Marshall Medical Center
1100 Marshall Way, Placerville, CA 95667 · 98 Priced Procedures · 69% Patient Recommendation
Typical commercial prices here are +37% above the fair benchmark (1.37×) even after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 1.37× fair market pricing.
Aligned Regional Benchmark Peer
Marshall Medical Center prices shoppable and inpatient services (1.3× to 1.1× Medicare, divergence 0.85×) in alignment with regional hospital peers (1.37× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.93× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 0% of shoppable procedures (50/100 Cash Honesty)
- 4-Star CMS clinical rating with 69% patient recommendation (61/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (65.7% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.9× markup over Medicare rates
- Commercial insurance median sits at 1.05× Fair BaseRate (1.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Specialty infusion drugs (J-codes) average 2.1× Medicare — verify per-unit billing on itemized statements
- Unnegotiated chargemaster list prices average 17.0× Medicare (23¢ 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 Marshall Medical Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 98 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $20,363 | 1.0× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $20,189 | 1.1× |
| Total knee replacement CPT Code: 27447 | $17,158 | 1.3× |
| Total hip replacement CPT Code: 27130 | $16,397 | 1.2× |
| Bunion correction surgery CPT Code: 28296 | $13,177 | unverified |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $8,249 | 1.0× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $7,976 | 1.3× |
| Inguinal hernia repair CPT Code: 49505 | $7,239 | 2.0× |
| Breast lump removal CPT Code: 19120 | $4,749 | 1.2× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $3,999 | 1.2× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,909 | 1.5× |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,884 | unverified |
| Trauma team activation HCPCS Code: G0390 | $1,777 | 1.2× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $1,197 | 1.2× |
| Blood transfusion CPT Code: 36430 | $563 | 1.1× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $499 | 1.1× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $499 | 1.0× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $359 | 0.6× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $318 | 1.2× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $318 | 1.0× |
| MRI, lower back (no contrast) CPT Code: 72148 | $318 | 0.9× |
| MRI, brain (no contrast) CPT Code: 70551 | $318 | 0.9× |
| MRI, knee or other leg joint CPT Code: 73721 | $318 | 0.9× |
| Rabies immune globulin HCPCS Code: 90375 | $290 | 0.9× |
| CT scan, head (with contrast) CPT Code: 70460 | $238 | 1.0× |
Audit a Bill or Quote at Marshall Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $136,143
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (65.7% of gross = $136,143).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Marshall 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 $19,432 Fair BaseRate ($14,044 Medicare)
Your bill ($207,093) is $187,661 above the denoised Fair BaseRate ($19,432) and 14.7× the $14,044 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (65.7% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)Source: CMS Hospital Care Compare (515 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 Marshall Medical Center.
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.