transparency data
Updated 2026-04-03
Median 4.8x2.7x15.0x
6.8x
Medicare markup ratio
CA lowestMemorial Medical CenterCA highest
6.8x
Avg markup ratio
6.8x
Median markup
123
Procedures
1%
Outlier procedures
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Pricing grade

D

High

Avg markup vs Medicare

6.8x

Charge / Medicare rate

Max markup

13.08x

Worst procedure

Procedures analyzed

123

With pricing data

Outlier procedures

0.8%

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.

ProcedureCodeGross chargeCash priceMedicareMarkup
GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC390$51,416$25,70813.1x
FRACTURES OF HIP AND PELVIS WITHOUT MCC536$59,666$29,83310.9x
SIGNS AND SYMPTOMS WITHOUT MCC948$53,205$26,60210.2x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC310$39,300$19,6509.9x
GASTROINTESTINAL OBSTRUCTION WITH CC389$58,432$29,2169.5x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$59,822$29,9119.5x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$77,860$38,9309.3x
TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC069$60,591$30,2959.3x
FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC563$66,701$33,3509.2x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC066$47,737$23,8699.1x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC309$48,059$24,0299.1x
HYPERTENSION WITHOUT MCC305$53,792$26,8969.1x
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC419$82,972$41,4868.9x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$54,072$27,0368.7x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$139,074$69,5378.7x
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC690$55,669$27,8358.6x
MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC372$74,442$37,2218.5x
MAJOR CHEST TRAUMA WITH CC184$74,299$37,1498.5x
CHEST PAIN313$47,730$23,8658.5x
SEIZURES WITHOUT MCC101$59,887$29,9438.3x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$59,473$29,7378.2x
PULMONARY EDEMA AND RESPIRATORY FAILURE189$86,551$43,2768.1x
NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC071$74,359$37,1798.1x
MEDICAL BACK PROBLEMS WITHOUT MCC552$63,447$31,7237.9x
TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC086$89,128$44,5647.9x
SIMPLE PNEUMONIA AND PLEURISY WITH CC194$57,796$28,8987.9x
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC394$62,886$31,4437.9x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$199,997$99,9997.9x
COMPLICATED PEPTIC ULCER WITH CC381$66,122$33,0617.8x
TRANSURETHRAL PROCEDURES WITH CC669$104,324$52,1627.8x
TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC082$146,527$73,2647.8x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$65,392$32,6967.7x
DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC442$56,874$28,4377.6x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$131,803$65,9017.6x
PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE175$95,474$47,7377.5x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$138,804$69,4027.5x
SYNCOPE AND COLLAPSE312$54,285$27,1437.5x
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC236$259,241$129,6217.4x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC854$124,173$62,0877.4x
PERIPHERAL VASCULAR DISORDERS WITH CC300$62,305$31,1537.4x
DISORDERS OF THE BILIARY TRACT WITH CC445$66,790$33,3957.3x
PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC542$114,886$57,4437.2x
PULMONARY EMBOLISM WITHOUT MCC176$47,355$23,6787.2x
GASTROINTESTINAL OBSTRUCTION WITH MCC388$88,737$44,3697.2x
PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC242$241,975$120,9887.1x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC391$74,533$37,2677.1x
OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC315$58,903$29,4527.1x
OTHER DISORDERS OF NERVOUS SYSTEM WITH CC092$61,332$30,6667.1x
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC661$64,204$32,1027.1x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$59,120$29,5607.1x

Showing 50 of 123 procedures

How MEMORIAL MEDICAL CENTER compares to nearby hospitals

Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.

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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 →

Related pricing data

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

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