Quick answers
- Does Kaiser Foundation Hospital have an emergency room?
- Yes. Medicare (CMS) data lists emergency services at Kaiser Foundation Hospital. In a medical emergency, call 911.
- Where is Kaiser Foundation Hospital?
- 99 Montecillo Rd, San Rafael, CA 94903, in Marin County, California.
- What is the phone number of Kaiser Foundation Hospital?
- (415) 444-2000, as listed by Medicare (CMS).
- What is the Medicare star rating of Kaiser Foundation Hospital?
- 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
- Does Medicare reduce its payments to Kaiser Foundation Hospital for hospital-acquired conditions?
- No. For fiscal year 2026, CMS lists no Medicare payment reduction for Kaiser Foundation Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.3443; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).
Specialties and care areas[4][5]
- Emergency Medicine
- Cardiology
- Dermatology
- Gastroenterology
- General Surgery
- Head and Neck Surgery
- Infectious Diseases
- Interventional Radiology
- Nephrology
- Neurology
- Oncology/Hematology
- Orthopedic Surgery
- Plastic and Reconstructive Surgery
- Podiatry
- Pulmonology
- Radiology/Diagnostic Imaging
- Urology
- Vascular Surgery
- Occupational Health
Programs and centers[5]
- Wound Care
- Home Health Care
- HIV Services
- Hepatitis C Services
- Insulin Pump Program
- Anticoagulation services
- Cardiac Catheterization Lab
- Cardiac Rehabilitation
Emergency care (hospital website)[4][5]
| Emergency room | Yes |
|---|---|
| Open 24/7 | Yes |
Visiting and practical information
| Interpreters and languages | Free interpreter services, including sign language, 24/7 at all points of contact[4] |
|---|
Doctors and clinicians (109)
109 doctors and other clinicians list Kaiser Foundation Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.
Main specialties
- Internal Medicine28
- Emergency Medicine21
- Diagnostic Radiology12
- Family Practice10
- Cardiovascular Disease (Cardiology)8
- Hospitalist4
- Neurology3
- Psychiatry3
- Nephrology3
- Gastroenterology3
- Pulmonary Disease2
- General Surgery2
Doctors with a page on this site (109)
- Aida Calvillo, MDInternal Medicine
- Airi KopperoinenInternal Medicine
- Alan S. Ament, MDCardiovascular Disease (Cardiology)
- Amardeep S. Johar, MDDiagnostic Radiology
- Andrew D. Spears, MDGastroenterology
- Andrew S. Tai, MDCardiovascular Disease (Cardiology)
- Anjali M. Ganatra, MDUrology
- Anne M. Walker, MDEmergency Medicine
- Annie-Laurie Auden, MDEmergency Medicine
- Aparajita Sohoni, MDEmergency Medicine
- April J. Fox, MDNephrology
- Arash Salari, DOFamily Practice
- Archana P. Mudivarthi, MDNeurology
- Benjamin W. Hunter, MDFamily Practice
- Brenden R. Yee, DOFamily Practice
- Brent C. Scharschmidt, MDInternal Medicine
- Brian S. Nishinaga, MDEmergency Medicine
- Christopher N. Cappelen, MDDiagnostic Radiology
- David J. Sulciner, MDCardiovascular Disease (Cardiology)
- David L. Conant, MDInternal Medicine
- Donald S. Schmidt, MDEmergency Medicine
- Dorota J. Wisner, MDDiagnostic Radiology
- Dorota K. Rhoads, MDFamily Practice
- Eric A. Gelino, MDDiagnostic Radiology
And 85 more: the button below opens the full list.
Names link to the doctor’s page on this site when there is one, otherwise to the official NPI Registry record (U.S. Department of Health and Human Services). Find a doctor · Source: CMS Facility Affiliation Data
Other emergency rooms nearby
Hospitals that list emergency services, by straight-line distance (not driving distance).
