Hospital · CCN 050055

California Pacific Medical Center - Mission Bernal

3555 Cesar Chavez, San Francisco, CA 94110 · San Francisco County
Part of Sutter Health · 120 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

30 admission types 32 outpatient services

Billed per dollar paid, all admissions

3.77×

$73.3M billed against $19.4M paid across 936 Medicare discharges; the national figure is 5.03×.

—

of adults in San Francisco County have medical debt in collections — state bars medical debt from credit reports; the credit-bureau panel cannot see it

4.2%

uninsured in the county · state 7.5%

$125K

median household income

4.0×

billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (9 in the inpatient or outpatient file)ⓘ

17.2%

obesity in the countyⓘ

10.2%

diagnosed diabetes (PLACES)

4.9%

coronary heart disease (PLACES)

—

median age · — below poverty (ACS)

01 · Admissions

What it billed Medicare, by admission type

Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.

DRG

Admission

Discharges

Charge

Paid

Billed ÷ paid

871

Septicemia or severe sepsis without mv >96 hours with mcc

194

$91,040

$24,398

3.7× st 6.2×

470

Major hip and knee joint replacement or reattachment of lower extremity without mcc

107

$97,491

$26,622

3.7× st 6.4×

291

Heart failure and shock with mcc

$63,356

$15,984

4.0× st 6.5×

872

Septicemia or severe sepsis without mv >96 hours without mcc

$45,392

$13,270

3.4× st 6.1×

177

Respiratory infections and inflammations with mcc

$72,194

$22,382

3.2× st 6.6×

392

Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc

$44,897

$10,228

4.4× st 6.8×

481

Hip and femur procedures except major joint with cc

$89,069

$25,244

3.5× st 6.7×

690

Kidney and urinary tract infections without mcc

$40,939

$10,628

3.9× st 6.6×

522

Hip replacement with principal diagnosis of hip fracture without mcc

$121,005

$25,887

4.7× st 6.9×

483

Major joint or limb reattachment procedures of upper extremities

$148,651

$35,948

4.1× st 6.2×

603

Cellulitis without mcc

$32,201

$11,292

2.9× st 5.9×

640

Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc

$65,856

$15,634

4.2× st 5.7×

193

Simple pneumonia and pleurisy with mcc

$76,731

$16,972

4.5× st 6.9×

698

Other kidney and urinary tract diagnoses with mcc

$81,128

$20,639

3.9× st 6.2×

552

Medical back problems without mcc

$46,626

$12,231

3.8× st 7.5×

641

Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc

$51,399

$10,101

5.1× st 6.3×

683

Renal failure with cc

$41,308

$11,653

3.5× st 6.7×

682

Renal failure with mcc

$51,135

$17,197

3.0× st 6.1×

378

Gastrointestinal hemorrhage with cc

$48,401

$12,762

3.8× st 6.8×

190

Chronic obstructive pulmonary disease with mcc

$62,534

$14,208

4.4× st 7.1×

377

Gastrointestinal hemorrhage with mcc

$109,635

$26,477

4.1× st 6.4×

189

Pulmonary edema and respiratory failure

$53,733

$15,631

3.4× st 6.7×

689

Kidney and urinary tract infections with mcc

$59,840

$14,702

4.1× st 6.3×

330

Major small and large bowel procedures with cc

$128,319

$29,619

4.3× st 6.9×

811

Red blood cell disorders with mcc

$98,833

$30,629

3.2× st 6.4×

853

Infectious and parasitic diseases with o.r. procedures with mcc

$288,982

$80,747

3.6× st 6.2×

884

Organic disturbances and intellectual disability

$39,663

$18,903

2.1× st 5.3×

482

Hip and femur procedures except major joint without cc/mcc

$81,156

$19,861

4.1× st 6.7×

638

Diabetes with cc

$46,867

$11,676

4.0× st 6.3×

897

Alcohol, drug abuse or dependence without rehabilitation therapy without mcc

$42,061

$11,169

3.8× st 5.7×

02 · Outpatient

Outpatient services

Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.

APC

Service

Services

Charge

Allowed

Billed ÷ allowed

5361

Level 1 Laparoscopy and Related Services

$57,866

$8,247

7.0×

8011

Comprehensive Observation Services

$29,887

$3,913

7.6×

5116

Level 6 Musculoskeletal Procedures

$105,231

$26,563

4.0×

5072

Level 2 Excision/ Biopsy/ Incision and Drainage

$11,890

$2,318

5.1×

5115

Level 5 Musculoskeletal Procedures

$80,219

$18,769

4.3×

5414

Level 4 Gynecologic Procedures

$18,781

$4,469

4.2×

5362

Level 2 Laparoscopy and Related Services

$75,995

$14,687

5.2×

5114

Level 4 Musculoskeletal Procedures

$47,221

$10,217

4.6×

5113

Level 3 Musculoskeletal Procedures

$30,094

$4,627

6.5×

5112

Level 2 Musculoskeletal Procedures

$13,104

$2,298

5.7×

5431

Level 1 Nerve Procedures

—

5073

Level 3 Excision/ Biopsy/ Incision and Drainage

—

5373

Level 3 Urology and Related Services

—

5374

Level 4 Urology and Related Services

—

5375

Level 5 Urology and Related Services

—

5462

Level 2 Neurostimulator and Related Procedures

—

5415

Level 5 Gynecologic Procedures

—

5416

Level 6 Gynecologic Procedures

—

5342

Level 2 Abdominal/Peritoneal/Biliary and Related Procedures

—

5341

Level 1 Abdominal/Peritoneal/Biliary and Related Procedures

—

5313

Level 3 Lower GI Procedures

—

5092

Level 2 Breast/Lymphatic Surgery and Related Procedures

—

5153

Level 3 Airway Endoscopy

—

5154

Level 4 Airway Endoscopy

—

5155

Level 5 Airway Endoscopy

—

5163

Level 3 ENT Procedures

—

5164

Level 4 ENT Procedures

—

5165

Level 5 ENT Procedures

—

5182

Level 2 Vascular Procedures

—

5091

Level 1 Breast/Lymphatic Surgery and Related Procedures

—

5302

Level 2 Upper GI Procedures

—

5183

Level 3 Vascular Procedures

—

Sources for this hospital

the files read, as fetched — not our copy of them

Medicare Inpatient Hospitals - by Provider and Service · CMS · 2024
MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
Medicare Outpatient Hospitals - by Provider and Service · CMS · 2024
MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
AHRQ Compendium of U.S. Health Systems — hospital linkage file · AHRQ · 2023
chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
2020 ZCTA to County relationship file · US Census Bureau · 2020
tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)

Every figure on this page is computed from these files by pipeline/prices/; the same rows are in the API.

Source rows for this hospital as JSON: inpatient · outpatient. CMS, Medicare Inpatient and Outpatient Hospitals by Provider and Service, 2024.