19/100
#2,191 nationally
Marshall Medical Center
1100 Marshall Way, Placerville, CA 95667 · (530) 622-1441
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Marshall Medical Center billed $7.26 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
- 7.3x
- volume-weighted across all its priced work
- Procedures priced
- 62
- inpatient and outpatient combined
- Rank in CA
- #167
- 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 17% of U.S. hospitals.
Better than 28% of U.S. hospitals.
Better than 15% of U.S. hospitals.
Better than 17% 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 |
381 | $36,739 | $3,474 | +89% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
286 | $836 | $871 | -73% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
199 | $7,864 | $2,071 | -22% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
173 | $138,102 | $20,353 | +112% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
124 | $158,605 | $16,651 | +154% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
122 | $12,799 | $2,601 | about average |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
117 | $36,250 | $4,066 | +44% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
112 | $16,622 | $2,430 | +41% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
97 | $89,820 | $9,055 | +125% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
87 | $54,794 | $7,369 | +56% |
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 |
|---|---|---|---|
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major
MS-DRG 897 · Inpatient stay |
$93,312 | $8,571 | +187% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$211,879 | $23,737 | +155% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$158,605 | $16,651 | +154% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
$190,148 | $19,104 | +138% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$75,603 | $9,433 | +129% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$117,077 | $13,615 | +127% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$45,998 | $4,084 | +126% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$89,820 | $9,055 | +125% |
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 |
$836 | $871 | -73% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$13,215 | $3,552 | -25% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$7,864 | $2,071 | -22% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
$15,693 | $3,528 | -5% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$10,970 | $1,980 | about average |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$12,799 | $2,601 | about average |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$90,062 | $17,939 | +18% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
$28,712 | $4,868 | +20% |
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.