- Marinhealth Medical Center4.0 mi · Greenbrae, CA · Acute Care Hospital
- Novato Community Hospital6.5 mi · Novato, CA · Acute Care Hospital
- Kaiser Foundation Hospital - South San Francisco15 mi · South San Francisco, CA · Acute Care Hospital
- San Francisco VA Medical Center16 mi · San Francisco, CA · Federal/VA Acute Care Hospital
- Chinese Hospital16 mi · San Francisco, CA · Acute Care Hospital
Other hospitals near San Rafael
- Kentfield Hospital3.9 mi · Kentfield, CA · Long-Term Acute Care Hospital
- UCSF Langley Porter Psychiatric Hospital and Clinics16 mi · San Francisco, CA · Psychiatric Hospital
Nursing homes, hospice, home health and dialysis nearby
Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.
Nursing homes
- Villa Marin0.2 mi · San Rafael, CA · 4 of 5 stars
- Northgate Postacute Care0.9 mi · San Rafael, CA · 2 of 5 stars
- Pine Ridge Care Center0.9 mi · San Rafael, CA · 4 of 5 stars
All nursing homes in the state →
Hospice providers
- Madrona Hospice Care Inc1.3 mi · San Rafael, CA
- By the Bay Health4.7 mi · Larkspur, CA · 4 of 5 stars
- Sunshine Hospice and Palliative Care15 mi · El Sobrante, CA
All hospice providers in the state →
Home health agencies
- Allegro Home Health, Inc4.7 mi · Larkspur, CA · 4.5 of 5 stars
- By the Bay Health4.7 mi · Larkspur, CA · 4 of 5 stars
- Kaiser Foundation Hospital Home Health - Novato8.2 mi · Novato, CA · 2.5 of 5 stars
All home health agencies in the state →
Dialysis facilities
- DaVita San Rafael Dialysis3.3 mi · San Rafael, CA · 5 of 5 stars
- SHC Larkspur3.9 mi · Greenbrae, CA · 4 of 5 stars
- DaVita Alvarado Park Home Training12 mi · San Pablo, CA · 5 of 5 stars
Outpatient surgery centers nearby
Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.
- Marin Specialty Surgery Center1.3 mi · San Rafael, CA
- Marin Ophthalmic Ambulatory Surgi Clinic3.3 mi · San Rafael, CA
- Endoscopy Center of Marin3.9 mi · Greenbrae, CA
Community care nearby
Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.
Community health centers
- MCHWC Women's Health Clinic0.4 mi · San Rafael, CA · Community health center
- Archie Williams School Teen Clinic1.7 mi · San Anselmo, CA · Community health center
- Marin Community Clinic - Downtown San Rafael2.7 mi · San Rafael, CA · Community health center
Clinics and urgent care
- Brett V. Curtis, M.D. Inc. Apc5.6 mi · Corte Madera, CA · Urgent care center
- Brett V. Curtis M.D. & Associates, a Professional Corporation8.2 mi · Novato, CA · Urgent care center
- Kairo Medical Equipment LLC17 mi · San Francisco, CA · Urgent care center
Pharmacies
- Kaiser Foundation Health Plan Inc1.3 mi · San Rafael, CA · Community/retail pharmacy
- Kaiser Foundation Hospitals1.3 mi · San Rafael, CA · Community/retail pharmacy
- Marin Wellness Pharmacy, Inc.1.3 mi · San Rafael, CA · Community/retail pharmacy
Assisted living nearby
Licensed homes from the official state license list, by straight-line distance.
- A&A Haven Home1.3 mi · San Rafael, CA
- Almavia of San Rafael1.3 mi · San Rafael, CA
- Cogir of San Rafael1.3 mi · San Rafael, CA
- Daniel Rest Home1.3 mi · San Rafael, CA
About the Medicare star rating
CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →
Medicare quality data
What Kaiser Foundation Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.
