24/100
#2,061 nationally
Natividad Medical Center
1441 Constitution Boulevard, Salinas, CA 93906 · (831) 755-4111
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Natividad Medical Center billed $5.54 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
- 5.5x
- volume-weighted across all its priced work
- Procedures priced
- 41
- inpatient and outpatient combined
- Rank in CA
- #144
- 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 41% of U.S. hospitals.
Better than 12% of U.S. hospitals.
Better than 11% 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 |
114 | $35,805 | $3,565 | +84% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
99 | $79,796 | $18,721 | +121% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
73 | $142,121 | $26,430 | +118% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
35 | $139,883 | $25,054 | +68% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
34 | $68,981 | $14,062 | +76% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
27 | $85,503 | $16,704 | +97% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
26 | $8,314 | $2,097 | -18% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
23 | $34,237 | $3,954 | +79% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
22 | $66,248 | $10,947 | +117% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
22 | $21,024 | $4,066 | -17% |
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 |
$196,104 | $29,730 | +256% |
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major
MS-DRG 897 · Inpatient stay |
$101,262 | $12,302 | +211% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$85,920 | $10,792 | +166% |
|
Traumatic Stupor and Coma <1 Hour with Complications
MS-DRG 086 · Inpatient stay |
$141,187 | $19,450 | +150% |
|
Infection Needing Surgery (with complications)
MS-DRG 854 · Inpatient stay |
$193,245 | $25,915 | +133% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
$72,524 | $11,318 | +132% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$68,308 | $11,353 | +129% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
$79,796 | $18,721 | +121% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$8,314 | $2,097 | -18% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$21,024 | $4,066 | -17% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$32,924 | $6,567 | -6% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$25,533 | $4,602 | +10% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
$38,447 | $7,602 | +11% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$21,578 | $3,779 | +22% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$64,415 | $13,517 | +25% |
|
Hip or Thigh Bone Surgery (uncomplicated)
MS-DRG 482 · Inpatient stay |
$90,246 | $19,759 | +32% |
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.