Doctors Medical Center of Modesto
Modesto, California 95350
Billing Grade
F
Relative fairness percentile: P98
Avg Markup
68.4x
CMS Stars
N/A
Patient Experience
Not Reported
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Last updated: 2026-02-18
Average markup vs Medicare: 68.4x
Cash/self-pay discount avg: 11.6%
Charity care (% revenue): N/A
State rank by markup: 3
Billing Grade Position
This hospital marker
National avg marker
This hospital is currently graded F based on markup vs Medicare.
Markup Comparison
Benchmark comparisons are temporarily disabled while Medicare locality validation is in progress.
Common Procedure Prices
Last updated: 2026-02-18
| CPT | Description | Hospital | Cash | Medicare | Markup |
|---|---|---|---|---|---|
| 11042 | Wound Debridement | $83955.70 | $31317.45 | $55.78 | 1505.1x |
| 20610 | Joint Injection (drainage) | $15329.09 | $8955.75 | $39.75 | 385.6x |
| 10060 | Abscess Drainage | $24774.95 | $24774.95 | $100.54 | 246.4x |
| 22630 | Arthrd pst tq 1ntrspc lum | $209879.48 | $209879.48 | $1510.72 | 138.9x |
| 22551 | Cervical Spine Fusion | $103956.89 | $103956.89 | $1604.91 | 64.8x |
| 27130 | Total Hip Replacement | $66784.49 | $66784.49 | $1162.02 | 57.5x |
| 27447 | Total Knee Replacement | $59394.83 | $59394.83 | $1159.35 | 51.2x |
| 29881 | Knee Arthroscopy | $25796.25 | $25796.25 | $515.71 | 50.0x |
| 23472 | Shoulder Replacement | $62393.80 | $62393.80 | $1300.30 | 48.0x |
Color key: green <2x · yellow 2–5x · red >5x Medicare
Financial Assistance
Nonprofit status: Unknown
Financial assistance policy: Not listed in current data
How to Dispute a Bill from Doctors Medical Center of Modesto
Last updated: 2026-02-18
Doctors Medical Center of Modesto currently shows a billing grade of F with an average markup around 68.4x versus Medicare reference rates. In currently loaded benchmark samples, this is above the national average (8.3x). Use that benchmark when asking billing to review line items and justify large gaps.
If you are self-pay or high-deductible, ask for the cash/self-pay schedule first. Recent cash discounts are around 11.6%, which can be a practical anchor in your negotiation.
Before paying, scan your bill with BillKarma to identify line-item issues and generate a dispute packet.
Related guides:
How to Dispute a Medical Bill
Medical Bill Negotiation Guide
Nearby Hospitals
Encompass Health Rehabilitation Hospital of Modesto
· Grade F
· 16.6x
Alta Bates Summit Medical Center - Alta Bates Campus
· Grade F
· 15.6x
Anaheim Medical Center
· Grade F
· 21.6x
Baldwin Park Medical Center
· Grade F
· 25.6x
Desert Regional Medical Center
· Grade F
· 60.8x
Doctors Hospital of Manteca
· Grade F
· 58.0x
Data sourced from CMS and hospital-published pricing files. Actual charges vary. Not medical, legal, or financial advice.