Zuckerberg San Francisco General Hosp & Trauma Ctr
Zuckerberg San Francisco General Hospital & Trauma Center charges 4.8x the Medicare reimbursement rate across 68 analyzed procedures, with 82% showing significant price variations in this government-owned facility.
San Francisco, CA 94110 · Acute Care Hospitals · CMS Rating: 1/5
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
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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
C
Average
Avg markup vs Medicare
4.83x
Charge / Medicare rate
Max markup
7.73x
Worst procedure
Procedures analyzed
68
With pricing data
Outlier procedures
82.4%
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 |
|---|---|---|---|---|---|
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $186,423 | $93,212 | — | 7.7x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | 085 | $357,658 | $178,829 | — | 6.7x |
| DIABETES WITH MCC | 637 | $164,161 | $82,080 | — | 6.5x |
| MAJOR CHEST TRAUMA WITH CC | 184 | $128,405 | $64,202 | — | 6.4x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $194,774 | $97,387 | — | 6.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $113,140 | $56,570 | — | 6x |
| PNEUMOTHORAX WITH CC | 200 | $107,501 | $53,750 | — | 5.7x |
| SEIZURES WITHOUT MCC | 101 | $94,640 | $47,320 | — | 5.6x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $144,137 | $72,069 | — | 5.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $238,097 | $119,049 | — | 5.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $80,264 | $40,132 | — | 5.6x |
| OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | 964 | $150,361 | $75,180 | — | 5.6x |
| ENDOCRINE DISORDERS WITH CC | 644 | $109,751 | $54,875 | — | 5.5x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $634,046 | $317,023 | — | 5.5x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | 440 | $72,957 | $36,478 | — | 5.5x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | 086 | $132,893 | $66,446 | — | 5.4x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | 438 | $149,526 | $74,763 | — | 5.4x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $104,777 | $52,389 | — | 5.4x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $390,832 | $195,416 | — | 5.3x |
| SYNCOPE AND COLLAPSE | 312 | $93,059 | $46,529 | — | 5.2x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $167,057 | $83,528 | — | 5.2x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $156,327 | $78,163 | — | 5.2x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $192,513 | $96,257 | — | 5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $209,274 | $104,637 | — | 5x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $87,403 | $43,702 | — | 5x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $97,712 | $48,856 | — | 5x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $170,763 | $85,382 | — | 4.9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $83,149 | $41,575 | — | 4.8x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | 082 | $226,359 | $113,180 | — | 4.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $85,445 | $42,722 | — | 4.8x |
| DIABETES WITH CC | 638 | $84,021 | $42,010 | — | 4.8x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $90,517 | $45,259 | — | 4.8x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | 896 | $159,543 | $79,772 | — | 4.8x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $219,586 | $109,793 | — | 4.8x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $112,851 | $56,426 | — | 4.7x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | 056 | $187,627 | $93,814 | — | 4.7x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $182,600 | $91,300 | — | 4.7x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $372,670 | $186,335 | — | 4.6x |
| RENAL FAILURE WITH MCC | 682 | $139,123 | $69,561 | — | 4.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $101,741 | $50,870 | — | 4.5x |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | 074 | $90,849 | $45,425 | — | 4.5x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $233,534 | $116,767 | — | 4.5x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $89,006 | $44,503 | — | 4.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $70,848 | $35,424 | — | 4.5x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $91,931 | $45,966 | — | 4.5x |
| RENAL FAILURE WITH CC | 683 | $77,198 | $38,599 | — | 4.5x |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O | 023 | $555,609 | $277,804 | — | 4.4x |
| CELLULITIS WITHOUT MCC | 603 | $100,602 | $50,301 | — | 4.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $62,576 | $31,288 | — | 4.4x |
| TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | 605 | $78,347 | $39,173 | — | 4.4x |
Showing 50 of 68 procedures
How ZUCKERBERG SAN FRANCISCO GENERAL HOSP & TRAUMA CTR 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.
FAQ — government hospital billing
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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