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
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
6.47x
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.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| KIDNEY TRANSPLANT | 652 | $565,262 | $282,631 | — | 13.3x |
| KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | 651 | $659,728 | $329,864 | — | 12.8x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $185,070 | $92,535 | — | 11.2x |
| NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | 055 | $167,162 | $83,581 | — | 10.6x |
| KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | 650 | $675,859 | $337,930 | — | 10.1x |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | 543 | $171,116 | $85,558 | — | 9.9x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $167,824 | $83,912 | — | 9.7x |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | 074 | $168,424 | $84,212 | — | 9.6x |
| DIGESTIVE MALIGNANCY WITH CC | 375 | $122,979 | $61,489 | — | 9.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $126,580 | $63,290 | — | 9.3x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | 091 | $294,744 | $147,372 | — | 8.9x |
| HEADACHES WITHOUT MCC | 103 | $86,718 | $43,359 | — | 8.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $94,519 | $47,259 | — | 8.4x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $273,258 | $136,629 | — | 8.3x |
| GASTROINTESTINAL OBSTRUCTION WITH MCC | 388 | $236,605 | $118,303 | — | 8.3x |
| SEIZURES WITHOUT MCC | 101 | $105,359 | $52,680 | — | 8.2x |
| NERVOUS SYSTEM NEOPLASMS WITH MCC | 054 | $193,520 | $96,760 | — | 8.2x |
| OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | 205 | $217,814 | $108,907 | — | 8.2x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $89,044 | $44,522 | — | 8.2x |
| OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | 580 | $200,480 | $100,240 | — | 8.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $104,377 | $52,189 | — | 8.1x |
| LUNG TRANSPLANT | 007 | $1,735,885 | $867,943 | — | 8x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $89,607 | $44,804 | — | 7.9x |
| OTHER O.R. PROCEDURES FOR INJURIES WITH CC | 908 | $195,786 | $97,893 | — | 7.9x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | 056 | $282,183 | $141,092 | — | 7.8x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | 982 | $235,189 | $117,595 | — | 7.8x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $281,797 | $140,899 | — | 7.7x |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | 436 | $123,700 | $61,850 | — | 7.7x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $107,854 | $53,927 | — | 7.6x |
| PSYCHOSES | 885 | $249,294 | $124,647 | — | 7.6x |
| PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | 040 | $565,158 | $282,579 | — | 7.5x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $198,311 | $99,156 | — | 7.5x |
| HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | 354 | $163,215 | $81,607 | — | 7.5x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $159,278 | $79,639 | — | 7.5x |
| EXTRACRANIAL PROCEDURES WITH CC | 038 | $163,944 | $81,972 | — | 7.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $239,455 | $119,728 | — | 7.5x |
| PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | 407 | $186,300 | $93,150 | — | 7.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $153,118 | $76,559 | — | 7.5x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $113,678 | $56,839 | — | 7.4x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $114,163 | $57,081 | — | 7.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $265,959 | $132,979 | — | 7.4x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $90,225 | $45,113 | — | 7.4x |
| ENDOCRINE DISORDERS WITH CC | 644 | $105,140 | $52,570 | — | 7.4x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $111,133 | $55,566 | — | 7.4x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $225,107 | $112,554 | — | 7.4x |
| RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | 814 | $246,982 | $123,491 | — | 7.4x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $112,852 | $56,426 | — | 7.4x |
| HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | 355 | $132,133 | $66,066 | — | 7.3x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $329,251 | $164,625 | — | 7.3x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $333,823 | $166,911 | — | 7.3x |
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.
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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