UCSF Health St. Mary's Hospital
UCSF Health St. Mary's Hospital in San Francisco charges 7.0x the Medicare reimbursement rate, with 80% of analyzed procedures showing significant price variations across different care settings.
San Francisco, CA 94117 · Acute Care Hospitals · CMS Rating: 4/5
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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Pricing grade
D
High
Avg markup vs Medicare
6.96x
Charge / Medicare rate
Max markup
9.63x
Worst procedure
Procedures analyzed
25
With pricing data
Outlier procedures
80%
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 |
|---|---|---|---|---|---|
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $118,774 | $59,387 | — | 9.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $75,786 | $37,893 | — | 8.5x |
| RENAL FAILURE WITH CC | 683 | $93,784 | $46,892 | — | 8.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $134,869 | $67,435 | — | 8.1x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $173,645 | $86,823 | — | 7.9x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $111,035 | $55,518 | — | 7.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $163,979 | $81,989 | — | 7.8x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $125,592 | $62,796 | — | 7.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $95,343 | $47,672 | — | 7.7x |
| RENAL FAILURE WITH MCC | 682 | $142,027 | $71,014 | — | 7.6x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $91,638 | $45,819 | — | 7.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $75,185 | $37,592 | — | 7.5x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $178,642 | $89,321 | — | 7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $65,822 | $32,911 | — | 7x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $341,507 | $170,754 | — | 7x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $178,871 | $89,435 | — | 6.7x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $201,212 | $100,606 | — | 6.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $146,262 | $73,131 | — | 6.4x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $441,643 | $220,821 | — | 6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $151,717 | $75,858 | — | 5.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $80,569 | $40,285 | — | 5.7x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $129,277 | $64,639 | — | 5.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $83,330 | $41,665 | — | 5.1x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $113,575 | $56,787 | — | 4.7x |
| CELLULITIS WITHOUT MCC | 603 | $44,364 | $22,182 | — | 4x |
How UCSF HEALTH ST. MARY'S HOSPITAL 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.
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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