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Most expensive hospitals in California

Doctors Medical Center of Modesto in Modesto has the highest list prices in California: on average 32.3x what Medicare pays for the same services. The median across 31 ranked California hospitals is 4.0x.

Data as of 2026-11-11 · How this is calculated

Highest prices compared to Medicare

#HospitalCityPrices vs MedicareGrade
1 Doctors Medical Center of Modesto Modesto 32.3x F
2 Lakewood Regional Medical Center Lakewood 23.4x F
3 Placentia - Linda Hospital Placentia 22.2x F
4 Sierra Vista Regional Medical Center San Luis Obispo 18.1x F
5 San Ramon Regional Medical Center San Ramon 16.0x F
6 Fountain Valley Regional Hospital Fountain Valley 15.0x F
7 Uci Health - Los Alamitos Los Alamitos 15.0x F
8 Anaheim Medical Center Anaheim 8.6x F
9 Encompass Health Rehabilitation Hospital of Modesto Modesto 8.3x F
10 Encompass Health Rehabilitation Hospital of Tustin Tustin 4.5x C
11 San Francisco Va Medical Center San Francisco 4.5x C
12 Modesto Medical Center Modesto 4.2x C
13 Roseville Medical Center Roseville 4.0x C
14 San Jose Medical Center San Jose 4.0x C
15 San Leandro Medical Center San Leandro 4.0x C
16 San Rafael Medical Center San Rafael 4.0x C
17 Santa Clara Medical Center Santa Clara 4.0x C
18 Santa Rosa Medical Center Santa Rosa 4.0x C
19 South Sacramento Medical Center Sacramento 4.0x C
20 South San Francisco Medical Center South San Francisco 4.0x C
21 South Bay Medical Center Harbor City 3.9x C
22 Moreno Valley Medical Center Moreno Valley 3.6x C
23 West Los Angeles Medical Center Los Angeles 3.1x C
24 Woodland Hills Medical Center Woodland Hills 3.1x C
25 Zion Medical Center San Diego 3.1x C

Lowest prices compared to Medicare

#HospitalCityPrices vs MedicareGrade
31 Alta Bates Summit Medical Center - Alta Bates Camp Berkeley 1.2x A
30 California Pacific Medical Center - Davies Campus San Francisco 1.3x A
29 Mills-Peninsula Medical Center Burlingame 1.5x A
28 California Pacific Medical Center - Mission Bernal San Francisco 2.5x B
27 Palmdale Regional Medical Center Palmdale 2.9x B
26 Corona Regional Medical Center Corona 3.0x B
25 Zion Medical Center San Diego 3.1x C
24 Woodland Hills Medical Center Woodland Hills 3.1x C
23 West Los Angeles Medical Center Los Angeles 3.1x C
22 Moreno Valley Medical Center Moreno Valley 3.6x C

What this means for your bill

List prices are a starting point, not what insurers pay. But uninsured patients and people paying a deductible are often billed from them. A high multiple is a strong reason to ask for an itemized bill and question the charges.

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How this is calculated

For each hospital we compare the gross charges in its federally required price transparency file with what Medicare pays hospitals for the same billing code (the outpatient OPPS rate), then average across procedures. Codes Medicare doesn’t pay that way, such as lab tests and inpatient surgery, are left out. Hospitals need at least 5 priced procedures to be ranked. Full method and grading scale.