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
Health billing so far this year
Check your insurer app or card statement. We use these to estimate what you’d still owe.
Billing Codes (CPT Codes)
Places
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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 ~1,000 CPT codes sampled from ZSFG, Kaiser SF, and CPMC Van Ness.
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. Negotiated = median insurer contract rate in the hospital file.
- Your share uses Covered California standard metal-tier copays/coinsurance plus the deductible/OOP you enter—not your exact Evidence of Coverage.
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).
- 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 shopping help, not a guaranteed patient responsibility.