Hospital · CCN 050131

Novato Community Hospital

180 Rowland Way, Novato, CA 94945 · Marin County
Part of Sutter Health · 47 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

15 admission types 32 outpatient services

Billed per dollar paid, all admissions

3.92×

$32.9M billed against $8.4M paid across 446 Medicare discharges; the national figure is 5.03×.

—

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

5.1%

uninsured in the county · state 7.5%

$139K

median household income

8.2×

billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (3 in the inpatient or outpatient file)ⓘ

21.3%

obesity in the countyⓘ

10.2%

diagnosed diabetes (PLACES)

6.4%

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

163

$70,734

$20,598

3.4× st 6.2×

872

Septicemia or severe sepsis without mv >96 hours without mcc

$42,764

$11,946

3.6× st 6.1×

291

Heart failure and shock with mcc

$57,182

$13,832

4.1× st 6.5×

470

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

$100,873

$22,350

4.5× st 6.4×

455

Combined anterior and posterior spinal fusion without cc/mcc

$244,352

$51,532

4.7× st 5.5×

690

Kidney and urinary tract infections without mcc

$39,220

$9,158

4.3× st 6.6×

193

Simple pneumonia and pleurisy with mcc

$44,780

$14,115

3.2× st 6.9×

522

Hip replacement with principal diagnosis of hip fracture without mcc

$108,727

$23,262

4.7× st 6.9×

389

Gastrointestinal obstruction with cc

$43,707

$11,808

3.7× st 6.9×

481

Hip and femur procedures except major joint with cc

$94,468

$22,650

4.2× st 6.7×

689

Kidney and urinary tract infections with mcc

$52,564

$12,741

4.1× st 6.3×

378

Gastrointestinal hemorrhage with cc

$57,684

$11,122

5.2× st 6.8×

392

Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc

$38,587

$8,929

4.3× st 6.8×

603

Cellulitis without mcc

$35,807

$9,524

3.8× st 5.9×

177

Respiratory infections and inflammations with mcc

$50,355

$17,532

2.9× st 6.6×

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

5115

Level 5 Musculoskeletal Procedures

284

$88,984

$18,221

4.9×

8011

Comprehensive Observation Services

106

$33,742

$3,794

8.9×

5116

Level 6 Musculoskeletal Procedures

$105,822

$25,953

4.1×

5114

Level 4 Musculoskeletal Procedures

$48,381

$9,983

4.8×

5072

Level 2 Excision/ Biopsy/ Incision and Drainage

$14,326

$2,218

6.5×

5361

Level 1 Laparoscopy and Related Services

$40,670

$8,058

5.0×

5302

Level 2 Upper GI Procedures

$13,676

$2,657

5.1×

5491

Level 1 Intraocular Procedures

$16,684

$3,255

5.1×

5341

Level 1 Abdominal/Peritoneal/Biliary and Related Procedures

$29,304

$4,832

6.1×

5112

Level 2 Musculoskeletal Procedures

$9,975

$2,245

4.4×

5073

Level 3 Excision/ Biopsy/ Incision and Drainage

$24,550

$3,968

6.2×

5113

Level 3 Musculoskeletal Procedures

$33,283

$4,520

7.4×

5092

Level 2 Breast/Lymphatic Surgery and Related Procedures

$37,443

$9,103

4.1×

5415

Level 5 Gynecologic Procedures

$42,412

$6,946

6.1×

5431

Level 1 Nerve Procedures

—

5432

Level 2 Nerve Procedures

—

5464

Level 4 Neurostimulator and Related Procedures

—

5465

Level 5 Neurostimulator and Related Procedures

—

5492

Level 2 Intraocular Procedures

—

5503

Level 3 Extraocular, Repair, and Plastic Eye Procedures

—

5374

Level 4 Urology and Related Services

—

5373

Level 3 Urology and Related Services

—

5362

Level 2 Laparoscopy and Related Services

—

5091

Level 1 Breast/Lymphatic Surgery and Related Procedures

—

5163

Level 3 ENT Procedures

—

5165

Level 5 ENT Procedures

—

5182

Level 2 Vascular Procedures

—

5183

Level 3 Vascular Procedures

—

5184

Level 4 Vascular Procedures

—

5313

Level 3 Lower GI Procedures

—

5093

Level 3 Breast/Lymphatic Surgery and Related Procedures

—

5094

Level 4 Breast/Lymphatic Surgery and Related 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.