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UCSF Medical Center

UCSF Medical Center in San Francisco charges 6.5x the Medicare reimbursement rate on average, with 76% of the 218 procedures analyzed showing significant price variations.

San Francisco, CA 94143 · Acute Care Hospitals · CMS Rating: 5/5

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.

218 procedures analyzed
CMS price transparency data
Updated 2026-04-03
Median 4.5x2.6x15.0x
6.5x
Medicare markup ratio
CA lowestUCSF Medical CenterCA highest
6.5x
Avg markup ratio
6.4x
Median markup
218
Procedures
76%
Outlier procedures
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Pricing grade

D

High

Avg markup vs Medicare

6.47x

Charge / Medicare rate

Max markup

13.28x

Worst procedure

Procedures analyzed

218

With pricing data

Outlier procedures

75.7%

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
KIDNEY TRANSPLANT652$565,262$282,63113.3x
KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC651$659,728$329,86412.8x
OTHER DISORDERS OF NERVOUS SYSTEM WITH CC092$185,070$92,53511.2x
NERVOUS SYSTEM NEOPLASMS WITHOUT MCC055$167,162$83,58110.6x
KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC650$675,859$337,93010.1x
PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC543$171,116$85,5589.9x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$167,824$83,9129.7x
CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC074$168,424$84,2129.6x
DIGESTIVE MALIGNANCY WITH CC375$122,979$61,4899.4x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$126,580$63,2909.3x
OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC091$294,744$147,3728.9x
HEADACHES WITHOUT MCC103$86,718$43,3598.7x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$94,519$47,2598.4x
POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC917$273,258$136,6298.3x
GASTROINTESTINAL OBSTRUCTION WITH MCC388$236,605$118,3038.3x
SEIZURES WITHOUT MCC101$105,359$52,6808.2x
NERVOUS SYSTEM NEOPLASMS WITH MCC054$193,520$96,7608.2x
OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC205$217,814$108,9078.2x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$89,044$44,5228.2x
OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC580$200,480$100,2408.1x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$104,377$52,1898.1x
LUNG TRANSPLANT007$1,735,885$867,9438x
SIGNS AND SYMPTOMS WITHOUT MCC948$89,607$44,8047.9x
OTHER O.R. PROCEDURES FOR INJURIES WITH CC908$195,786$97,8937.9x
DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC056$282,183$141,0927.8x
EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC982$235,189$117,5957.8x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC286$281,797$140,8997.7x
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC436$123,700$61,8507.7x
MEDICAL BACK PROBLEMS WITHOUT MCC552$107,854$53,9277.6x
PSYCHOSES885$249,294$124,6477.6x
PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC040$565,158$282,5797.5x
RESPIRATORY NEOPLASMS WITH MCC180$198,311$99,1567.5x
HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC354$163,215$81,6077.5x
PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE175$159,278$79,6397.5x
EXTRACRANIAL PROCEDURES WITH CC038$163,944$81,9727.5x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC280$239,455$119,7287.5x
PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC407$186,300$93,1507.5x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC640$153,118$76,5597.5x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC190$113,678$56,8397.4x
EXTRACRANIAL PROCEDURES WITHOUT CC/MCC039$114,163$57,0817.4x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC064$265,959$132,9797.4x
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC394$90,225$45,1137.4x
ENDOCRINE DISORDERS WITH CC644$105,140$52,5707.4x
PERIPHERAL VASCULAR DISORDERS WITH CC300$111,133$55,5667.4x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$225,107$112,5547.4x
RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC814$246,982$123,4917.4x
NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC071$112,852$56,4267.4x
HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC355$132,133$66,0667.3x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$329,251$164,6257.3x
NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC070$333,823$166,9117.3x

Showing 50 of 218 procedures

How UCSF 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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