California / Zuckerberg San Francisco General Hosp & Trauma Ctr
CMS certification 050228 · San Francisco, CA
Zuckerberg San Francisco General Hosp & Trauma Ctr: charges and Medicare payments
Zuckerberg San Francisco General Hosp & Trauma Ctr reported 1,630 Medicare inpatient stays across 65 DRGs in 2024. Across them it charged 4.68 times what it was paid — mid-range in California, number 152 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: 158 stays at an average charge of $193,253, 114% above the national average. It also billed 1,841 outpatient services, charging 10.4 times what Medicare paid.
- 1Medicare inpatient stays 1,630
- 2Charge ÷ paid, inpatient 4.68×
- 3Rank in CA (highest ratio = 1) 152 of 247
- 4CMS price-transparency actions 0
Inpatient stays
For the 65 DRGs that can be compared with the national average, Zuckerberg San Francisco General Hosp & Trauma Ctr charged more than the national average in 65 (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 | 158 | $193,253 | +114% | $41,597 |
| 291 Heart Failure and Shock with MCC | 88 | $102,497 | +82% | $25,859 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 57 | $177,555 | +194% | $35,613 |
| 603 Cellulitis without MCC | 56 | $74,924 | +101% | $19,111 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 56 | $174,830 | +133% | $35,178 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 53 | $101,945 | +102% | $23,092 |
| 177 Respiratory Infections and Inflammations with MCC | 41 | $152,538 | +116% | $36,507 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 40 | $263,974 | +164% | $37,759 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 39 | $129,373 | +132% | $21,517 |
| 193 Simple Pneumonia and Pleurisy with MCC | 36 | $91,139 | +53% | $26,244 |
| 312 Syncope and Collapse | 36 | $76,916 | +69% | $19,117 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 30 | $137,083 | +270% | $28,903 |
| 184 Major Chest Trauma with CC | 29 | $126,379 | +128% | $22,755 |
| 377 Gastrointestinal Hemorrhage with MCC | 28 | $184,980 | +117% | $31,516 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 28 | $156,918 | +68% | $33,951 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 28 | $68,885 | +86% | $17,534 |
| 189 Pulmonary Edema and Respiratory Failure | 26 | $138,238 | +140% | $25,679 |
| 690 Kidney and Urinary Tract Infections without MCC | 26 | $72,843 | +93% | $18,205 |
| 183 Major Chest Trauma with MCC | 25 | $187,930 | +152% | $36,112 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 25 | $149,783 | +98% | $35,542 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 24 | $74,100 | +84% | $17,917 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 24 | $156,733 | +113% | $32,332 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 24 | $859,581 | +275% | $179,688 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 24 | $87,183 | +78% | $21,303 |
| 057 Degenerative Nervous System Disorders without MCC | 23 | $124,690 | +120% | $30,343 |
| 481 Hip and Femur Procedures except Major Joint with CC | 22 | $219,534 | +118% | $39,820 |
| 682 Renal Failure with MCC | 21 | $130,743 | +98% | $30,801 |
| 683 Renal Failure with CC | 21 | $79,292 | +95% | $19,682 |
| 812 Red Blood Cell Disorders without MCC | 21 | $117,634 | +165% | $20,902 |
| 638 Diabetes with CC | 20 | $95,379 | +129% | $19,924 |
| 689 Kidney and Urinary Tract Infections with MCC | 20 | $82,158 | +60% | $22,441 |
| 086 Traumatic Stupor and Coma <1 Hour with CC | 19 | $99,133 | +45% | $28,315 |
| 552 Medical Back Problems without MCC | 19 | $101,735 | +108% | $20,304 |
| 082 Traumatic Stupor and Coma >1 Hour with MCC | 18 | $265,851 | +131% | $49,857 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 18 | $200,776 | +79% | $44,210 |
| 896 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 18 | $166,442 | +114% | $41,136 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 17 | $526,801 | +128% | $110,171 |
| 083 Traumatic Stupor and Coma >1 Hour with CC | 17 | $261,664 | +257% | $43,407 |
| 194 Simple Pneumonia and Pleurisy with CC | 17 | $71,174 | +85% | $17,892 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 17 | $109,491 | +203% | $19,987 |
| 066 Intracranial Hemorrhage or Cerebral Infarction without... | 16 | $77,986 | +84% | $15,724 |
| 811 Red Blood Cell Disorders with MCC | 16 | $158,720 | +133% | $31,936 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 16 | $583,731 | +81% | $126,974 |
| 084 Traumatic Stupor and Coma >1 Hour without CC/MCC | 15 | $69,892 | +31% | $20,376 |
| 180 Respiratory Neoplasms with MCC | 15 | $236,648 | +170% | $35,001 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 15 | $81,761 | +106% | $18,874 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 14 | $414,908 | +48% | $129,319 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 14 | $77,264 | +53% | $21,265 |
| 445 Disorders of The Biliary Tract with CC | 14 | $122,882 | +111% | $25,034 |
| 314 Other Circulatory System Diagnoses with MCC | 13 | $154,165 | +63% | $40,092 |
| 393 Other Digestive System Diagnoses with MCC | 13 | $127,975 | +67% | $31,980 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 13 | $98,864 | +132% | $25,901 |
| 100 Seizures with MCC | 12 | $162,303 | +72% | $36,267 |
| 292 Heart Failure and Shock with CC | 12 | $80,142 | +106% | $19,353 |
| 389 Gastrointestinal Obstruction with CC | 12 | $88,612 | +128% | $18,421 |
| 637 Diabetes with MCC | 12 | $158,051 | +138% | $29,458 |
| 091 Other Disorders of Nervous System with MCC | 11 | $99,126 | +20% | $32,962 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 11 | $376,413 | +177% | $65,010 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 11 | $122,122 | +91% | $22,525 |
| 329 Major Small and Large Bowel Procedures with MCC | 11 | $443,520 | +106% | $92,117 |
Showing the 60 most frequent of 65 DRGs.
Outpatient services
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Zuckerberg San Francisco General Hosp & Trauma Ctr charged $193,253 on average, 35% more than the California average of $143,063, and was paid $41,597 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Zuckerberg San Francisco General Hosp & Trauma Ctr charged $102,497 on average, 2% more than the California average of $100,739, and was paid $25,859 against a state average of $15,556. For Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC (DRG 640), Zuckerberg San Francisco General Hosp & Trauma Ctr charged $177,555 on average, 100% more than the California average of $88,573, and was paid $35,613 against a state average of $15,580. For Cellulitis without MCC (DRG 603), Zuckerberg San Francisco General Hosp & Trauma Ctr charged $74,924 on average, 20% more than the California average of $62,435, and was paid $19,111 against a state average of $10,855. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $33,262 was 58% above the state average of $20,986. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $41,931 was 1% above the state average of $41,628. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $2,258 was 53% below the state average of $4,853. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $14,461 was 19% below the state average of $17,793.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
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.