California / San Joaquin General Hospital
CMS certification 050167 · French Camp, CA · 2 entries in CMS's price-transparency list
San Joaquin General Hospital: charges and Medicare payments
San Joaquin General Hospital reported 333 Medicare inpatient stays across 12 DRGs in 2024. Across them it charged 7.16 times what it was paid — among the higher ratios in California, number 53 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: 115 stays at an average charge of $165,202, 83% above the national average. It also billed 323 outpatient services, charging 13.33 times what Medicare paid.
- 1Medicare inpatient stays 333
- 2Charge ÷ paid, inpatient 7.16×
- 3Rank in CA (highest ratio = 1) 53 of 247
- 4CMS price-transparency actions 2
Inpatient stays
For the 12 DRGs that can be compared with the national average, San Joaquin General Hospital charged more than the national average in 12 (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 | 115 | $165,202 | +83% | $25,001 |
| 291 Heart Failure and Shock with MCC | 38 | $152,311 | +170% | $17,558 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 34 | $102,620 | +109% | $13,306 |
| 481 Hip and Femur Procedures except Major Joint with CC | 23 | $167,262 | +66% | $24,642 |
| 189 Pulmonary Edema and Respiratory Failure | 21 | $113,587 | +97% | $15,377 |
| 683 Renal Failure with CC | 18 | $101,168 | +149% | $12,277 |
| 193 Simple Pneumonia and Pleurisy with MCC | 17 | $137,945 | +131% | $16,023 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 16 | $697,548 | +116% | $98,908 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 15 | $189,819 | +90% | $27,775 |
| 177 Respiratory Infections and Inflammations with MCC | 12 | $200,045 | +183% | $26,684 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 12 | $165,475 | +118% | $18,757 |
| 482 Hip and Femur Procedures except Major Joint without CC/MCC | 12 | $111,670 | +43% | $19,834 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 205 | $58,445 | $3,438 |
| Level 3 Vascular Procedures | 25 | $23,572 | $4,003 |
| Level 2 Endovascular Procedures | 18 | $21,899 | $7,178 |
| Level 3 Urology and Related Services | 18 | $13,427 | $2,558 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 17 | $25,224 | $2,036 |
| Level 1 Laparoscopy and Related Services | 15 | $51,995 | $7,005 |
| Level 5 Musculoskeletal Procedures | 13 | $52,907 | $16,494 |
| Level 4 Musculoskeletal Procedures | 12 | $43,095 | $8,980 |
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), San Joaquin General Hospital charged $165,202 on average, 15% more than the California average of $143,063, and was paid $25,001 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), San Joaquin General Hospital charged $152,311 on average, 51% more than the California average of $100,739, and was paid $17,558 against a state average of $15,556. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), San Joaquin General Hospital charged $102,620 on average, 35% more than the California average of $76,120, and was paid $13,306 against a state average of $12,552. For Hip and Femur Procedures except Major Joint with CC (DRG 481), San Joaquin General Hospital charged $167,262 on average, 9% more than the California average of $154,156, and was paid $24,642 against a state average of $23,534. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $58,445 was 40% above the state average of $41,628. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $23,572 was 22% below the state average of $30,190. For Level 2 Endovascular Procedures (outpatient APC 5192), its average charge of $21,899 was 57% below the state average of $51,060. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $13,427 was 25% below the state average of $17,793.
Price-transparency record
CMS's enforcement list records these actions for a hospital named San Joaquin General Hospital in French Camp, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2025-06-23 (CMS case 5001)
- Closure Notice — 2025-07-01 (CMS case 5001)
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.