San Francisco Va Medical Center billing

4150 Clement Street, San Francisco, California 94121

  • Veterans Health Administration
  • Acute Care - Veterans Administration
  • CMS rating 4 of 5

1. Call billing

Have your account number ready. Ask for an itemized bill and ask whether you can apply for financial assistance.

Main hospital line
(415) 221-4810
Ask for patient billing or patient financial services.
Call (415) 221-4810

2. See if you qualify for free or discounted care

Hospitals that aren't nonprofit don't have to offer financial assistance, but many do. Ask billing for their policy, and check your income below.

Start an application cover letter

3. Send it in writing

A written request creates a record. Fill in your details, then print, email or mail it to San Francisco Va Medical Center billing.

  • Request an itemized bill
    Every charge, with its billing code. Start here.
    Get letter
  • Apply for financial assistance
    Cover letter for the hospital's application, with a request to pause collections.
    Create letter
  • Dispute a charge
    For duplicate lines, services you didn't get, or prices you want explained.
    Start dispute

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San Francisco Va Medical Center in San Francisco, California receives a BillKarma billing grade of F based on an average markup of 28.1x Medicare rates across 19 procedures in their published price transparency file. This places it among the 10 most expensive hospitals in California by markup ratio. The highest individual markups are for Lap ing hernia repair init (66.3x Medicare) and Joint Injection (drainage) (42.6x Medicare). Patients with scheduled procedures at this hospital should review costs and compare nearby alternatives before confirming — charges at D and F grade hospitals are significantly above the national average.

Common procedure prices

Last updated: 2026-10-21

Code Description Hospital charge Medicare pays Markup
49650 Lap ing hernia repair init $28131.00 $424.19 66.3×
20610 Joint Injection (drainage) $1695.00 $39.75 42.6×
49505 Prp i/hern init reduc >5 yr $20822.00 $508.03 41.0×
43239 Egd biopsy single/multiple $4996.00 $123.58 40.4×
47562 Laparoscopic cholecystectomy $25119.00 $631.95 39.7×
59000 Amniocentesis diagnostic $2777.00 $72.81 38.1×
44970 Laparoscopy appendectomy $19107.00 $578.17 33.0×
11042 Wound Debridement $1755.00 $55.78 31.5×
45378 Diagnostic colonoscopy $4974.00 $164.67 30.2×
70551 Mri brain stem w/o dye $5720.00 $195.40 29.3×
27447 Total Knee Replacement $33046.00 $1159.35 28.5×
72141 Mri neck spine w/o dye $5200.00 $190.72 27.3×
70553 Mri brain stem w/o & w/dye $7800.00 $316.97 24.6×
71045 X-ray exam chest 1 view $606.00 $25.38 23.9×
29881 Knee Arthroscopy $10536.00 $515.71 20.4×
45385 Colonoscopy w/lesion removal $4558.00 $223.45 20.4×
71046 X-ray exam chest 2 views $637.00 $33.07 19.3×
59025 Fetal non-stress test $835.00 $50.44 16.6×
10060 Abscess Drainage $1452.00 $100.54 14.4×
22551 Cervical Spine Fusion $21283.00 $1604.91 13.3×

Highlighted: charged at 5× or more what Medicare pays for the same code.

How to dispute a bill from San Francisco Va Medical Center

Last updated: 2026-10-21

SAN FRANCISCO VA MEDICAL CENTER currently shows a billing grade of F with an average markup around 28.1x versus Medicare reference rates. In currently loaded benchmark samples, this is above the state average (12.1x) and above the national average (8.0x). Use that benchmark when asking billing to review line items and justify large gaps. If you are self-pay or high-deductible, still request the cash/self-pay schedule in writing. If no discount is offered, ask for a supervisor review, payment-plan options, and item-level justification. Before paying, scan your bill with BillKarma to identify line-item issues and generate a dispute packet.

Location

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Map shows San Francisco Va Medical Center at 4150 CLEMENT STREET, San Francisco, California, 94121. Nearby hospitals within 50 miles include California Pacific Medical Center - Mission Bernal, California Pacific Medical Center - Davies Campus, Alta Bates Summit Medical Center - Alta Bates Camp.

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