Where could you get this done?

Choose procedures and your Covered California coverage. We’ll list San Francisco hospitals that publish prices for them, with a rough split of what you might pay versus the insurer.

Insurance

Issuer (SF · Region 4) Metal tier

Health billing so far this year

Check your insurer app or card statement. Remaining deductible is applied first, so the insurer may pay $0 on a smaller bill until you’ve met it.

Still left on your deductible $ left before you’ve met this year’s deductible Already paid toward your yearly max Toward out-of-pocket max — after that, covered care is usually $0 for you

Deductible:

Billing codes

Start with a common grouping, then search to add more CPT codes. These are typical hospital-file combinations, not a complete bill.

Add more codes

Places

Loading…

Hospital price files

All San Francisco hospitals we track. Star ratings are CMS Care Compare scores (overall quality plus HCAHPS patient surveys)—we display them, we don’t calculate our own. Where we found a CMS machine-readable price file (MRF), you can open it; comparison prices use every CPT/HCPCS code we could parse from ZSFG, Kaiser SF, CPMC Van Ness / Mission Bernal / Davies, UCSF Medical Center, and UCSF Hyde and Stanyan.

How to read this

Places are sorted by estimated amount you pay (then by allowed/negotiated price).
Stars are the CMS Overall Hospital Quality Star Rating (1–5). The breakdown is HCAHPS patient-survey stars plus mortality / safety / readmission counts versus the national average. Open Care Compare for the full CMS page.
Gross = chargemaster sticker. Cash = self-pay discount. Published facility rate = the median of the usable negotiated entries in the hospital file—not necessarily your plan’s contracted rate.
Your share uses Covered California standard metal-tier copays/coinsurance plus the deductible/OOP you enter—not your exact Evidence of Coverage. Hospital files publish an allowed amount (you + insurer), not the insurer’s payment.

Why the you / insurer split is rough

We estimate from a stand-in hospital price and generic benefit rules. A real bill (or a hospital / insurer cost estimate) uses your member-specific contract. To get closer, we’d need:

Your plan’s negotiated rate with that hospital—not a median across every payer in the file (those can differ a lot).
In-network vs out-of-network status for your issuer and product.
Exact benefits from your plan (CSR variant, visit limits, prior auth), not just “Silver.”
The full claim: facility fee plus professional fees (radiologist, anesthesia, pathology), drugs, and setting (outpatient vs inpatient). For childbirth, the parent’s admission, delivery professional, anesthesia, and newborn care may be separate claims.
Coding details: modifiers, units, and which campus actually bills.
True deductible / OOP progress (individual vs family), plus any secondary coverage or financial assistance.

Issuer here is for context only; it does not change the rate we use. Treat rankings as an exploratory comparison, not a quote or guaranteed patient responsibility. Confirm the complete episode, network status, and member-specific estimate with both the facility and insurer.