Pricing Transparency | UCSF Benioff Children鈥檚 Hospitals

<!DOCTYPE html>     <html class="no-js" lang="en">  <head> <link rel="stylesheet" type="text/css" href=/assets/ucsf/main.css?v=40182074ecb56dad04debd94fedfc468 /> <link rel="stylesheet" type="text/css" href=/assets/bch/main.css?v=754aa12d0b3de52563c5716af1d66516 />  <script type="text/javascript" src="https://cdn.cookielaw.org/consent/69de606f-159b-41ad-82da-d7a76950873b/OtAutoBlock.js" ></script> <script src="https://cdn.cookielaw.org/scripttemplates/otSDKStub.js" type="text/javascript" charset="UTF-8" data-domain-script="69de606f-159b-41ad-82da-d7a76950873b" ></script> <script type="text/javascript"> function OptanonWrapper() { } </script> <script type="text/javascript"> function OptanonWrapper() { // Check if banner div is available if (document.getElementById('onetrust-banner-sdk')) { // Get the buttons and container var acceptBtn = document.getElementById("onetrust-accept-btn-handler"); var declineBtn = document.getElementById("onetrust-reject-all-handler"); var cookieSettingsBtn = document.getElementById("onetrust-pc-btn-handler"); var btnContainer = document.getElementById("onetrust-button-group"); // Set the order you want below... btnContainer.append(acceptBtn, cookieSettingsBtn, declineBtn) } } </script>   <script src="https://datalayer.ucsfhealth.org/ucsf-data-layer.js" defer></script>  <script src="https://datalayer.ucsfhealth.org/ucsfbenioffchildrens-marketing-data-layer.js" defer></script>  <script type="text/plain" class="optanon-category-C0007" src="https://assets.adobedtm.com/db5f13cb240b/b1130ce1ceae/launch-db8f55f3e131.min.js" defer></script> <title>Pricing Transparency | UCSF Benioff Children鈥檚 Hospitals</title> <link href="/-/media/project/ucsf/ucsf-bch/header/favicon-32x32.png?rev=7da17355eec44d65b26747967816d41b" rel="shortcut icon" /> <link rel="canonical" href="https://www.ucsfbenioffchildrens.org/billing-and-insurance/pricing-transparency" /> <meta content="Your Visit" name="mainNavName" /> <meta content="false" name="includeBackgroundCircles" /> <meta property="fb:app_id" content="1162986667203299" /><meta property="og:description" content="This extensive list of hospital charges doesn't show the amount you or your insurer will actually pay. 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Learn more.","image":"https://www.ucsfbenioffchildrens.org/-/media/project/ucsf/ucsf-bch/images/article/hero/pricing-transparency-2x.jpg?rev=f55a7ae1a3f14e3ebbce19b17edfc2ae","url":"https://www.ucsfbenioffchildrens.org/billing-and-insurance/pricing-transparency","author":{"@type":"Organization","name":"UCSF Health"},"dateCreated":"2024-07-24T20:07:38+00:00","dateModified":"2024-07-24T21:46:43+00:00","publisher":{"@type":"Organization","name":"UCSF Health","logo":{"@type":"ImageObject","url":"https://www.ucsfbenioffchildrens.org/-/media/project/ucsf/ucsf-health/ezgifcom-gif-maker.png?rev=b49aee14cf934fb086632358c341cf97"}},"articleBody":"At UCSF Health, we're committed to helping patients and their families make informed health care decisions. This commitment includes providing information and resources related to the potential cost of treatment at UCSF Benioff Children's Hospitals.","articleSection":"Article"} </script> <script type="application/ld+json"> {"@context":"http://schema.org","@type":"FAQPage","mainEntity":[{"@type":"Question","name":"What is the new CMS regulation, and what does it require?","acceptedAnswer":{"@type":"Answer","text":"<p>In November 2019, CMS published a requirement that hospitals post a machine readable file containing gross charges, discounted cash prices, payer-specific negotiated charges, and de-identified minimum and maximum negotiated charges. This requirement went into effect on January 1, 2021.</p>"}},{"@type":"Question","name":"Has UCSF Health complied with the regulations?","acceptedAnswer":{"@type":"Answer","text":"<p>Yes, we have complied with this new regulation by posting a machine readable file above. In addition to the steps CMS has required us to take, we are committed to helping patients and their families make informed decisions about every aspect of their care, including the out-of-pocket costs. We have a team of financial advisors available to help you with this. To speak with an advisor about a personalized out-of-pocket financial responsibility estimate specific to your visit and care, call the Patient Estimate Program at the number below or visit our <a href=\"~/link.aspx?_id=149EAFCE885F4A58B424F80ED4992221&_z=z\">Billing & Insurance</a> page for more information. </p>"}},{"@type":"Question","name":"Haven't you been transparent about pricing in the past?","acceptedAnswer":{"@type":"Answer","text":"<p>Yes. In fact, UCSF Health has been posting these prices online with the State of California Office of Statewide Health Planning and Development for years, in accordance with the State of California Payers Bill of Rights of 2003. The site updates pricing information each June for all hospitals in California. In addition, price information is readily available at our facilities.</p>"}},{"@type":"Question","name":"Is this what I will actually be charged if I come to UCSF Health?","acceptedAnswer":{"@type":"Answer","text":"<p>The prices that hospitals are required to publish may not reflect the price you will pay. As an individual patient, your responsibility would depend on your insurance plan, coverage, deductibles, co-insurance and other factors. </p>"}},{"@type":"Question","name":"Why do different hospitals charge different prices for the care they provide?","acceptedAnswer":{"@type":"Answer","text":"<p>There are no specific requirements or consistent guidelines for how hospitals determine their charges. As a result, one hospital might combine the charges of some line items, while another may spell out each charge individually. Neither approach is right or wrong, and both comply with the federal rule; they are simply different ways of representing the charge for a therapy or procedure.