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University of California Davis Medical Center

University of California Davis Medical Center in Sacramento charges 7.3x the Medicare reimbursement rate on average, with 78% of its 191 analyzed procedures showing significant price variations.

Sacramento, CA 95817 · Acute Care Hospitals · CMS Rating: 3/5

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.

191 procedures analyzed
CMS price transparency data
Updated 2026-04-03
Median 5.1x2.9x15.0x
7.3x
Medicare markup ratio
CA lowestUniversity of Californ...CA highest
7.3x
Avg markup ratio
7.2x
Median markup
191
Procedures
78%
Outlier procedures
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Billing patterns — government

Government hospitals in our dataset demonstrate distinct billing patterns compared to other ownership types. With 374 facilities analyzed, these hospitals show an average markup of 4.2x Medicare rates, which typically falls below the industry average for comparable services. Government hospitals often maintain more standardized pricing structures due to regulatory oversight and public accountability requirements. Patients may encounter charges above the benchmark for certain procedures, though the potential difference between government hospital billing and private facilities can vary significantly by service type and geographic region. Common charge patterns include transparent itemization of services and adherence to established fee schedules. Patients should be aware that government hospitals frequently offer financial assistance programs and sliding scale payment options based on income eligibility. These facilities often provide detailed cost estimates upon request and maintain patient financial counselors to discuss billing arrangements before treatment when possible.

Pricing grade

D

High

Avg markup vs Medicare

7.3x

Charge / Medicare rate

Max markup

11.2x

Worst procedure

Procedures analyzed

191

With pricing data

Outlier procedures

78%

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
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC418$245,061$122,53111.2x
FRACTURES OF HIP AND PELVIS WITHOUT MCC536$102,029$51,01511.2x
DIABETES WITH CC638$101,922$50,96111.1x
CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC074$135,176$67,58810.8x
PERITONEAL ADHESIOLYSIS WITH CC336$310,424$155,21210.8x
GASTROINTESTINAL OBSTRUCTION WITH CC389$100,387$50,19410.8x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC331$223,959$111,98010.5x
MAJOR HEAD AND NECK PROCEDURES WITH CC141$280,815$140,40710.4x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$273,720$136,86010.3x
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC516$281,098$140,54910.2x
MAJOR CHEST PROCEDURES WITHOUT CC/MCC165$227,949$113,97410.1x
SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC577$340,792$170,39610x
NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC071$131,307$65,6539.9x
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC236$534,728$267,3649.7x
LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC493$301,668$150,8349.6x
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC660$148,376$74,1889.6x
RED BLOOD CELL DISORDERS WITHOUT MCC812$108,079$54,0409.6x
KIDNEY TRANSPLANT652$351,742$175,8719.5x
TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC083$156,112$78,0569.4x
MEDICAL BACK PROBLEMS WITHOUT MCC552$109,732$54,8669.4x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$103,095$51,5479.3x
PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC543$126,247$63,1239.3x
FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC563$90,460$45,2309.3x
PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC542$295,633$147,8169.2x
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC235$728,165$364,0829.1x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$84,843$42,4218.9x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$85,454$42,7278.9x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC330$271,245$135,6238.9x
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC470$229,531$114,7668.8x
OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC205$190,757$95,3788.8x
FEVER AND INFLAMMATORY CONDITIONS864$92,262$46,1318.8x
GASTROINTESTINAL OBSTRUCTION WITH MCC388$161,575$80,7888.8x
BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC519$224,560$112,2808.8x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$110,545$55,2738.7x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC191$73,969$36,9848.7x
MAJOR CHEST TRAUMA WITH CC184$111,832$55,9168.7x
MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES483$290,708$145,3548.7x
OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC580$195,292$97,6468.7x
MAJOR CHEST PROCEDURES WITH CC164$280,039$140,0198.6x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC640$141,255$70,6278.5x
COMPLICATIONS OF TREATMENT WITH MCC919$239,597$119,7998.5x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$233,723$116,8618.5x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC480$375,518$187,7598.5x
OTHER DISORDERS OF NERVOUS SYSTEM WITH CC092$101,905$50,9528.4x
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC394$106,098$53,0498.4x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC190$114,141$57,0708.4x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC521$324,104$162,0528.4x
TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC084$86,058$43,0298.3x
PULMONARY EMBOLISM WITHOUT MCC176$82,052$41,0268.3x
CERVICAL SPINAL FUSION WITH CC472$314,030$157,0158.2x

Showing 50 of 191 procedures

How UNIVERSITY OF CALIFORNIA DAVIS 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 →

FAQ — government hospital billing

How do government hospital billing rates compare to Medicare benchmarks?
Based on available data from 374 government hospitals, charges average 4.2 times the Medicare benchmark rates. Government hospitals, while publicly owned, still establish their own pricing structures that can result in charges above standard Medicare rates.
Why do government hospitals charge above Medicare rates if they're publicly owned?
Government hospitals operate as independent entities that must cover operational costs, equipment, and staffing expenses. Public ownership doesn't require hospitals to limit charges to Medicare benchmark levels, as they still need to maintain financial sustainability for continued operations.
What should I expect when reviewing a government hospital bill?
Government hospital bills typically show charges that may be several times higher than Medicare benchmark rates, with the average markup being approximately 4.2x across sampled facilities. The final amount you pay will depend on your insurance coverage, negotiated rates, and any applicable financial assistance programs.
Are there potential billing differences between government hospitals and other facility types?
Government hospitals show similar billing patterns to other hospital types, with charges typically set above Medicare benchmarks. The potential difference in what patients ultimately pay often depends more on individual insurance plans and hospital financial assistance policies than on the ownership structure of the facility.

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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