50/100
#1,248 nationally
California Pacific Medical Center - Mission Bernal
3555 Cesar Chavez, San Francisco, CA 94110 · (415) 641-6562
Charges well above the national norm
For every $1 of care Medicare actually paid for here, California Pacific Medical Center - Mission Bernal billed $3.92 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
- 3.9x
- volume-weighted across all its priced work
- Procedures priced
- 40
- inpatient and outpatient combined
- Rank in CA
- #27
- lower markup ranks higher
- CMS quality stars
- 4/5
- 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 55% of U.S. hospitals.
Better than 67% of U.S. hospitals.
Better than 27% of U.S. hospitals.
Better than 61% 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 |
194 | $91,040 | $24,398 | +40% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
107 | $97,491 | $26,622 | +22% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
75 | $63,356 | $15,984 | +46% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
64 | $45,392 | $13,270 | +16% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
55 | $57,866 | $8,247 | +65% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
44 | $29,887 | $3,913 | +54% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
40 | $72,194 | $22,382 | +31% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
36 | $105,231 | $26,563 | +27% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
35 | $44,897 | $10,228 | +39% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
34 | $89,069 | $25,244 | +7% |
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 |
|---|---|---|---|
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
$98,833 | $30,629 | +76% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
$51,399 | $10,101 | +68% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$57,866 | $8,247 | +65% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$76,731 | $16,972 | +65% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$288,982 | $80,747 | +62% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
$109,635 | $26,477 | +54% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$29,887 | $3,913 | +54% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$62,534 | $14,208 | +49% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
$39,663 | $18,903 | -21% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$51,135 | $17,197 | -3% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
$18,781 | $4,469 | +3% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
$32,201 | $11,292 | +6% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
$89,069 | $25,244 | +7% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$53,733 | $15,631 | +11% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$45,392 | $13,270 | +16% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$13,104 | $2,298 | +17% |
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.