25/100
#2,040 nationally
Ucsf Health St. Mary's Hospital
450 Stanyan St, San Francisco, CA 94117 · (415) 668-1000
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Ucsf Health St. Mary's Hospital billed $5.89 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
- 5.9x
- volume-weighted across all its priced work
- Procedures priced
- 47
- inpatient and outpatient combined
- Rank in CA
- #141
- 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 21% of U.S. hospitals.
Better than 58% of U.S. hospitals.
Better than 10% 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 |
200 | $158,017 | $28,112 | +142% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
93 | $33,680 | $3,913 | +73% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
86 | $143,614 | $18,731 | +231% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
73 | $31,754 | $5,812 | +54% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
49 | $82,802 | $18,419 | +33% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
46 | $132,780 | $26,469 | +66% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
44 | $107,017 | $22,824 | +95% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
38 | $23,424 | $4,627 | +15% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
36 | $34,086 | $4,665 | +35% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
33 | $489,667 | $75,399 | +175% |
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 |
$39,910 | $3,090 | +240% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$143,614 | $18,731 | +231% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
$142,380 | $15,518 | +213% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$172,994 | $23,196 | +182% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$110,475 | $14,749 | +182% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$489,667 | $75,399 | +175% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
$144,277 | $21,495 | +156% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$122,725 | $19,308 | +153% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$14,332 | $3,813 | -19% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$11,269 | $2,297 | about average |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$57,531 | $15,234 | +12% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$13,010 | $2,644 | +15% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$23,424 | $4,627 | +15% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$43,219 | $7,667 | +23% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
$49,165 | $9,316 | +24% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$50,528 | $10,217 | +27% |
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.