Medicine & Surgery ยท Inpatient
Major lower-extremity joint replacement without MCC
MS-DRG 470
$31,872 - $36,436
from 3 insurers ยท median $34,224
23 Medicare discharges for this DRG in CMS hospital data
Dignity Health ยท San Francisco, CA
35
In-network payers
242
Disclosed rate categories
240
Beds
3
Care quality
St Marys Medical Center - San Francisco is a 240-bed voluntary non-profit - private hospital in San Francisco, CA, affiliated with Dignity Health. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 242 disclosed rate categories.
CCN (Medicare provider number)
050457
NPI
1174667158
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
240
Care Quality
3
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.





The 24 services St Marys Medical Center - San Francisco most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Medicine & Surgery ยท Inpatient
MS-DRG 470
$31,872 - $36,436
from 3 insurers ยท median $34,224
23 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 74177
$543 - $4,946
from 4 insurers ยท median $2,023
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$5,953 - $7,516
from 3 insurers ยท median $6,717
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$459 - $5,772
from 4 insurers ยท median $4,302
Common here, based on CMS Medicare volume
Medicine & Surgery ยท Inpatient
MS-DRG 216
$23,198 - $211,064
from 3 insurers ยท median $85,456
Hospital reports cardiac thoracic surgery services to CMS
Digestive procedures
CPT 45380
$4,798 - $7,516
from 3 insurers ยท median $6,191
Common here, based on CMS Medicare volume
Medicine & Surgery ยท Inpatient
MS-DRG 460
$37,643
negotiated rate
22 Medicare discharges for this DRG in CMS hospital data
Digestive procedures
CPT 45385
$5,092 - $7,516
from 3 insurers ยท median $6,183
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$5,048 - $7,516
from 3 insurers ยท median $7,095
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$6,475 - $19,751
from 3 insurers ยท median $17,448
11 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 29881
$5,599 - $12,877
from 3 insurers ยท median $8,901
38 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Mammography
CPT 77067
$194 - $1,440
from 4 insurers ยท median $456
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$800 - $12,558
from 4 insurers ยท median $5,314
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$6,983 - $19,751
from 3 insurers ยท median $12,147
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$415 - $3,564
from 4 insurers ยท median $2,335
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$49 - $750
from 4 insurers ยท median $302
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$220 - $281
from 2 insurers ยท median $251
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 29848
$5,520 - $18,134
from 3 insurers ยท median $13,295
28 Medicare claims in Level 2 Musculoskeletal Procedures (CMS 2024)
Urology
CPT 50590
$8,122 - $21,965
from 3 insurers ยท median $19,704
Typical for a hospital with this service line
CT imaging
CPT 74176
$275 - $3,219
from 3 insurers ยท median $518
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 69436
$5,913 - $7,882
from 3 insurers ยท median $6,929
Typical for a hospital with this service line
Orthopedics and pain
CPT 29880
$6,209 - $12,877
from 3 insurers ยท median $10,035
38 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Gynecology
CPT 58558
$5,296 - $10,641
from 3 insurers ยท median $8,362
Typical for a hospital with this service line
Orthopedics and pain
CPT 20610
$1,433 - $5,628
from 4 insurers ยท median $3,392
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 10 | 873% | 4 | 4 |
| Insurer B* | 19 | 506% | 16 | 2 |
| Insurer C* | 24 | 385% | 12 | 6 |
| Insurer D* | 23 | 170% | 11 | 12 |
How we chose these services: 6 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 5 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for St Marys Medical Center - San Francisco.
450 Stanyan Street, San Francisco, CA 94117
(415) 668-1000
About St Marys Medical Center - San Francisco's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at St Marys Medical Center - San Francisco range from $543 to $4,946 across 4 insurers. Aetna's rate is $543. The median at nearby comparable hospitals is $5,854. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at St Marys Medical Center - San Francisco range from $4,798 to $7,516 across 3 insurers. Aetna's rate is $4,798. The median at nearby comparable hospitals is $2,182. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at St Marys Medical Center - San Francisco range from $194 to $1,440 across 4 insurers. Cigna's rate is $695. The median at nearby comparable hospitals is $491. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at St Marys Medical Center - San Francisco range from $31,872 to $36,436 across 3 insurers. UnitedHealthcare's rate is $34,224. The median at nearby comparable hospitals is $83,806. What a patient pays depends on their plan's deductible, coinsurance and network status.
St Marys Medical Center - San Francisco has 240 beds. Facility type: Short Term Acute Care Hospital.
St Marys Medical Center - San Francisco is located at 450 Stanyan Street, San Francisco, CA 94117. Its main phone number is (415) 668-1000.
St Marys Medical Center - San Francisco's CMS Certification Number (CCN), also called its Medicare provider number, is 050457.
The National Provider Identifier (NPI) on file for St Marys Medical Center - San Francisco is 1174667158.
St Marys Medical Center - San Francisco is affiliated with Dignity Health.
St Marys Medical Center - San Francisco lists 35 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
242 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers