Zuckerberg San Francisco General Hospital & Trauma Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Zuckerberg San Francisco General Hospital & Trauma Center, San Francisco, CA in 2024, from traditional Medicare claims. Back to the Zuckerberg San Francisco General Hospital & Trauma Center profile, with quality ratings, finances and negotiated rates.
1,630
Medicare inpatient discharges
In 65 published DRGs
1.86
Case mix index
IPPS FY 2027
8%
Surgical stays
73%
Stays with complications
In DRGs with a CC or MCC
1,841
Medicare outpatient services
In 30 service groups
Inpatient stays by major diagnostic category
Respiratory system268 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 53 | $101,945 | $20,431 | $28,850 | 1.10 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 41 | $152,538 | $33,031 | $43,168 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 36 | $91,139 | $23,614 | $25,792 | 1.33 |
| Major chest trauma with CCMS-DRG 184, medical | 29 | $126,379 | $20,065 | $35,765 | 1.05 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 26 | $138,238 | $23,325 | $39,121 | 1.23 |
| Major chest trauma with MCCMS-DRG 183, medical | 25 | $187,930 | $32,316 | $53,184 | 1.57 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 17 | $71,174 | $15,130 | $20,142 | 0.82 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 15 | $236,648 | $31,137 | $66,971 | 1.74 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 15 | $81,761 | $16,727 | $23,138 | 0.85 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 11 | $376,413 | $61,529 | $106,525 | 2.70 |
Nervous system241 discharges in 12 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 40 | $263,974 | $34,826 | $74,705 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 39 | $129,373 | $18,501 | $36,613 | 1.02 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 23 | $124,690 | $24,401 | $35,287 | 1.36 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 19 | $99,133 | $21,597 | $28,055 | 1.32 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 18 | $265,851 | $42,640 | $75,236 | 2.28 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 17 | $526,801 | $104,227 | $149,085 | 4.42 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 17 | $261,664 | $37,651 | $74,051 | 1.36 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 16 | $77,986 | $13,304 | $22,070 | 0.69 |
| Traumatic stupor and coma >1 hour without cc/mccMS-DRG 084, medical | 15 | $69,892 | $16,853 | $19,779 | 0.92 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 14 | $414,908 | $104,366 | $117,419 | 5.67 |
| Seizures with MCCMS-DRG 100, medical | 12 | $162,303 | $33,604 | $45,932 | 1.98 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 11 | $99,126 | $30,716 | $28,053 | 1.79 |
Circulatory system234 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 88 | $102,497 | $23,402 | $29,007 | 1.28 |
| Syncope and collapseMS-DRG 312, medical | 36 | $76,916 | $17,009 | $21,767 | 0.86 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 25 | $149,783 | $32,659 | $42,389 | 1.59 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 18 | $200,776 | $40,881 | $56,819 | 2.16 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 17 | $109,491 | $15,556 | $30,986 | 0.74 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 14 | $77,265 | $15,268 | $21,866 | 0.91 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 13 | $154,165 | $37,591 | $43,629 | 2.09 |
| Heart failure and shock with CCMS-DRG 292, medical | 12 | $80,142 | $17,233 | $22,680 | 0.86 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 11 | $122,122 | $20,215 | $34,560 | 1.08 |
Infectious and parasitic diseases222 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 158 | $193,253 | $38,529 | $54,690 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 24 | $859,581 | $170,175 | $243,261 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 24 | $87,183 | $18,655 | $24,673 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 16 | $583,731 | $122,293 | $165,196 | 6.96 |
Endocrine, nutritional and metabolic128 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 57 | $177,555 | $31,701 | $50,248 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 28 | $68,885 | $15,571 | $19,494 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 20 | $95,379 | $17,617 | $26,992 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 12 | $158,051 | $27,367 | $44,728 | 1.45 |
| Diabetes without cc/mccMS-DRG 639, medical | 11 | $94,493 | $12,507 | $26,741 | 0.62 |
Kidney and urinary tract112 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 26 | $72,843 | $16,031 | $20,615 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 24 | $156,733 | $29,342 | $44,355 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 21 | $130,743 | $28,414 | $37,000 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 21 | $79,292 | $17,814 | $22,440 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 20 | $82,158 | $20,449 | $23,251 | 1.17 |
