8/100
#2,430 nationally
Adventist Health Sierra Vista
1010 Murray St, San Luis Obispo, CA 93405 · (850) 546-7600
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Adventist Health Sierra Vista billed $10.50 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 10.5x
- volume-weighted across all its priced work
- Procedures priced
- 46
- inpatient and outpatient combined
- Rank in CA
- #207
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 4% of U.S. hospitals.
Better than 18% of U.S. hospitals.
Better than 5% of U.S. hospitals.
Better than 5% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
122 | $213,178 | $18,780 | +227% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
103 | $16,159 | $1,963 | +60% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
92 | $23,085 | $3,876 | +21% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
83 | $70,408 | $3,325 | +262% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
65 | $26,014 | $2,339 | +121% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
58 | $65,189 | $7,094 | +86% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
44 | $18,417 | $2,504 | +43% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
41 | $146,111 | $16,148 | +134% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
39 | $155,896 | $12,816 | +235% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
38 | $91,511 | $8,792 | +130% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$190,256 | $12,724 | +292% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$196,410 | $15,210 | +271% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$70,408 | $3,325 | +262% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$271,496 | $20,273 | +256% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$116,072 | $8,902 | +252% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$151,364 | $12,624 | +249% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$102,107 | $7,624 | +243% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$155,896 | $12,816 | +235% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$8,064 | $1,969 | -6% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$23,085 | $3,876 | +21% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$18,417 | $2,504 | +43% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$87,794 | $12,637 | +47% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
$106,806 | $13,503 | +58% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$16,159 | $1,963 | +60% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
$61,340 | $7,027 | +77% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
$32,455 | $3,844 | +79% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.