2/100
#2,586 nationally
Doctors Medical Center
1441 Florida Avenue, Modesto, CA 95350 · (209) 578-1211
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Doctors Medical Center billed $15.98 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
- 16.0x
- volume-weighted across all its priced work
- Procedures priced
- 117
- inpatient and outpatient combined
- Rank in CA
- #228
- 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 0% of U.S. hospitals.
Better than 9% of U.S. hospitals.
Better than 0% of U.S. hospitals.
Better than 0% 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 |
315 | $418,206 | $21,538 | +541% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
168 | $94,064 | $3,980 | +273% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
166 | $259,631 | $13,827 | +498% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
137 | $438,490 | $21,244 | +475% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
93 | $163,052 | $16,148 | +161% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
89 | $85,877 | $3,365 | +342% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
70 | $243,595 | $10,803 | +435% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
70 | $246,652 | $13,783 | +429% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
69 | $175,794 | $10,662 | +326% |
|
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal
MS-DRG 023 · Inpatient stay |
64 | $762,415 | $67,303 | +232% |
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 |
|---|---|---|---|
|
Gastrointestinal Obstruction with Major Complications
MS-DRG 388 · Inpatient stay |
$442,986 | $18,693 | +670% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
$309,232 | $13,356 | +553% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$418,206 | $21,538 | +541% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$374,870 | $18,741 | +511% |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
$389,633 | $17,446 | +507% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
$182,818 | $10,187 | +499% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$259,631 | $13,827 | +498% |
|
Other Disorders of Nervous System with Major Complications
MS-DRG 091 · Inpatient stay |
$422,373 | $23,752 | +494% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Implantation of Drug Infusion Device
APC 5471 · Hospital outpatient visit |
$133,202 | $21,870 | +80% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
$251,424 | $29,114 | +90% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$21,977 | $2,374 | +94% |
|
Heart Transplant or Implant of Heart Assist System with Major Complications
MS-DRG 001 · Inpatient stay |
$3,085,440 | $294,298 | +128% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$191,353 | $22,346 | +130% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$28,381 | $2,865 | +141% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$84,917 | $7,094 | +142% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
$44,757 | $3,844 | +146% |
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.