What patients said (patient survey)
What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.
| Summary star rating (all survey topics) | 3 of 5 stars |
|---|---|
| Overall rating of the hospital | 3 of 5 stars |
| Would recommend the hospital | 4 of 5 stars |
| Nurses communicated well | 3 of 5 stars |
| Doctors communicated well | 4 of 5 stars |
| Patients got help quickly from staff | 3 of 5 stars |
| Staff explained medicines | 3 of 5 stars |
| Information about recovery at home | 4 of 5 stars |
| Room and bathroom kept clean | 4 of 5 stars |
| Restfulness of Environment | 1 of 5 stars |
| Care Coordination | 3 of 5 stars |
| Symptoms After Stay | 3 of 5 stars |
| Rated the hospital 9 or 10 out of 10 | 67%National average: 72% |
| Would definitely recommend the hospital | 72%National average: 71% |
| Nurses “always” communicated well | 76%National average: 80% |
| Doctors “always” communicated well | 82%National average: 80% |
| “Always” got help as soon as they wanted | 59%National average: 64% |
| Staff “always” explained medicines before giving them | 62%National average: 62% |
| Were given information about recovery at home | 89%National average: 86% |
| Room and bathroom “always” clean | 72%National average: 73% |
| Completed surveys | 1,072Response rate: 34% |
Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 2025.
Infections caught in the hospital
What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.
| Central line bloodstream infections (CLABSI) | 0.461No different from the national benchmark |
|---|---|
| Catheter-associated urinary tract infections (CAUTI) | 1.101No different from the national benchmark |
| Surgical site infections after colon surgery | 0No different from the national benchmark |
| Clostridioides difficile (C. diff) intestinal infections | 0.928No different from the national benchmark |
| Not reported to Medicare | Surgical site infections after abdominal hysterectomy; MRSA bloodstream infections |
Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.
Complications and deaths
What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.
| Deaths within 30 days: stroke patients | 11% |
|---|---|
| Serious complications (patient safety indicator PSI-90) | 0.96No different from the national rate |
| Complications after hip or knee replacement | 5.4% |
| Not reported to Medicare | Deaths within 30 days: coronary bypass surgery (CABG) |
| Too few cases to report | Deaths within 30 days: heart attack patients; Deaths within 30 days: heart failure patients; Deaths within 30 days: pneumonia patients; Deaths within 30 days: COPD patients |
Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2023 to June 2025.
Return visits to the hospital (readmissions)
What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.
| Returned to any hospital within 30 days (all patients) | 14.8% |
|---|---|
| Readmitted within 30 days: heart attack | 15.5% |
| Readmitted within 30 days: heart failure | 19.8% |
| Readmitted within 30 days: pneumonia | 17.3% |
| Readmitted within 30 days: COPD | 19.1% |
| Not reported to Medicare | Readmitted within 30 days: coronary bypass surgery |
| Too few cases to report | Readmitted within 30 days: hip or knee replacement |
Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.
Emergency room times and sepsis care
What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.
| Sepsis patients who got all the recommended early care (SEP-1) | 79%National average: 66% |
|---|---|
| Not reported to Medicare | Average (median) time patients spent in the emergency room before leaving (OP-18b); Patients who left the emergency room before being seen (OP-22) |
Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.
Medicare payment programs
Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Kaiser Foundation Hospital, fiscal year 2026 (October 2025 to September 2026).
Show the Medicare payment program results
Hospital-Acquired Condition Reduction Program
What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.
CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.
| Medicare payment reduction, fiscal year 2026 | NoCMS lists no payment reduction for this hospital. |
|---|---|
| Total HAC Score | 0.3443Lower is better. Hospitals above the 75th percentile of all scores get the reduction. |
Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.
Hospital Value-Based Purchasing Program
What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.
CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.
| Total Performance Score | 41.67 out of 100Median of the 2,455 hospitals in the program: 29.50 |
|---|---|
| Person and community engagement (patient survey) | 39.00 out of 100 |
| Safety (infections and sepsis care) | 46.00 out of 100 |
| Efficiency and cost reduction (Medicare spending) | 40.00 out of 100 |
| No result published | Clinical outcomes (deaths and complications) (not reported, or too few cases) |
Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.
