13/100
#2,334 nationally
Ucsf Health Saint Francis Hospital
900 Hyde St, San Francisco, CA 94109 · (415) 353-6000
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Ucsf Health Saint Francis Hospital billed $6.61 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
- 6.6x
- volume-weighted across all its priced work
- Procedures priced
- 14
- inpatient and outpatient combined
- Rank in CA
- #194
- lower markup ranks higher
- CMS quality stars
- 3/5
- 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 18% of U.S. hospitals.
Better than 19% of U.S. hospitals.
Better than 4% 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 |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
64 | $204,140 | $29,640 | +213% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
53 | $42,280 | $3,839 | +118% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
30 | $80,620 | $8,034 | +130% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
24 | $116,663 | $18,016 | +169% |
|
Full Thickness Burn with Skin Graft or Inhalation Injury with Complications/mcc
MS-DRG 928 · Inpatient stay |
22 | $727,518 | $131,201 | +164% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
16 | $172,655 | $25,817 | +313% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
16 | $80,856 | $10,217 | +103% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
15 | $127,875 | $18,767 | +174% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
14 | $97,653 | $12,281 | +220% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
14 | $149,640 | $26,934 | +87% |
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 |
$172,655 | $25,817 | +313% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
$154,639 | $15,071 | +240% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$179,252 | $23,208 | +226% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
$97,653 | $12,281 | +220% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$204,140 | $29,640 | +213% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$81,997 | $12,184 | +175% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$127,875 | $18,767 | +174% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$116,663 | $18,016 | +169% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
$149,640 | $26,934 | +87% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$95,996 | $17,937 | +98% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$80,856 | $10,217 | +103% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$42,280 | $3,839 | +118% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$80,620 | $8,034 | +130% |
|
Full Thickness Burn with Skin Graft or Inhalation Injury with Complications/mcc
MS-DRG 928 · Inpatient stay |
$727,518 | $131,201 | +164% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$116,663 | $18,016 | +169% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$127,875 | $18,767 | +174% |
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.