Digestive system110 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 28 | $184,980 | $29,637 | $52,349 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 24 | $74,100 | $15,782 | $20,970 | 0.79 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 13 | $127,975 | $29,151 | $36,217 | 1.62 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 12 | $88,612 | $16,272 | $25,077 | 0.80 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 11 | $443,520 | $86,615 | $125,516 | 4.52 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 11 | $331,241 | $56,198 | $93,741 | 2.37 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 11 | $84,178 | $17,358 | $23,822 | 0.98 |
Musculoskeletal system and connective tissue93 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 28 | $156,918 | $30,633 | $44,408 | 1.88 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 22 | $219,534 | $34,204 | $62,128 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 19 | $101,735 | $17,254 | $28,791 | 0.97 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 13 | $98,864 | $14,446 | $27,979 | 0.90 |
| Medical back problems with MCCMS-DRG 551, medical | 11 | $115,423 | $28,215 | $32,665 | 1.70 |
Skin, subcutaneous tissue and breast56 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 56 | $74,924 | $16,695 | $21,203 | 0.88 |
Injuries, poisonings and toxic effects of drugs56 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Poisoning and toxic effects of drugs with MCCMS-DRG 917, medical | 56 | $174,830 | $32,360 | $49,477 | 1.60 |
Alcohol and drug use48 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Alcohol, drug abuse or dependence without rehabilitation therapy without MCCMS-DRG 897, medical | 30 | $137,083 | $23,124 | $38,794 | 0.86 |
| Alcohol, drug abuse or dependence without rehabilitation therapy with MCCMS-DRG 896, medical | 18 | $166,442 | $38,071 | $47,103 | 1.78 |
Blood and immune system37 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 21 | $117,634 | $17,341 | $33,290 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 16 | $158,720 | $29,203 | $44,918 | 1.40 |
Liver, gallbladder and pancreas14 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of the biliary tract with CCMS-DRG 445, medical | 14 | $122,883 | $22,359 | $34,776 | 1.09 |
Factors influencing health status11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Signs and symptoms without MCCMS-DRG 948, medical | 11 | $71,857 | $14,508 | $20,335 | 0.80 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
Outpatient services
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 1 Intraocular ProceduresAPC 5491 | 307 | 225 | $33,262 | $2,623 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 290 | 256 | $41,931 | $3,095 | $2,090 |
| Level 2 Urology and Related ServicesAPC 5372 | 175 | 97 | $2,258 | $771 | $502 |
| Level 3 Urology and Related ServicesAPC 5373 | 151 | 109 | $14,461 | $2,311 | $1,516 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 149 | 141 | $18,113 | $1,817 | $1,220 |
| Level 2 Upper GI ProceduresAPC 5302 | 67 | 57 | $25,014 | $2,163 | $1,445 |
| Level 1 Endovascular ProceduresAPC 5191 | 64 | 61 | $41,551 | $3,270 | $2,208 |
| Level 2 Endovascular ProceduresAPC 5192 | 60 | 45 | $36,675 | $6,483 | $4,338 |
| Level 3 Vascular ProceduresAPC 5183 | 58 | 50 | $31,438 | $3,474 | $2,405 |
| Level 5 Urology and Related ServicesAPC 5375 | 48 | 42 | $64,966 | $5,275 | $3,918 |
| Level 2 Intraocular ProceduresAPC 5492 | 47 | 39 | $42,540 | $4,479 | $3,116 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 46 | 44 | $50,626 | $3,764 | $2,636 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 37 | 35 | $36,972 | $3,635 | $2,373 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 33 | 32 | $23,526 | $1,801 | $1,196 |
| Level 4 Urology and Related ServicesAPC 5374 | 30 | 26 | $43,444 | $3,838 | $2,629 |
| Level 3 Endovascular ProceduresAPC 5193 | 28 | 19 | $65,156 | $13,309 | $8,874 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 25 | 23 | $26,475 | $2,607 | $1,780 |
| Level 4 Vascular ProceduresAPC 5184 | 24 | 22 | $52,472 | $6,120 | $3,946 |
| Level 5 ENT ProceduresAPC 5165 | 21 | 21 | $94,951 | $6,738 | $4,436 |
| Level 2 Vascular ProceduresAPC 5182 | 21 | 19 | $18,555 | $1,650 | $1,204 |
| Level 4 Gynecologic ProceduresAPC 5414 | 21 | 20 | $35,141 | $3,476 | $2,389 |
| Level 3 Lower GI ProceduresAPC 5313 | 20 | 20 | $21,713 | $3,222 | $2,176 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 18 | 14 | $26,931 | $2,877 | $2,141 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 18 | 18 | $83,593 | $8,585 | $5,339 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 17 | 17 | $78,227 | $6,420 | $4,358 |
| Level 1 Nerve ProceduresAPC 5431 | 15 | 13 | $33,387 | $2,195 | $1,407 |
| Level 3 Airway EndoscopyAPC 5153 | 14 | 12 | $29,376 | $1,933 | $1,264 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 13 | 11 | $47,219 | $4,174 | $2,930 |
| Level 4 ENT ProceduresAPC 5164 | 13 | 12 | $36,449 | $3,385 | $2,217 |
| Level 4 Airway EndoscopyAPC 5154 | 11 | 11 | $39,688 | $4,265 | $2,833 |
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.