6/100
#2,494 nationally
Stanford Health Care
300 Pasteur Drive, Stanford, CA 94305 · (650) 723-4000
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Stanford Health Care billed $8.89 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
- 8.9x
- volume-weighted across all its priced work
- Procedures priced
- 340
- inpatient and outpatient combined
- Rank in CA
- #214
- 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 9% of U.S. hospitals.
Better than 11% 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 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
2,479 | $8,295 | $961 | +164% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
2,217 | $76,792 | $3,839 | +295% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
1,626 | $47,059 | $3,275 | +300% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
1,384 | $24,492 | $2,261 | +143% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
914 | $33,835 | $2,842 | +162% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
883 | $34,290 | $2,672 | +192% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
641 | $47,398 | $3,968 | +168% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
594 | $413,501 | $44,434 | +534% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
575 | $102,226 | $9,975 | +156% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
573 | $23,517 | $2,384 | +106% |
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 |
|---|---|---|---|
|
Interstitial Lung Disease with Major Complications
MS-DRG 196 · Inpatient stay |
$1,094,250 | $130,835 | +1,265% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
$1,113,900 | $131,553 | +1,166% |
|
Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except Face
MS-DRG 004 · Inpatient stay |
$4,272,292 | $539,356 | +694% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$369,459 | $33,952 | +663% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$300,529 | $32,903 | +592% |
|
Other Respiratory System Operating Room Procedures with Major Complications
MS-DRG 166 · Inpatient stay |
$988,298 | $120,228 | +579% |
|
Non-extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major
MS-DRG 987 · Inpatient stay |
$966,192 | $144,242 | +570% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$276,390 | $26,055 | +560% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 7 Radiation Therapy
APC 5627 · Hospital outpatient visit |
$70,789 | $10,954 | +20% |
|
Otitis Media and Uri with Major Complications
MS-DRG 152 · Inpatient stay |
$205,365 | $19,096 | +27% |
|
Chimeric Antigen Receptor (car) T-cell and Other Immunotherapies
MS-DRG 018 · Inpatient stay |
$2,698,585 | $394,664 | +37% |
|
Other Skin, Subcutaneous Tissue and Breast Procedures without Complications/mcc
MS-DRG 581 · Inpatient stay |
$331,227 | $24,902 | +47% |
|
Other Ear, Nose, Mouth and Throat Diagnoses with Major Complications
MS-DRG 154 · Inpatient stay |
$175,947 | $25,358 | +58% |
|
Cochlear Implant Procedure
APC 5166 · Hospital outpatient visit |
$211,715 | $47,063 | +74% |
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
$199,938 | $43,037 | +77% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
$338,922 | $72,669 | +79% |
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.