California / Saint Francis Memorial Hospital
CMS certification 050152 · San Francisco, CA · 4 entries in CMS's price-transparency list
Saint Francis Memorial Hospital: charges and Medicare payments
Saint Francis Memorial Hospital reported 219 Medicare inpatient stays across 11 DRGs in 2024. Across them it charged 6.35 times what it was paid — among the higher ratios in California, number 76 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: 64 stays at an average charge of $204,140, 126% above the national average. It also billed 99 outpatient services, charging 12.12 times what Medicare paid.
- 1Medicare inpatient stays 219
- 2Charge ÷ paid, inpatient 6.35×
- 3Rank in CA (highest ratio = 1) 76 of 247
- 4CMS price-transparency actions 4
Inpatient stays
For the 11 DRGs that can be compared with the national average, Saint Francis Memorial Hospital charged more than the national average in 11 (100%). 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 | 64 | $204,140 | +126% | $29,640 |
| 291 Heart Failure and Shock with MCC | 24 | $116,662 | +107% | $18,016 |
| 928 Full Thickness Burn with Skin Graft or Inhalation Injury... | 22 | $727,518 | +111% | $131,201 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 16 | $172,655 | +241% | $25,817 |
| 193 Simple Pneumonia and Pleurisy with MCC | 15 | $127,875 | +114% | $18,767 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 14 | $149,640 | +61% | $26,934 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 14 | $97,653 | +164% | $12,281 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 13 | $154,639 | +178% | $15,071 |
| 177 Respiratory Infections and Inflammations with MCC | 13 | $179,252 | +154% | $23,208 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $95,996 | +59% | $17,937 |
| 690 Kidney and Urinary Tract Infections without MCC | 11 | $81,997 | +117% | $12,184 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 53 | $42,280 | $3,839 |
| Level 1 Laparoscopy and Related Services | 30 | $80,620 | $8,034 |
| Level 4 Musculoskeletal Procedures | 16 | $80,856 | $10,217 |
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Saint Francis Memorial Hospital charged $204,140 on average, 43% more than the California average of $143,063, and was paid $29,640 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Saint Francis Memorial Hospital charged $116,662 on average, 16% more than the California average of $100,739, and was paid $18,016 against a state average of $15,556. For Full Thickness Burn with Skin Graft or Inhalation Injury with CC/MCC (DRG 928), Saint Francis Memorial Hospital charged $727,518 on average, 14% more than the California average of $635,394, and was paid $131,201 against a state average of $122,504. For Chronic Obstructive Pulmonary Disease with MCC (DRG 190), Saint Francis Memorial Hospital charged $172,655 on average, 86% more than the California average of $92,899, and was paid $25,817 against a state average of $13,475. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $42,280 was 2% above the state average of $41,628. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $80,620 was 25% above the state average of $64,351. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $80,856 was 16% above the state average of $69,476.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Saint Francis Memorial Hospital in San Francisco, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-01-03 (CMS case 597)
- Met Requirements — 2024-03-29 (CMS case 2349)
- Warning Notice — 2025-04-23 (CMS case 3955)
- Closure Notice — 2025-06-02 (CMS case 3955)
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.