California / California Pacific Medical Center - Mission Bernal
CMS certification 050055 · San Francisco, CA · 2 entries in CMS's price-transparency list
California Pacific Medical Center - Mission Bernal: charges and Medicare payments
California Pacific Medical Center - Mission Bernal reported 936 Medicare inpatient stays across 30 DRGs in 2024. Across them it charged 3.77 times what it was paid — among the lower ratios in California, number 192 of 247 hospitals with at least 100 stays (state median 5.18×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 194 stays at an average charge of $91,040, 1% above the national average. It also billed 256 outpatient services, charging 5.73 times what Medicare paid.
- 1Medicare inpatient stays 936
- 2Charge ÷ paid, inpatient 3.77×
- 3Rank in CA (highest ratio = 1) 192 of 247
- 4CMS price-transparency actions 2
Inpatient stays
For the 30 DRGs that can be compared with the national average, California Pacific Medical Center - Mission Bernal charged more than the national average in 22 (73%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 194 | $91,040 | +1% | $24,398 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 107 | $97,491 | +5% | $26,622 |
| 291 Heart Failure and Shock with MCC | 75 | $63,356 | +12% | $15,984 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 64 | $45,392 | -7% | $13,270 |
| 177 Respiratory Infections and Inflammations with MCC | 40 | $72,194 | +2% | $22,382 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 35 | $44,897 | +12% | $10,228 |
| 481 Hip and Femur Procedures except Major Joint with CC | 34 | $89,069 | -12% | $25,244 |
| 690 Kidney and Urinary Tract Infections without MCC | 30 | $40,939 | +8% | $10,628 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 28 | $121,005 | +18% | $25,887 |
| 483 Major Joint or Limb Reattachment Procedures of Upper... | 24 | $148,651 | +18% | $35,948 |
| 603 Cellulitis without MCC | 23 | $32,201 | -14% | $11,292 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 22 | $65,856 | +9% | $15,634 |
| 193 Simple Pneumonia and Pleurisy with MCC | 21 | $76,731 | +28% | $16,972 |
| 552 Medical Back Problems without MCC | 19 | $46,626 | -5% | $12,231 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 19 | $51,399 | +39% | $10,101 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 19 | $81,128 | +10% | $20,639 |
| 683 Renal Failure with CC | 17 | $41,308 | +1% | $11,653 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 15 | $62,534 | +24% | $14,208 |
| 378 Gastrointestinal Hemorrhage with CC | 15 | $48,401 | 0% | $12,762 |
| 682 Renal Failure with MCC | 15 | $51,135 | -22% | $17,197 |
| 377 Gastrointestinal Hemorrhage with MCC | 14 | $109,635 | +28% | $26,477 |
| 189 Pulmonary Edema and Respiratory Failure | 13 | $53,733 | -7% | $15,631 |
| 689 Kidney and Urinary Tract Infections with MCC | 13 | $59,840 | +17% | $14,702 |
| 330 Major Small and Large Bowel Procedures with CC | 12 | $128,319 | +8% | $29,619 |
| 811 Red Blood Cell Disorders with MCC | 12 | $98,833 | +45% | $30,629 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 12 | $288,982 | +26% | $80,747 |
| 482 Hip and Femur Procedures except Major Joint without CC/MCC | 11 | $81,156 | +4% | $19,861 |
| 638 Diabetes with CC | 11 | $46,867 | +12% | $11,676 |
| 884 Organic Disturbances and Intellectual Disability | 11 | $39,663 | -36% | $18,903 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 11 | $42,061 | +13% | $11,169 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Laparoscopy and Related Services | 55 | $57,866 | $8,247 |
| Comprehensive Observation Services | 44 | $29,887 | $3,913 |
| Level 6 Musculoskeletal Procedures | 36 | $105,231 | $26,563 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 23 | $11,890 | $2,318 |
| Level 5 Musculoskeletal Procedures | 23 | $80,219 | $18,769 |
| Level 4 Gynecologic Procedures | 20 | $18,781 | $4,469 |
| Level 2 Laparoscopy and Related Services | 17 | $75,995 | $14,687 |
| Level 4 Musculoskeletal Procedures | 14 | $47,221 | $10,217 |
| Level 3 Musculoskeletal Procedures | 13 | $30,094 | $4,627 |
| Level 2 Musculoskeletal Procedures | 11 | $13,104 | $2,298 |
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), California Pacific Medical Center - Mission Bernal charged $91,040 on average, 36% less than the California average of $143,063, and was paid $24,398 against a state average of $23,020. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), California Pacific Medical Center - Mission Bernal charged $97,491 on average, 29% less than the California average of $137,972, and was paid $26,622 against a state average of $21,800. For Heart Failure and Shock with MCC (DRG 291), California Pacific Medical Center - Mission Bernal charged $63,356 on average, 37% less than the California average of $100,739, and was paid $15,984 against a state average of $15,556. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), California Pacific Medical Center - Mission Bernal charged $45,392 on average, 40% less than the California average of $76,120, and was paid $13,270 against a state average of $12,552. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $57,866 was 10% below the state average of $64,351. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $29,887 was 28% below the state average of $41,628. For Level 6 Musculoskeletal Procedures (outpatient APC 5116), its average charge of $105,231 was 20% below the state average of $132,087. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $11,890 was 19% below the state average of $14,749.
Price-transparency record
CMS's enforcement list records these actions for a hospital named California Pacific Medical Center - Mission Bernal in San Francisco, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2025-03-13 (CMS case 3222)
- Closure Notice — 2025-04-02 (CMS case 3222)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.