4/100
#2,549 nationally
San Ramon Regional Medical Center
6001 Norris Canyon Road, San Ramon, CA 94583 · (925) 275-9200
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, San Ramon Regional Medical Center billed $12.98 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
- 13.0x
- volume-weighted across all its priced work
- Procedures priced
- 52
- inpatient and outpatient combined
- Rank in CA
- #218
- 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 1% of U.S. hospitals.
Better than 13% 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 |
|---|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
537 | $38,399 | $3,216 | +227% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
185 | $104,503 | $3,774 | +438% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
125 | $309,111 | $21,530 | +374% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
110 | $42,378 | $5,620 | +105% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
92 | $67,488 | $8,034 | +92% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
66 | $223,931 | $13,919 | +416% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
64 | $152,031 | $18,023 | +143% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
50 | $247,858 | $14,233 | +432% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
42 | $236,094 | $17,213 | +329% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
39 | $178,888 | $11,119 | +356% |
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 |
|---|---|---|---|
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$165,264 | $8,539 | +455% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$104,503 | $3,774 | +438% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$173,261 | $8,946 | +437% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$247,858 | $14,233 | +432% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$223,931 | $13,919 | +416% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$267,261 | $15,727 | +405% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$241,893 | $13,115 | +400% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
$157,041 | $8,841 | +395% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Extraocular, Repair, and Plastic Eye Procedures
APC 5503 · Hospital outpatient visit |
$26,007 | $3,254 | +80% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$109,855 | $14,307 | +84% |
|
Level 6 Urology and Related Services
APC 5376 · Hospital outpatient visit |
$81,982 | $12,807 | +84% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$67,488 | $8,034 | +92% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$104,189 | $14,840 | +102% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
$42,378 | $5,620 | +105% |
|
Combined Anterior and Posterior Spinal Fusion without Complications/mcc
MS-DRG 455 · Inpatient stay |
$384,345 | $48,324 | +117% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$92,669 | $9,953 | +132% |
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.