21/100
#2,138 nationally
Ahmc Seton Medical Center
1900 Sullivan Avenue, Daly City, CA 94015 · (650) 992-4000
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Ahmc Seton Medical Center billed $6.84 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
- 6.8x
- volume-weighted across all its priced work
- Procedures priced
- 20
- inpatient and outpatient combined
- Rank in CA
- #159
- lower markup ranks higher
- CMS quality stars
- 1/5
- 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 16% of U.S. hospitals.
Better than 40% of U.S. hospitals.
Better than 10% of U.S. hospitals.
Better than 25% 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 |
|---|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
302 | $20,202 | $3,315 | +72% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
105 | $45,167 | $3,913 | +132% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
100 | $153,282 | $21,838 | +135% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
32 | $196,888 | $33,844 | +48% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
27 | $22,928 | $2,318 | +127% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
26 | $28,342 | $2,664 | +141% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
22 | $108,262 | $14,855 | +149% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
21 | $101,628 | $15,694 | +50% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
19 | $121,166 | $17,969 | +120% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
18 | $106,982 | $17,234 | +74% |
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 |
|---|---|---|---|
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$108,262 | $14,855 | +149% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$28,342 | $2,664 | +141% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$153,282 | $21,838 | +135% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$45,167 | $3,913 | +132% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$22,928 | $2,318 | +127% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$121,166 | $17,969 | +120% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$384,011 | $55,915 | +116% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$84,189 | $11,576 | +115% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$31,926 | $4,665 | +27% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
$47,253 | $8,170 | +36% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
$101,270 | $18,676 | +42% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
$196,888 | $33,844 | +48% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
$101,628 | $15,694 | +50% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
$64,149 | $13,430 | +57% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$20,202 | $3,315 | +72% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$106,982 | $17,234 | +74% |
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.