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HospitalsCaliforniaNovato › Novato Community Hospital

Novato Community Hospital

Novato, California 94945

Billing Grade
F
Relative fairness percentile: P68
Avg Markup
16.5x
CMS Stars
N/A
Patient Experience
Not Reported

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Billing Profile

Last updated: 2026-02-18

Average markup vs Medicare: 16.5x
Cash/self-pay discount avg: 50.3%
Charity care (% revenue): N/A
State rank by markup: 18

Billing Grade Position

Grade F 16.5x F D C B A
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
20610 Joint Injection (drainage) $1615.00 $584.00 $39.75 40.6x
27130 Total Hip Replacement $18597.97 N/A $1162.02 16.0x
22630 Arthrd pst tq 1ntrspc lum $24147.50 N/A $1510.72 16.0x
23472 Shoulder Replacement $18597.97 N/A $1300.30 14.3x
22551 Cervical Spine Fusion $18597.97 N/A $1604.91 11.6x
11042 Wound Debridement $520.64 N/A $55.78 9.3x
10060 Abscess Drainage $763.80 $482.40 $100.54 7.6x

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 Novato Community Hospital

Last updated: 2026-02-18

Novato Community Hospital currently shows a billing grade of F with an average markup around 16.5x 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 50.3%, 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.

Nearby Hospitals

Data sourced from CMS and hospital-published pricing files. Actual charges vary. Not medical, legal, or financial advice.