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UCSF MEDICAL CENTER

SAN FRANCISCO, CA 94143 · Acute Care Hospitals

218 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024

By BillRazor Research · Last updated March 26, 2026 · Methodology

Procedures Analyzed

218

With CMS pricing data

Avg Charge-to-Medicare Ratio

6.5x

Chargemaster ÷ Medicare

CMS Quality Rating

Patient experience & outcomes

Hospital Type

Acute Care Hospitals

Voluntary non-profit - Other

Above 90th Percentile

76%

Compared to CA hospitals

Understanding Your Costs

When you receive a bill from UCSF MEDICAL CENTER, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, UCSF MEDICAL CENTER lists chargemaster rates that average 6.5x the corresponding Medicare reimbursement amount across 218 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 6.5x, this facility’s average ratio is above 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 UCSF MEDICAL CENTER is KIDNEY TRANSPLANT (DRG 652). The listed chargemaster rate is $565,262, while Medicare reimburses $42,549 for the same procedure — a ratio of 13.3x (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.

165 of 218 procedures (76%) at this facility have listed rates above the 90th percentile compared to other CA hospitals reporting the same procedure data to CMS (Source: CMS IPPS Provider Summary).

UCSF MEDICAL CENTER is a voluntary non-profit - other 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

Listed Chargemaster Rate Medicare Reimbursement

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.

ProcedureDRGListed ChargeMedicare Reimb.RatioState Position
KIDNEY TRANSPLANT652$565,262$42,54913.3x
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KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC651$659,728$51,59112.8x
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OTHER DISORDERS OF NERVOUS SYSTEM WITH CC092$185,070$16,54911.2x
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NERVOUS SYSTEM NEOPLASMS WITHOUT MCC055$167,162$15,76210.6x
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KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC650$675,859$67,07510.1x
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PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC543$171,116$17,2199.9x
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CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$167,824$17,3189.7x
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CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC074$168,424$17,5729.6x
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DIGESTIVE MALIGNANCY WITH CC375$122,979$13,1299.4x
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$126,580$13,5699.3x
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OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC091$294,744$33,0488.9x
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HEADACHES WITHOUT MCC103$86,718$9,9558.7x
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MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$94,519$11,3268.3x
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POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC917$273,258$32,8438.3x
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GASTROINTESTINAL OBSTRUCTION WITH MCC388$236,605$28,6238.3x
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SEIZURES WITHOUT MCC101$105,359$12,8408.2x
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NERVOUS SYSTEM NEOPLASMS WITH MCC054$193,520$23,6168.2x
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OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC205$217,814$26,7068.2x
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ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$89,044$10,9228.2x
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OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC580$200,480$24,6378.1x
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ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$104,377$12,9618.1x
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LUNG TRANSPLANT007$1,735,885$216,7958.0x
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SIGNS AND SYMPTOMS WITHOUT MCC948$89,607$11,3797.9x
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OTHER O.R. PROCEDURES FOR INJURIES WITH CC908$195,786$24,9057.9x
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DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC056$282,183$36,3207.8x
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EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC982$235,189$30,2897.8x
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CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC286$281,797$36,7817.7x
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MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC436$123,700$16,1617.7x
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MEDICAL BACK PROBLEMS WITHOUT MCC552$107,854$14,1667.6x
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PSYCHOSES885$249,294$32,8087.6x
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PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC040$565,158$75,0757.5x
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RESPIRATORY NEOPLASMS WITH MCC180$198,311$26,3387.5x
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HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC354$163,215$21,7107.5x
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PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE175$159,278$21,2007.5x
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EXTRACRANIAL PROCEDURES WITH CC038$163,944$21,8607.5x
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ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC280$239,455$32,0347.5x
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MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC640$153,118$20,4877.5x
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PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC407$186,300$24,9377.5x
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CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC190$113,678$15,2817.4x
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EXTRACRANIAL PROCEDURES WITHOUT CC/MCC039$114,163$15,3577.4x
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OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC394$90,225$12,1577.4x
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC064$265,959$35,8457.4x
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PERIPHERAL VASCULAR DISORDERS WITH CC300$111,133$15,0237.4x
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ENDOCRINE DISORDERS WITH CC644$105,140$14,2107.4x
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HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$225,107$30,4607.4x
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RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC814$246,982$33,4907.4x
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NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC071$112,852$15,3317.4x
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HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC355$132,133$18,0617.3x
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$329,251$45,0787.3x
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NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC070$333,823$45,8497.3x
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Showing 50 of 218 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

1.7x
Median: 6.3x
17.6x
6.5x

273 hospitals in CA report pricing data to CMS. This facility's average ratio of 6.5x places it at the lower-middle range of the state range (Source: CMS IPPS Provider Summary).

What You Can Do

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Federal law entitles you to a detailed breakdown of every charge. If you haven't received one, knowing what to ask for is the first step.

Learn how

Check for Common Errors

Research suggests 49-80% of hospital bills contain errors — from duplicate charges to incorrect procedure codes.

How it works

Data: 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.

Read our methodology·Report a data error

Frequently Asked Questions About UCSF MEDICAL CENTER

How much does UCSF MEDICAL CENTER charge compared to Medicare?

According to CMS IPPS data, UCSF MEDICAL CENTER's listed chargemaster rates average 6.5x the Medicare reimbursement amount across 218 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 UCSF MEDICAL CENTER?

The procedure with the highest chargemaster-to-Medicare ratio at UCSF MEDICAL CENTER is KIDNEY TRANSPLANT (DRG 652), with a listed charge of $565,262 compared to Medicare reimbursement of $42,549 — a ratio of 13.3x. Source: CMS IPPS Provider Summary.

Is UCSF MEDICAL CENTER expensive compared to other CA hospitals?

UCSF MEDICAL CENTER's average chargemaster-to-Medicare ratio is 6.5x. 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 UCSF MEDICAL CENTER 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 UCSF MEDICAL CENTER 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 UCSF MEDICAL CENTER in SAN FRANCISCO, CA accept Medicare?

UCSF MEDICAL CENTER is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact UCSF MEDICAL CENTER directly or check with your insurance provider.

Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.