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Peninsula Medical Center

Peninsula Medical Center in Burlingame, CA charges 5.2x the Medicare reimbursement rate across 77 analyzed procedures, reflecting the pricing structure at this nonprofit-private hospital.

Burlingame, CA 94010 · Acute Care Hospitals · CMS Rating: 5/5

By David Park , Healthcare Cost Researcher · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
About the analyst

David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.

77 procedures analyzed
CMS price transparency data
Updated 2026-04-03
Median 3.7x2.1x15.0x
5.3x
Medicare markup ratio
CA lowestPeninsula Medical CenterCA highest
5.3x
Avg markup ratio
5.1x
Median markup
77
Procedures
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Pricing grade

D

High

Avg markup vs Medicare

5.25x

Charge / Medicare rate

Max markup

10.78x

Worst procedure

Procedures analyzed

77

With pricing data

Outlier procedures

0%

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
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC066$66,168$33,08410.8x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$76,486$38,2438x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$154,815$77,4078x
OTHER DISORDERS OF NERVOUS SYSTEM WITH CC092$74,565$37,2837.7x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$61,362$30,6817.1x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$221,441$110,7207x
NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC071$73,288$36,6446.8x
TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC069$53,497$26,7496.8x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$46,925$23,4636.6x
BRONCHITIS AND ASTHMA WITH CC/MCC202$56,614$28,3076.5x
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC470$105,493$52,7466.4x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$47,673$23,8376.3x
PULMONARY EDEMA AND RESPIRATORY FAILURE189$84,478$42,2396.2x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC190$67,448$33,7246.1x
SEIZURES WITH MCC100$137,731$68,8656.1x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC310$29,002$14,5016x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC064$117,978$58,9895.9x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC308$70,573$35,2865.8x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC286$113,896$56,9485.8x
OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC091$102,980$51,4905.7x
RENAL FAILURE WITH CC683$48,719$24,3595.6x
PERIPHERAL VASCULAR DISORDERS WITH CC300$52,479$26,2395.6x
HEART FAILURE AND SHOCK WITH MCC291$69,320$34,6605.5x
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC690$43,550$21,7755.5x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC280$89,462$44,7315.5x
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS208$138,126$69,0635.5x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$68,106$34,0535.4x
SYNCOPE AND COLLAPSE312$45,706$22,8535.4x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$51,551$25,7765.3x
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC394$46,272$23,1365.3x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$117,972$58,9865.3x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$105,656$52,8285.3x
MEDICAL BACK PROBLEMS WITHOUT MCC552$49,637$24,8195.3x
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC418$87,729$43,8655.2x
FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC563$43,318$21,6595.2x
OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC314$110,809$55,4045.2x
DIABETES WITH CC638$43,438$21,7195.2x
DIABETES WITH MCC637$72,033$36,0165.2x
REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC468$132,636$66,3185.1x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC309$36,825$18,4125.1x
RED BLOOD CELL DISORDERS WITHOUT MCC812$42,724$21,3625.1x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC330$118,722$59,3615x
OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC229$172,639$86,3195x
OTHER VASCULAR PROCEDURES WITH MCC252$183,769$91,8845x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC640$60,723$30,3614.9x
ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC266$362,986$181,4934.9x
ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WIT062$96,037$48,0194.9x
CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O023$293,675$146,8384.8x
GASTROINTESTINAL OBSTRUCTION WITH CC389$37,822$18,9114.8x
FRACTURES OF HIP AND PELVIS WITHOUT MCC536$35,416$17,7084.8x

Showing 50 of 77 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 →

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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