50/100
#1,261 nationally
Novato Community Hospital
180 Rowland Way, Novato, CA 94945 · (415) 209-1300
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Novato Community Hospital billed $4.46 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
- 4.5x
- volume-weighted across all its priced work
- Procedures priced
- 29
- inpatient and outpatient combined
- Rank in CA
- #30
- lower markup ranks higher
- CMS quality stars
- 5/5
- 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 52% of U.S. hospitals.
Better than 67% of U.S. hospitals.
Better than 30% of U.S. hospitals.
Better than 65% 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 |
|---|---|---|---|---|
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
284 | $88,984 | $18,221 | +42% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
163 | $70,734 | $20,598 | +8% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
106 | $33,742 | $3,794 | +74% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
54 | $105,822 | $25,953 | +27% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
50 | $42,764 | $11,946 | +9% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
44 | $57,182 | $13,832 | +32% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
42 | $48,381 | $9,983 | +21% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
39 | $14,326 | $2,218 | +42% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
35 | $40,670 | $8,058 | +16% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
30 | $100,873 | $22,350 | +26% |
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 |
|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$33,742 | $3,794 | +74% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$33,283 | $4,520 | +63% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$88,984 | $18,221 | +42% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$14,326 | $2,218 | +42% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$16,684 | $3,255 | +42% |
|
Level 5 Gynecologic Procedures
APC 5415 · Hospital outpatient visit |
$42,412 | $6,946 | +41% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
$57,684 | $11,122 | +40% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
$43,707 | $11,808 | +40% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$9,975 | $2,245 | -11% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$50,355 | $17,532 | -8% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
$37,443 | $9,103 | -5% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$44,780 | $14,115 | -4% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$70,734 | $20,598 | +8% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$42,764 | $11,946 | +9% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
$94,468 | $22,650 | +13% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$40,670 | $8,058 | +16% |
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.