California / California Pacific Medical Center- Van Ness Campus
CMS certification 050047 · San Francisco, CA · 4 entries in CMS's price-transparency list
California Pacific Medical Center- Van Ness Campus: charges and Medicare payments
California Pacific Medical Center- Van Ness Campus reported 2,595 Medicare inpatient stays across 96 DRGs in 2024. Across them it charged 3.4 times what it was paid — among the lower ratios in California, number 203 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: 286 stays at an average charge of $106,804, 18% above the national average. It also billed 2,927 outpatient services, charging 6.25 times what Medicare paid.
- 1Medicare inpatient stays 2,595
- 2Charge ÷ paid, inpatient 3.4×
- 3Rank in CA (highest ratio = 1) 203 of 247
- 4CMS price-transparency actions 4
Inpatient stays
For the 96 DRGs that can be compared with the national average, California Pacific Medical Center- Van Ness Campus charged more than the national average in 74 (77%). 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 | 286 | $106,804 | +18% | $31,888 |
| 291 Heart Failure and Shock with MCC | 127 | $70,495 | +25% | $21,967 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 108 | $204,002 | -8% | $67,143 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 73 | $70,109 | +43% | $18,275 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 58 | $299,249 | +5% | $96,671 |
| 177 Respiratory Infections and Inflammations with MCC | 54 | $70,842 | 0% | $24,644 |
| 652 Kidney Transplant | 47 | $277,887 | -17% | $43,373 |
| 432 Cirrhosis and Alcoholic Hepatitis with MCC | 43 | $91,372 | -4% | $31,175 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 43 | $390,850 | +71% | $113,151 |
| 378 Gastrointestinal Hemorrhage with CC | 39 | $60,847 | +25% | $16,991 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 38 | $173,570 | +11% | $44,211 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 38 | $96,191 | +27% | $26,569 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 37 | $77,499 | +6% | $26,843 |
| 405 Pancreas, Liver and Shunt Procedures with MCC | 36 | $262,204 | -9% | $92,177 |
| 441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic... | 36 | $122,211 | +42% | $32,683 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 36 | $41,701 | -12% | $16,529 |
| 682 Renal Failure with MCC | 35 | $66,648 | +1% | $27,011 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 34 | $57,129 | +42% | $13,878 |
| 690 Kidney and Urinary Tract Infections without MCC | 34 | $39,104 | +3% | $13,097 |
| 003 ECMO or Tracheostomy with MV >96 Hours or Principal... | 32 | $872,463 | -17% | $333,431 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 32 | $61,575 | +2% | $20,257 |
| 847 Chemotherapy without Acute Leukemia As Secondary Diagnosis... | 32 | $53,333 | -21% | $19,384 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 30 | $178,135 | +59% | $40,040 |
| 435 Malignancy of Hepatobiliary System or Pancreas with MCC | 30 | $95,626 | +1% | $29,910 |
| 389 Gastrointestinal Obstruction with CC | 29 | $49,363 | +27% | $13,672 |
| 377 Gastrointestinal Hemorrhage with MCC | 28 | $81,893 | -4% | $30,913 |
| 650 Kidney Transplant with Hemodialysis with MCC | 28 | $310,698 | -26% | $63,519 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 27 | $77,029 | +38% | $17,904 |
| 219 Cardiac Valve and Other Major Cardiothoracic Procedures... | 27 | $437,622 | +10% | $126,569 |
| 406 Pancreas, Liver and Shunt Procedures with CC | 27 | $200,961 | +24% | $51,293 |
| 603 Cellulitis without MCC | 27 | $38,570 | +3% | $13,657 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 26 | $159,245 | +39% | $26,437 |
| 394 Other Digestive System Diagnoses with CC | 26 | $52,067 | +11% | $16,151 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 25 | $38,690 | +7% | $12,266 |
| 330 Major Small and Large Bowel Procedures with CC | 25 | $160,519 | +35% | $42,801 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 24 | $125,051 | +25% | $32,778 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 24 | $219,637 | +34% | $43,135 |
| 327 Stomach, Esophageal and Duodenal Procedures with CC | 24 | $130,716 | +3% | $39,680 |
| 445 Disorders of The Biliary Tract with CC | 24 | $58,676 | +1% | $18,158 |
| 005 Liver Transplant with MCC or Intestinal Transplant | 22 | $837,983 | +2% | $211,433 |
| 193 Simple Pneumonia and Pleurisy with MCC | 22 | $82,493 | +38% | $22,465 |
| 393 Other Digestive System Diagnoses with MCC | 22 | $112,596 | +47% | $32,642 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 21 | $63,170 | +25% | $15,562 |
| 314 Other Circulatory System Diagnoses with MCC | 20 | $84,132 | -11% | $32,795 |
| 001 Heart Transplant or Implant of Heart Assist System with MCC | 19 | $1,968,090 | +34% | $595,126 |
| 194 Simple Pneumonia and Pleurisy with CC | 19 | $56,204 | +46% | $13,560 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 19 | $131,711 | -3% | $39,654 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 19 | $120,238 | +97% | $27,312 |
| 442 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic... | 19 | $50,077 | +5% | $21,549 |
| 552 Medical Back Problems without MCC | 19 | $58,586 | +20% | $15,565 |
| 189 Pulmonary Edema and Respiratory Failure | 18 | $80,122 | +39% | $21,052 |
| 270 Other Major Cardiovascular Procedures with MCC | 18 | $399,325 | +54% | $101,454 |
| 312 Syncope and Collapse | 18 | $63,948 | +40% | $15,503 |
| 433 Cirrhosis and Alcoholic Hepatitis with CC | 18 | $39,663 | -25% | $16,920 |
| 812 Red Blood Cell Disorders without MCC | 18 | $44,184 | 0% | $15,761 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 17 | $82,530 | +46% | $22,004 |
| 164 Major Chest Procedures with CC | 16 | $184,616 | +45% | $44,761 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 16 | $285,422 | +2% | $84,707 |
| 252 Other Vascular Procedures with MCC | 15 | $194,202 | +14% | $58,397 |
| 374 Digestive Malignancy with MCC | 15 | $118,934 | +18% | $35,055 |
Showing the 60 most frequent of 96 DRGs.
Outpatient services
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), California Pacific Medical Center- Van Ness Campus charged $106,804 on average, 25% less than the California average of $143,063, and was paid $31,888 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), California Pacific Medical Center- Van Ness Campus charged $70,495 on average, 30% less than the California average of $100,739, and was paid $21,967 against a state average of $15,556. For Endovascular Cardiac Valve Replacement and Supplement Procedures without MCC (DRG 267), California Pacific Medical Center- Van Ness Campus charged $204,002 on average, 33% less than the California average of $302,584, and was paid $67,143 against a state average of $56,011. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), California Pacific Medical Center- Van Ness Campus charged $70,109 on average, 8% less than the California average of $76,120, and was paid $18,275 against a state average of $12,552. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,382 was 30% below the state average of $14,749. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $13,941 was 27% below the state average of $19,034. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $183,833 was 10% below the state average of $205,167. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $29,918 was 28% below the state average of $41,628.
Price-transparency record
CMS's enforcement list records these actions for a hospital named California Pacific Medical Center- Van Ness Campus 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 — 2023-06-06 (CMS case 1383)
- Closure Notice — 2023-09-14 (CMS case 1383)
- Warning Notice — 2025-03-05 (CMS case 3216)
- Closure Notice — 2025-04-02 (CMS case 3216)
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.