31/100
#1,851 nationally
Marian Regional Medical Center
1400 E Church St, Santa Maria, CA 93454 · (805) 739-3100
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Marian Regional Medical Center billed $5.74 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
- 5.7x
- volume-weighted across all its priced work
- Procedures priced
- 139
- inpatient and outpatient combined
- Rank in CA
- #101
- 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 27% of U.S. hospitals.
Better than 43% of U.S. hospitals.
Better than 22% of U.S. hospitals.
Better than 41% 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 |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
932 | $34,267 | $3,345 | +76% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
584 | $99,189 | $19,661 | +52% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
280 | $12,824 | $1,880 | +27% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
233 | $28,216 | $4,013 | +12% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
210 | $64,561 | $12,943 | +49% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
201 | $151,840 | $29,114 | +14% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
173 | $99,971 | $15,757 | +60% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
150 | $20,247 | $3,851 | +6% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
134 | $62,449 | $11,013 | +59% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
129 | $20,700 | $2,325 | +76% |
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 |
|---|---|---|---|
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$8,997 | $875 | +187% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
$73,041 | $9,901 | +139% |
|
Level 3 Upper GI Procedures
APC 5303 · Hospital outpatient visit |
$44,366 | $4,441 | +103% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
$201,671 | $25,378 | +101% |
|
Complex GI Procedures
APC 5331 · Hospital outpatient visit |
$59,717 | $7,007 | +99% |
|
Level 6 Urology and Related Services
APC 5376 · Hospital outpatient visit |
$84,119 | $10,647 | +89% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$56,202 | $8,679 | +89% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$66,068 | $7,034 | +88% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$8,325 | $1,928 | about average |
|
O.r. Procedures for Obesity without Complications/mcc
MS-DRG 621 · Inpatient stay |
$63,832 | $16,616 | about average |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$50,721 | $13,108 | about average |
|
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Major
MS-DRG 441 · Inpatient stay |
$77,993 | $17,988 | about average |
|
Signs and Symptoms with Major Complications
MS-DRG 947 · Inpatient stay |
$56,185 | $11,754 | about average |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
$129,990 | $33,669 | +4% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$20,247 | $3,851 | +6% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
$53,024 | $16,912 | +6% |
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.