76/100
#451 nationally
Contra Costa Regional Medical Center
2500 Alhambra Avenue, Martinez, CA 94553 · (925) 370-5000
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Contra Costa Regional Medical Center billed $1.78 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
- 1.8x
- volume-weighted across all its priced work
- Procedures priced
- 26
- inpatient and outpatient combined
- Rank in CA
- #5
- 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 95% of U.S. hospitals.
Better than 93% of U.S. hospitals.
Better than 53% of U.S. hospitals.
Better than 31% 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 |
124 | $12,488 | $3,213 | +6% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
91 | $48,318 | $31,705 | +11% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
65 | $1,058 | $688 | -66% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
43 | $66,434 | $45,523 | about average |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
34 | $4,294 | $1,926 | -57% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
32 | $12,776 | $3,944 | -37% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
24 | $32,068 | $23,162 | +8% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
22 | $10,987 | $2,689 | -3% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
21 | $20,453 | $8,034 | -42% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
20 | $37,055 | $26,030 | -6% |
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 |
|---|---|---|---|
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$79,390 | $43,140 | +44% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$60,157 | $33,910 | +44% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$66,028 | $38,078 | +42% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
$42,096 | $26,963 | +38% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
$39,476 | $22,612 | +24% |
|
Heart Failure (with complications)
MS-DRG 292 · Inpatient stay |
$39,047 | $24,580 | +18% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$36,509 | $21,623 | +13% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$48,318 | $31,705 | +11% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$1,058 | $688 | -66% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$6,608 | $4,196 | -65% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$4,294 | $1,926 | -57% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$8,948 | $3,360 | -57% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$20,453 | $8,034 | -42% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$12,776 | $3,944 | -37% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$8,076 | $2,163 | -28% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$20,446 | $7,205 | -26% |
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.