15/100
#2,301 nationally
Stanford Health Care Tri-Valley
5555 West Las Positas Boulevard, Pleasanton, CA 94588 · (925) 847-3000
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Stanford Health Care Tri-Valley billed $7.61 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
- 7.6x
- volume-weighted across all its priced work
- Procedures priced
- 94
- inpatient and outpatient combined
- Rank in CA
- #192
- 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 13% of U.S. hospitals.
Better than 31% of U.S. hospitals.
Better than 6% of U.S. hospitals.
Better than 8% 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 |
530 | $41,991 | $3,262 | +257% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
488 | $54,565 | $3,848 | +181% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
420 | $95,440 | $18,437 | +53% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
282 | $191,834 | $24,163 | +194% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
225 | $53,855 | $4,567 | +113% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
216 | $15,840 | $2,283 | +57% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
147 | $77,296 | $10,066 | +94% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
146 | $139,992 | $14,563 | +223% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
142 | $29,580 | $2,664 | +152% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
139 | $77,589 | $7,910 | +121% |
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 |
|---|---|---|---|
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$187,745 | $18,129 | +349% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
$320,906 | $40,903 | +265% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$30,976 | $2,255 | +261% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$41,991 | $3,262 | +257% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$170,956 | $15,787 | +253% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$139,992 | $14,563 | +223% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
$96,822 | $8,706 | +216% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$166,834 | $27,952 | +215% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Combined Anterior and Posterior Spinal Fusion with Complications
MS-DRG 454 · Inpatient stay |
$260,155 | $67,249 | +17% |
|
Combined Anterior and Posterior Spinal Fusion without Complications/mcc
MS-DRG 455 · Inpatient stay |
$216,880 | $51,012 | +23% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
$240,555 | $52,984 | +27% |
|
Complex GI Procedures
APC 5331 · Hospital outpatient visit |
$38,152 | $7,181 | +27% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$67,686 | $15,008 | +31% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
$106,930 | $20,094 | +33% |
|
Hip or Knee Replacement (severe)
MS-DRG 469 · Inpatient stay |
$187,664 | $32,547 | +33% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
$128,482 | $24,278 | +35% |
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.