California / San Ramon Regional Medical Center
CMS certification 050689 · San Ramon, CA · 1 entry in CMS's price-transparency list
San Ramon Regional Medical Center: charges and Medicare payments
San Ramon Regional Medical Center reported 731 Medicare inpatient stays across 31 DRGs in 2024. Across them it charged 13.78 times what it was paid — among the higher ratios in California, number 6 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: 125 stays at an average charge of $309,111, 242% above the national average. It also billed 1,305 outpatient services, charging 13.85 times what Medicare paid.
- 1Medicare inpatient stays 731
- 2Charge ÷ paid, inpatient 13.78×
- 3Rank in CA (highest ratio = 1) 6 of 247
- 4CMS price-transparency actions 1
Inpatient stays
For the 31 DRGs that can be compared with the national average, San Ramon Regional Medical Center charged more than the national average in 31 (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 | 125 | $309,111 | +242% | $21,530 |
| 291 Heart Failure and Shock with MCC | 66 | $223,931 | +297% | $13,919 |
| 193 Simple Pneumonia and Pleurisy with MCC | 50 | $247,858 | +315% | $14,233 |
| 177 Respiratory Infections and Inflammations with MCC | 42 | $236,094 | +234% | $17,213 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 39 | $178,888 | +265% | $11,119 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 27 | $173,261 | +331% | $8,946 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 26 | $279,190 | +280% | $17,084 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 22 | $173,024 | +128% | $15,868 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 20 | $202,371 | +117% | $19,941 |
| 194 Simple Pneumonia and Pleurisy with CC | 19 | $157,041 | +309% | $8,841 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 19 | $634,694 | +127% | $64,673 |
| 689 Kidney and Urinary Tract Infections with MCC | 19 | $174,159 | +239% | $11,444 |
| 690 Kidney and Urinary Tract Infections without MCC | 19 | $165,264 | +337% | $8,539 |
| 603 Cellulitis without MCC | 18 | $150,706 | +304% | $9,504 |
| 378 Gastrointestinal Hemorrhage with CC | 16 | $186,531 | +284% | $11,159 |
| 389 Gastrointestinal Obstruction with CC | 16 | $112,181 | +188% | $8,936 |
| 552 Medical Back Problems without MCC | 16 | $169,357 | +247% | $10,348 |
| 057 Degenerative Nervous System Disorders without MCC | 14 | $149,567 | +164% | $13,427 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 14 | $208,782 | +313% | $9,809 |
| 683 Renal Failure with CC | 14 | $157,949 | +288% | $9,606 |
| 189 Pulmonary Edema and Respiratory Failure | 13 | $241,893 | +320% | $13,115 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $180,932 | +200% | $13,492 |
| 682 Renal Failure with MCC | 13 | $267,261 | +305% | $15,727 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 12 | $270,647 | +171% | $18,703 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 12 | $249,246 | +144% | $21,553 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 12 | $822,569 | +259% | $70,664 |
| 329 Major Small and Large Bowel Procedures with MCC | 11 | $568,130 | +164% | $48,161 |
| 330 Major Small and Large Bowel Procedures with CC | 11 | $291,910 | +145% | $24,561 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 11 | $384,345 | +89% | $48,324 |
| 481 Hip and Femur Procedures except Major Joint with CC | 11 | $256,136 | +154% | $25,151 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 11 | $153,404 | +260% | $9,611 |
Outpatient services
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), San Ramon Regional Medical Center charged $309,111 on average, 116% more than the California average of $143,063, and was paid $21,530 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), San Ramon Regional Medical Center charged $223,931 on average, 122% more than the California average of $100,739, and was paid $13,919 against a state average of $15,556. For Simple Pneumonia and Pleurisy with MCC (DRG 193), San Ramon Regional Medical Center charged $247,858 on average, 139% more than the California average of $103,761, and was paid $14,233 against a state average of $15,112. For Respiratory Infections and Inflammations with MCC (DRG 177), San Ramon Regional Medical Center charged $236,094 on average, 90% more than the California average of $124,302, and was paid $17,213 against a state average of $18,986. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $38,399 was 83% above the state average of $20,986. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $104,503 was 151% above the state average of $41,628. For Level 2 Intraocular Procedures (outpatient APC 5492), its average charge of $42,378 was 5% above the state average of $40,214. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $67,488 was 5% above the state average of $64,351.
Price-transparency record
CMS's enforcement list records these actions for a hospital named San Ramon Regional Medical Center in San Ramon, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-03-18 (CMS case 3225)
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.