Medicare spending per patient (MSPB)
What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.
CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.
| Medicare spending per patient, ratio | 0.90Below the national median hospital (1.00): Medicare spent less |
|---|
Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.
No result for this hospital: Hospital Readmissions Reduction Program. This is normal when a hospital is paid under another Medicare system (for example critical access, children’s or psychiatric hospitals), is not in the program that year, or has too few cases.
ER wait times and Medicare ratings nearby
How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.
Prices
Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 73 common services exactly as Kaiser Foundation Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.
What the prices mean
- Hospital charge
- The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
- Cash price
- The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
- Insurance rates
- The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
- Hospital and doctor fees
- A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.
How to use hospital prices: estimates, financial assistance and your rights →
Show the prices of 73 common services
Office and emergency visits
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: EMERGENCY DEPARTMENT VISIT LOW MDM | $2,896 | $1,621.76 | $2,055 |
Emergency room visit (moderate): rates for 3 insurance plans
| |||
| Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: EMERGENCY DEPARTMENT VISIT MODERATE MDM | $4,844 | $2,712.64 | $3,165 |
Emergency room visit (moderately high): rates for 3 insurance plans
| |||
| Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: EMERGENCY DEPARTMENT VISIT HIGH MDM | $7,536 | $4,220.16 | $4,555 |
Emergency room visit (high): rates for 3 insurance plans
| |||
Lab tests
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: BASIC METABOLIC PANEL CALCIUM TOTAL | $345 | $193.20 | $8 – $25 |
Basic metabolic panel (blood test): rates for 3 insurance plans
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: COMPREHENSIVE METABOLIC PANEL | $456 | $255.36 | $10 – $30 |
Comprehensive metabolic panel (blood test): rates for 3 insurance plans
| |||
| Obstetric blood test panel CPT 80055 · Inpatient or outpatient In the file: OBSTETRIC PANEL | $770 | $431.20 | $45 – $140 |
Obstetric blood test panel: rates for 3 insurance plans
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID PANEL | $279 | $156.24 | $13 – $40 |
Cholesterol panel (lipid panel): rates for 3 insurance plans
| |||
| Kidney function panel CPT 80069 · Inpatient or outpatient In the file: RENAL FUNCTION PANEL | $254 | $142.24 | $8 – $25 |
Kidney function panel: rates for 3 insurance plans
| |||
| Liver function panel CPT 80076 · Inpatient or outpatient In the file: HEPATIC FUNCTION PANEL | $239 | $133.84 | $8 – $25 |
Liver function panel: rates for 3 insurance plans
| |||
| Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY | $148 | $82.88 | $3 – $10 |
Urine test (automated, with microscope): rates for 3 insurance plans
| |||
| Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP | $65 | $36.40 | $3 – $10 |
Urine test (manual, without microscope): rates for 3 insurance plans
| |||
| Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY | $100 | $56 | $2 – $7 |
Urine test (automated, without microscope): rates for 3 insurance plans
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL | $233 | $130.48 | $18 – $55 |
PSA (prostate specific antigen) blood test: rates for 3 insurance plans
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: ASSAY OF THYROID STIMULATING HORMONE TSH | $277 | $155.12 | $16 – $50 |
Thyroid stimulating hormone (TSH) test: rates for 3 insurance plans
| |||
| Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $220 | $123.20 | $8 – $25 |
Complete blood count (CBC) with differential: rates for 3 insurance plans
| |||
| Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: BLOOD COUNT COMPLETE AUTOMATED | $160 | $89.60 | $6 – $20 |
Complete blood count (CBC), automated: rates for 3 insurance plans
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PROTHROMBIN TIME | $160 | $89.60 | $3 – $10 |
Blood clotting time test (prothrombin time, PT): rates for 3 insurance plans
