CostGrade
D

24/100

#2,071 nationally

Ucsf Medical Center

505 Parnassus Ave, Box 0296, San Francisco, CA 94143 · (415) 353-2733

Charges far above the national norm

For every $1 of care Medicare actually paid for here, Ucsf Medical Center billed $5.31 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
5.3x
volume-weighted across all its priced work
Procedures priced
292
inpatient and outpatient combined
Rank in CA
#145
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.

Inpatient charge markup 10.3/35

Better than 30% of U.S. hospitals.

Outpatient charge markup 11.0/25

Better than 44% of U.S. hospitals.

Price level vs national median 2.1/30

Better than 7% of U.S. hospitals.

Price consistency 0.6/10

Better than 6% 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

2,215 $5,723 $958 +82%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

1,293 $12,054 $2,853 -7%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

831 $15,859 $2,271 +57%
Level 1 Intraocular Procedures

APC 5491 · Hospital outpatient visit

795 $34,541 $3,268 +194%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

699 $26,258 $3,986 +48%
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

624 $43,574 $3,817 +124%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

558 $245,418 $43,403 +276%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

485 $20,460 $2,672 +74%
Level 5 Urology and Related Services

APC 5375 · Hospital outpatient visit

469 $64,659 $7,286 +135%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

441 $44,332 $5,246 +95%

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
Psychoses

MS-DRG 885 · Inpatient stay

$211,933 $37,636 +487%
Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio

MS-DRG 809 · Inpatient stay

$248,179 $48,446 +351%
Acute Myocardial Infarction, Expired with Major Complications

MS-DRG 283 · Inpatient stay

$323,589 $57,823 +280%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

$245,418 $43,403 +276%
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Major

MS-DRG 542 · Inpatient stay

$254,799 $56,610 +272%
Gastrointestinal Obstruction with Major Complications

MS-DRG 388 · Inpatient stay

$213,274 $34,688 +271%
COPD (severe)

MS-DRG 190 · Inpatient stay

$153,242 $24,003 +266%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

$156,962 $26,634 +262%

Where it charges least relative to everyone else

Procedure Charged Actually paid vs national
Level 3 Neurostimulator and Related Procedures

APC 5463 · Hospital outpatient visit

$48,116 $19,137 -18%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

$12,054 $2,853 -7%
Chimeric Antigen Receptor (car) T-cell and Other Immunotherapies

MS-DRG 018 · Inpatient stay

$1,856,460 $500,198 -6%
Level 3 ENT Procedures

APC 5163 · Hospital outpatient visit

$6,286 $2,148 about average
Level 4 Intraocular Procedures

APC 5494 · Hospital outpatient visit

$138,444 $17,419 about average
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

$150,519 $46,171 about average
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

$143,801 $33,341 +8%
Spinal Procedures with Major Complications

MS-DRG 028 · Inpatient stay

$311,701 $90,621 +13%

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.