3/100
#2,576 nationally
Northbay Medical Center
1200 B Gale Wilson Blvd, Fairfield, CA 94533 · (707) 646-5000
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Northbay Medical Center billed $11.31 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
- 11.3x
- volume-weighted across all its priced work
- Procedures priced
- 101
- inpatient and outpatient combined
- Rank in CA
- #225
- lower markup ranks higher
- CMS quality stars
- 2/5
- 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 5% of U.S. hospitals.
Better than 5% 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 |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
661 | $67,950 | $3,929 | +250% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
419 | $232,743 | $23,658 | +257% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
165 | $161,065 | $15,080 | +271% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
115 | $256,656 | $18,892 | +311% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
96 | $167,010 | $15,481 | +258% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
95 | $63,106 | $4,548 | +230% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
76 | $25,891 | $2,333 | +157% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
74 | $139,375 | $12,778 | +255% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
73 | $201,962 | $8,213 | +475% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
70 | $212,725 | $19,666 | +287% |
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 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$170,733 | $4,657 | +738% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
$143,554 | $4,259 | +691% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$88,847 | $2,931 | +588% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$136,595 | $5,016 | +562% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$179,389 | $7,335 | +553% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
$247,337 | $9,377 | +526% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$201,962 | $8,213 | +475% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$133,241 | $4,978 | +473% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
$336,829 | $57,657 | +78% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$93,897 | $15,334 | +82% |
|
Cirrhosis and Alcoholic Hepatitis with Major Complications
MS-DRG 432 · Inpatient stay |
$169,114 | $22,020 | +111% |
|
Permanent Cardiac Pacemaker Implant with Major Complications
MS-DRG 242 · Inpatient stay |
$300,038 | $38,571 | +116% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
$287,419 | $33,455 | +117% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
$120,831 | $15,935 | +122% |
|
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Major
MS-DRG 441 · Inpatient stay |
$173,725 | $20,935 | +128% |
|
Other Musculoskeletal System and Connective Tissue Operating Room Procedures with
MS-DRG 516 · Inpatient stay |
$202,135 | $24,449 | +129% |
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.