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD | $253 | $141.68 | $5 – $15 |
Blood clotting test (partial thromboplastin time, PTT): rates for 3 insurance plans
| |||
Imaging (X-ray, CT, MRI, ultrasound, mammogram)
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT HEAD/BRAIN W/O CONTRAST MATERIAL | $4,790 | $2,682.40 | $145 – $455 |
CT scan of the head or brain, without contrast: rates for 3 insurance plans
| |||
| MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL | $9,820 | $5,499.20 | $476 – $1,490 |
MRI of the brain, before and after contrast: rates for 3 insurance plans
| |||
| Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: RADIOLOGIC EXAM CHEST 2 VIEWS | $900 | $504 | $118 – $370 |
Chest X-ray, 2 views: rates for 3 insurance plans
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS | $1,050 | $588 | $142 – $445 |
X-ray of the lower spine, at least 4 views: rates for 3 insurance plans
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL | $5,860 | $3,281.60 | $323 – $1,010 |
MRI of the lower back (lumbar spine), without contrast: rates for 3 insurance plans
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT PELVIS W/CONTRAST MATERIAL | $8,500 | $4,760 | $377 – $1,180 |
CT scan of the pelvis, with contrast: rates for 3 insurance plans
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL | $6,140 | $3,438.40 | $323 – $1,010 |
MRI of a leg joint (such as the knee), without contrast: rates for 3 insurance plans
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT ABDOMEN & PELVIS W/CONTRAST MATERIAL | $8,490 | $4,754.40 | $476 – $1,490 |
CT scan of the abdomen and pelvis, with contrast: rates for 3 insurance plans
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION | $1,770 | $991.20 | $142 – $445 |
Ultrasound of the abdomen, complete: rates for 3 insurance plans
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION | $1,690 | $946.40 | $142 – $445 |
Pregnancy ultrasound (after the first trimester): rates for 3 insurance plans
| |||
| Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: US TRANSVAGINAL | $1,280 | $716.80 | $142 – $445 |
Transvaginal ultrasound: rates for 3 insurance plans
| |||
| Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI | $670 | $375.20 | $125 – $390 |
Diagnostic mammogram, one breast: rates for 3 insurance plans
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI | $900 | $504 | $160 – $500 |
Diagnostic mammogram, both breasts: rates for 3 insurance plans
| |||
| Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD | $670 | $375.20 | $133 – $415 |
Screening mammogram, both breasts: rates for 3 insurance plans
| |||
Heart tests and sleep study
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient In the file: ECG ROUTINE ECG W/LEAST 12 LDS W/I&R | $160 | $89.60 | Not listed in the file |
Electrocardiogram (ECG/EKG) with reading: rates for 3 insurance plans
| |||
| Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient In the file: L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I | $27,880 | $15,612.80 | Not listed in the file |
Left heart catheterization (diagnostic): rates for 3 insurance plans
| |||
| Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient In the file: COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION | $27,640 | $15,478.40 | Not listed in the file |
Heart rhythm study (electrophysiology evaluation): rates for 3 insurance plans
| |||
| Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient In the file: COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION | $69,830 | $39,104.80 | Not listed in the file |
Heart rhythm study with ablation for atrial fibrillation: rates for 3 insurance plans
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | $8,730 | $4,888.80 | Not listed in the file |
Sleep study (overnight, in a sleep lab): rates for 3 insurance plans
| |||
Physical therapy and mental health
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES | $259 | $145.04 | Not listed in the file |
Physical therapy: therapeutic exercise (each 15 minutes): rates for 3 insurance plans
| |||
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: "PT, THERAP PROC 1/> AREAS EA 15 MIN; EXERCISES." | $231 | $129.36 | Not listed in the file |
Physical therapy: therapeutic exercise (each 15 minutes): rates for 3 insurance plans
| |||
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: "OT, THERAP PROC 1/> AREAS EA 15 MIN; EXERCISES." | $231 | $129.36 | Not listed in the file |
