NOVATO COMMUNITY HOSPITAL
NOVATO, CA 94945 · Acute Care Hospitals
13 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 27, 2026 · Methodology
Procedures Analyzed
13
With CMS pricing data
Avg Charge-to-Medicare Ratio
4.8x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Voluntary non-profit - Private
Above 90th Percentile
0%
Compared to CA hospitals
Understanding Your Costs
When you receive a bill from NOVATO COMMUNITY HOSPITAL, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, NOVATO COMMUNITY HOSPITAL lists chargemaster rates that average 4.8x the corresponding Medicare reimbursement amount across 13 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).
The median hospital in CA has a chargemaster-to-Medicare ratio of 6.3x, with ratios across the state ranging from 1.7x to 17.6x. At 4.8x, this facility’s average ratio is below the state median. 273 hospitals in CA report pricing data to CMS (Source: CMS IPPS Provider Summary).
The procedure with the largest gap between the listed price and Medicare reimbursement at NOVATO COMMUNITY HOSPITAL is Combined Anterior and Posterior Spinal Fusion without Complications (DRG 455). The listed chargemaster rate is $233,572, while Medicare reimburses $35,683 for the same procedure — a ratio of 6.5x (Source: CMS IPPS Provider Summary, FY2024).
What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.
NOVATO COMMUNITY HOSPITAL is a voluntary non-profit - private acute care hospitals facility with a CMS quality rating of 5/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.
Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio
Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Procedure Pricing Lookup
Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.
| Procedure | DRG | Listed Charge | Medicare Reimb. | Ratio | State Position | |
|---|---|---|---|---|---|---|
| Combined Anterior and Posterior Spinal Fusion without Complications | 455 | $233,572 | $35,683 | 6.5x | 1th | Compare your bill |
| Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes without Major Complications | 641 | $43,421 | $7,485 | 5.8x | 1th | Compare your bill |
| Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without Major Complications | 470 | $97,281 | $17,283 | 5.6x | 1th | Compare your bill |
| Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without Major Complications | 392 | $39,324 | $7,419 | 5.3x | 1th | Compare your bill |
| Pulmonary Edema and Respiratory Failure | 189 | $60,770 | $12,328 | 4.9x | 1th | Compare your bill |
| Heart Failure and Shock with Major Complications or Comorbidities | 291 | $57,518 | $12,371 | 4.7x | 1th | Compare your bill |
| Septicemia or Severe Sepsis without Mechanical Ventilation over 96 Hours without Major Complications | 872 | $45,568 | $9,873 | 4.6x | 1th | Compare your bill |
| Gastrointestinal Hemorrhage with Complications | 378 | $43,284 | $9,770 | 4.4x | 1th | Compare your bill |
| Hip and Femur Procedures Except Major Joint with Complications | 481 | $90,956 | $21,038 | 4.3x | 1th | Compare your bill |
| Simple Pneumonia and Pleurisy with Major Complications or Comorbidities | 193 | $56,960 | $13,238 | 4.3x | 1th | Compare your bill |
| Cellulitis without Major Complications | 603 | $36,404 | $8,616 | 4.2x | 1th | Compare your bill |
| Respiratory Infections and Inflammations with Major Complications or Comorbidities | 177 | $71,869 | $19,274 | 3.7x | 1th | Compare your bill |
| Septicemia or Severe Sepsis without Mechanical Ventilation over 96 Hours with Major Complications or Comorbidities | 871 | $69,034 | $18,607 | 3.7x | 1th | Compare your bill |
Showing 13 of 13 procedures
All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Statewide Context
Charge-to-Medicare ratio range across CA hospitals
273 hospitals in CA report pricing data to CMS. This facility's average ratio of 4.8x places it at the lower end of the state range (Source: CMS IPPS Provider Summary).
What You Can Do
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Learn howCheck for Common Errors
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How it worksData: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).
Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.
Frequently Asked Questions About NOVATO COMMUNITY HOSPITAL
How much does NOVATO COMMUNITY HOSPITAL charge compared to Medicare?
According to CMS IPPS data, NOVATO COMMUNITY HOSPITAL's listed chargemaster rates average 4.8x the Medicare reimbursement amount across 13 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.
What is the most expensive procedure at NOVATO COMMUNITY HOSPITAL?
The procedure with the highest chargemaster-to-Medicare ratio at NOVATO COMMUNITY HOSPITAL is Combined Anterior and Posterior Spinal Fusion without Complications (DRG 455), with a listed charge of $233,572 compared to Medicare reimbursement of $35,683 — a ratio of 6.5x. Source: CMS IPPS Provider Summary.
Is NOVATO COMMUNITY HOSPITAL expensive compared to other CA hospitals?
NOVATO COMMUNITY HOSPITAL's average chargemaster-to-Medicare ratio is 4.8x. Ratios vary significantly across CA hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.
Where does the pricing data for NOVATO COMMUNITY HOSPITAL come from?
All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.
How can I check if my bill from NOVATO COMMUNITY HOSPITAL is correct?
You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.
Does NOVATO COMMUNITY HOSPITAL in NOVATO, CA accept Medicare?
NOVATO COMMUNITY HOSPITAL is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact NOVATO COMMUNITY HOSPITAL directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.