Ungraded
#640 nationally
San Mateo Medical Center
222 W 39Th Ave, San Mateo, CA 94403 · (650) 573-2222
Not enough published pricing to grade
For every $1 of care Medicare actually paid for here, San Mateo Medical Center billed $2.65 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
- 2.7x
- volume-weighted across all its priced work
- Procedures priced
- 6
- inpatient and outpatient combined
- Rank in CA
- #8
- lower markup ranks higher
- CMS quality stars
- Not rated
- shown for context, not in the grade
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 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
45 | $3,271 | $976 | +4% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
15 | $63,259 | $25,772 | -3% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
14 | $15,565 | $3,331 | +32% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
13 | $10,350 | $3,913 | -47% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
11 | $41,399 | $17,958 | -11% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
11 | $9,710 | $2,911 | -25% |
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 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$15,565 | $3,331 | +32% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$3,271 | $976 | +4% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$63,259 | $25,772 | -3% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$41,399 | $17,958 | -11% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$9,710 | $2,911 | -25% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$10,350 | $3,913 | -47% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$10,350 | $3,913 | -47% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$9,710 | $2,911 | -25% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$41,399 | $17,958 | -11% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$63,259 | $25,772 | -3% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$3,271 | $976 | +4% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$15,565 | $3,331 | +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.