Physical therapy: therapeutic exercise (each 15 minutes): rates for 3 insurance plans
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS | $600 | $336 | Not listed in the file |
Physical therapy evaluation (low complexity): rates for 3 insurance plans
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS | $680 | $380.80 | Not listed in the file |
Physical therapy evaluation (moderate complexity): rates for 3 insurance plans
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS | $810 | $453.60 | Not listed in the file |
Physical therapy evaluation (high complexity): rates for 3 insurance plans
| |||
| Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: PSYCHOTHERAPY W/PATIENT 30 MINUTES | $791 | $442.96 | Not listed in the file |
Psychotherapy, 30 minutes: rates for 3 insurance plans
| |||
| Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: PSYCHOTHERAPY W/PATIENT 45 MINUTES | $1,040 | $582.40 | Not listed in the file |
Psychotherapy, 45 minutes: rates for 3 insurance plans
| |||
| Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: PSYCHOTHERAPY W/PATIENT 60 MINUTES | $720 | $403.20 | Not listed in the file |
Psychotherapy, 60 minutes: rates for 3 insurance plans
| |||
| Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS | $850 | $476 | Not listed in the file |
Family psychotherapy, without the patient: rates for 3 insurance plans
| |||
| Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS | $1,060 | $593.60 | Not listed in the file |
Family psychotherapy, with the patient: rates for 3 insurance plans
| |||
| Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: GROUP PSYCHOTHERAPY | $950 | $532 | Not listed in the file |
Group psychotherapy: rates for 3 insurance plans
| |||
Procedures and surgery
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient In the file: EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION | $14,360 | $8,041.60 | $4,627 – $14,491 |
Removal of breast growth (open surgery): rates for 3 insurance plans
| |||
| Total hip replacement CPT 27130 · Inpatient or outpatient In the file: ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT | $16,360 | $9,161.60 | $15,548 – $48,690 |
Total hip replacement: rates for 3 insurance plans
| |||
| Total knee replacement CPT 27447 · Inpatient or outpatient In the file: ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS | $46,000 | $25,760 | $15,548 – $48,690 |
Total knee replacement: rates for 3 insurance plans
| |||
| Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient In the file: SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS | $9,360 | $5,241.60 | Not listed in the file |
Shoulder arthroscopy: shaving of shoulder bone: rates for 3 insurance plans
| |||
| Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient In the file: ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG | $13,080 | $7,324.80 | $3,921 – $12,278 |
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 3 insurance plans
| |||
| Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient In the file: TONSILLECTOMY & ADENOIDECTOMY <AGE 12 | $18,990 | $10,634.40 | $7,148 – $22,386 |
Removal of tonsils and adenoids (under age 12): rates for 3 insurance plans
| |||
| Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC | $6,620 | $3,707.20 | $1,133 – $3,547 |
Upper GI endoscopy (diagnostic): rates for 3 insurance plans
| |||
| Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: EGD TRANSORAL BIOPSY SINGLE/MULTIPLE | $5,990 | $3,354.40 | $1,133 – $3,547 |
Upper GI endoscopy with biopsy: rates for 3 insurance plans
| |||
| Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD | $6,570 | $3,679.20 | $1,102 – $3,450 |
Colonoscopy (diagnostic): rates for 3 insurance plans
| |||
| Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE | $6,340 | $3,550.40 | $1,425 – $4,462 |
Colonoscopy with biopsy: rates for 3 insurance plans
| |||
| Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ | $6,190 | $3,466.40 | $1,425 – $4,462 |
Colonoscopy with removal of polyps (snare): rates for 3 insurance plans
| |||
| Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient In the file: COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX | $5,190 | $2,906.40 | $1,425 – $4,462 |
Ultrasound of the lower bowel by endoscope: rates for 3 insurance plans
| |||
| Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: COLON CA SCRN NOT HI RSK IND | $5,740 | $3,214.40 | $1,102 – $3,450 |
Screening colonoscopy (not high risk): rates for 3 insurance plans
| |||
| Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient In the file: LAPAROSCOPY SURG CHOLECYSTECTOMY | $34,320 | $19,219.20 | $7,050 – $22,078 |
Gallbladder removal by laparoscope: rates for 3 insurance plans
| |||
| Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE | $33,440 | $18,726.40 | $4,265 – $13,355 |
Groin (inguinal) hernia repair, age 5 or older: rates for 3 insurance plans
| |||
| Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient In the file: LAPS SURG PRST8ECT RPBIC RAD W/NERVE SPARING | $68,460 | $38,337.60 | $12,581 – $39,398 |
Prostate removal by laparoscope (radical prostatectomy): rates for 3 insurance plans
| |||
| Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient In the file: HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C | $21,880 | $12,252.80 | $3,842 – $12,031 |
Hysteroscopy with biopsy of the uterus lining: rates for 3 insurance plans
| |||
| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $6,540 | $3,662.40 | $837 – $2,620 |
Spinal injection, lower back (epidural), with imaging guidance: rates for 3 insurance plans
| |||
| Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL | $6,010 | $3,365.60 | $1,076 – $3,369 |
Nerve root injection, lower back, with imaging guidance: rates for 3 insurance plans
| |||
| Carpal tunnel release CPT 64721 · Inpatient or outpatient In the file: NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE | $9,480 | $5,308.80 | $2,360 – $7,390 |
Carpal tunnel release: rates for 3 insurance plans
| |||
| Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient In the file: POST-CATARACT LASER SURGERY | $4,830 | $2,704.80 | $663 – $2,076 |
Laser treatment of clouding after cataract surgery: rates for 3 insurance plans
| |||
| Cataract removal with lens implant CPT 66984 · Inpatient or outpatient In the file: XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP | $15,400 | $8,624 | $2,756 – $8,631 |
Cataract removal with lens implant: rates for 3 insurance plans
| |||
Hospital stays (whole stay, MS-DRG)
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | Not listed in the file | Not listed in the file | $29,246 – $117,396 |
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 3 insurance plans
| |||
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | Not listed in the file | Not listed in the file | $18,397 – $73,848 |
Hip or knee replacement (major joint of the leg), without major complications: rates for 3 insurance plans
| |||
| Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC | Not listed in the file | Not listed in the file | $24,216 – $97,204 |
Neck (cervical) spinal fusion, without complications: rates for 3 insurance plans
| |||
| Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | Not listed in the file | Not listed in the file | $13,090 – $52,546 |
Uterus and ovary surgery (not for cancer), without complications: rates for 3 insurance plans
| |||
Source: Kaiser Foundation Hospital’s standard charges file (healthy.kaiserpermanente.org, CSV, CMS template 3.0.1; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 5, 2026. The hospital’s price transparency page →
Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.
Hospital information
| Hospital type | Acute Care Hospital |
|---|---|
| Address | 99 Montecillo Rd, San Rafael, CA 94903 |
| County | Marin County |
| State | California |
| Phone | (415) 444‑2000 |
| Emergency services | Yes |
| Ownership | Voluntary non-profit - Private |
| Medicare overall rating | 4 of 5 stars |
| CMS Certification Number | 050510 |
| Name in Medicare records | KAISER FOUNDATION HOSPITAL |
| Profile level | Medicare data + hospital website |
| Name on the hospital’s website | San Rafael Medical Center |
| Official website | healthy.kaiserpermanente.org |
| Corrections | Report an error or suggest an update → |
Sources
- Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this hospital
- U.S. Census Bureau Geocoder — map position used for distances
From the hospital’s website
Numbers match the citations above. Checked 2026-10-30.
- San Rafael Medical Center | Kaiser Permanente — healthy.kaiserpermanente.org
- Departments & Specialties at San Rafael Medical Center — healthy.kaiserpermanente.org