Marinhealth Medical Center
250 Bon Air Road, Greenbrae, CA 94904 · 113 Priced Procedures · 76% Patient Recommendation
Typical commercial prices here are +165% above the fair benchmark (2.65×) even after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 2.65× fair market pricing.
Wide Procedure Spread · Upper-Quartile Skew Pricer
Marinhealth Medical Center prices routine shoppable procedures at 4.6× Medicare (median 2.56× Fair BaseRate) while upper-quartile commercial rates jump +89% to 4.84× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.68× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 20% of shoppable procedures (99/100 Cash Honesty)
- 5-Star CMS clinical rating with 76% patient recommendation (67/100 safety score)
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 2.6× markup over Medicare rates
- Commercial insurance median sits at 2.56× Fair BaseRate (4.6× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 4.84×) jump +89% above the median procedure ratio (Q50 2.56×)
- Unnegotiated chargemaster list prices average 16.0× Medicare (14¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Marinhealth Medical Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 113 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $56,494 | 3.0× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $53,965 | 2.8× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $51,375 | 2.9× |
| Total hip replacement CPT Code: 27130 | $47,115 | 3.5× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $29,587 | 4.8× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $22,530 | 2.7× |
| Breast lump removal CPT Code: 19120 | $20,379 | 5.3× |
| Bunion correction surgery CPT Code: 28296 | $19,968 | unverified |
| Trauma team activation HCPCS Code: G0390 | $16,632 | 11.4× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $12,267 | unverified |
| Total knee replacement CPT Code: 27447 | $10,329 | unverified |
| Injection procedure for pain management HCPCS Code: G0260 | $8,820 | unverified |
| Inguinal hernia repair CPT Code: 49505 | $6,136 | unverified |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $5,653 | 12.6× |
| Rabies immune globulin HCPCS Code: 90375 | $5,378 | 16.7× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $5,304 | unverified |
| Colonoscopy with biopsy CPT Code: 45380 | $4,011 | 3.2× |
| Upper endoscopy with biopsy CPT Code: 43239 | $3,762 | 3.8× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $2,997 | 5.1× |
| Blood transfusion CPT Code: 36430 | $2,365 | 4.7× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $2,335 | 4.6× |
| Psychotherapy session (60 minutes) CPT Code: 90837 | $2,330 | unverified |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $2,067 | 7.6× |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,936 | 5.7× |
| MRI, brain (no contrast) CPT Code: 70551 | $1,936 | 5.6× |
Audit a Bill or Quote at Marinhealth Medical Center (Zero PHI Required)
Above Standard 400% FPL Financial-Assistance Ceiling
At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Marinhealth Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)
Your bill ($135,586) is $116,499 above the denoised Fair BaseRate ($19,087) and 9.6× the $14,117 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Marinhealth Medical Center as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Marinhealth Medical Center. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-07-31·administrative_or_closure
Met Requirements
Recorded - 2024-11-26·administrative_or_closure
Closure Notice
Recorded - 2024-08-22·cap_corrective_action
CAP Request
Recorded - 2023-05-18·administrative_or_closure
Met Requirements
Recorded - 2022-11-18·administrative_or_closure
Closure Notice
Recorded - 2022-03-09·cap_corrective_action
CAP Request
Recorded - 2021-08-25·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare (1,189 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Marinhealth Medical Center.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.