</p>\n<p>In addition, some hospitals, including UCSF Medical Center and UCSF Benioff Children's Hospitals, serve as tertiary and quaternary referral hospitals, so other hospitals send patients who require more specialized care to us. As a result, the total charges for our patients normally include more extensive care, meaning potentially more line items and higher average charges.</p>"}},{"@type":"Question","name":"These lists are extremely confusing. How do we make sense of them?","acceptedAnswer":{"@type":"Answer","text":"<p>Yes, this is extremely confusing. At UCSF Health, we have a team of financial assistance counselors to help current and prospective patients understand their potential out-of-pocket costs. Our team makes every attempt to personalize these quotes to enable patients to make informed decisions and understand their potential financial liability, both before and after their care. We also offer financial assistance and discounts for patients who have no insurance or, for patients who qualify, help them enroll in available and appropriate Medicare and Medi-Cal programs.</p>\n<p>To speak with a staff member about a personalized out-of-pocket estimate specific to your visit and care, call the Patient Estimate Program toll-free at (844) 678-6831 or visit our <a href=\"~/link.aspx?_id=149EAFCE885F4A58B424F80ED4992221&_z=z\">Billing & Insurance</a> page for more information. </p>\n<p>For questions about our standard charges posted above, please email us at <a href=\"mailto:pricingtransparency@ucsf.edu\">pricingtransparency@ucsf.edu</a>.</p>"}}]} </script> </head> <body class="default-device bodyclass"> <a href="#content" class="skip-to-content">Skip to Main Content</a> <div id="wrapper">  <header> <div id="header" class="container-fluid"> <div class="component rich-text ie-warning-banner"> <div class="component-content"> <p> Looks like you’re visiting Benioff Children's Hospitals on Internet Explorer. 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href="/refer-a-patient">Refer a Patient</a></li> </ul> <div class="mobile-nav-footer"> </div> </div> </div> </div> </div> </div> </div> </div> </header>   <main> <div id="content" class="container"> <div class="component article-hero basic-hero"> <div class="component-content"> <div class="hero-image"> <img src="/-/media/project/ucsf/ucsf-bch/images/article/hero/pricing-transparency-2x.jpg?h=1112&iar=0&w=2880&rev=f55a7ae1a3f14e3ebbce19b17edfc2ae&hash=76A603DB6EC0948781C82E7B694CC75C" alt="" width="2880" height="1112" /> </div> <div class="hero-content"> <div class="eyebrow hero-breadcrumb"> <div class="component ucsf-breadcrumb"> <div class="component-content"> <div class="eyebrow article-breadcrumb"> <a href="/billing-and-insurance">Billing & Insurance </a> </div> </div> </div> </div> <div class="hero-badge-hero"> </div> <h1 class="hero-title display1"> Pricing Transparency </h1> </div> </div> </div><div class="component clinic-ctas no-links container"> <div class="component-content"> </div> </div><div class="component share-print-email container clinic-share"> <div class="component-content"> <div class="share-component"> <a aria-label="Print Page" href="#" rel="nofollow" class="icon-ui-print" title="Print"></a> <a aria-label="Share Page" data-email-body="Thought you might want to see this:" class="icon-ui-share" data-email-body="Thought you might want to see this:" data-email-subject="Take a look at this link from UCSF"></a> </div> <div class="clearfix"></div> </div> </div><div class="component article-intro column-layout col-2-66-33 container"> <div class="component-content col-2-80-20"> <div class="article-content left-col"> <div class="font-larger article-text rich-text"> <p>At UCSF Health, we're committed to helping patients and their families make informed health care decisions. This commitment includes providing information and resources related to the potential cost of treatment at UCSF Benioff Children's Hospitals.</p> </div> </div> <div class="article-info right-col"> </div> </div> </div> <div class="component content container"> <div class="component-content"> <div class="component column-layout col-2-66-33 col-xs-12 col-2-80-20"> <div class="component-content"> <div class="left-col"> <div class="component rich-text col-xs-12"> <div class="component-content"> <p>In addition, federal law* requires medical centers to publish online a list of standard charges for hospital items and services, and update it at least once a year. You can click below to view our current lists in JSON format. This list was updated July 2024 to reflect changes made to standard charges.</p> <h2>UCSF Benioff Children's Hospitals standard charges</h2> <p>This document lists the gross charge for all services and items that could potentially be billed to our patients, insurers and guarantors. This list represents line-item charges for many different elements of the care we provide, such as surgical procedures, hospital rooms, special facilities such as operating rooms, supplies, devices, procedures, tests and medications.</p> <p>We have also provided our self-pay pricing along with any fixed payer-specific negotiated charges. Please note that UCSF provides many complex services, which are reimbursed at a variable rate. This means that the reimbursement is dependent on many factors: the length of stay, medications and supplies provided with the service, and other variable factors.</p> <p>The charges hospitals are required to post on this list may not reflect what you will actually pay. Your child's doctor and care team will determine what services and treatments are necessary. Your individual out-of-pocket costs will be impacted by insurance plan coverage, co-pays and deductibles, if applicable, as well as by the services provided and other variables that affect costs. For those reasons, this list should not be used to estimate the actual final cost you will incur.</p> <p>We want you to understand your potential out-of-pocket costs before your visit, and we have a team of financial advisors available to help you with this. To speak with an advisor about a personalized out-of-pocket financial responsibility estimate specific to your child's care, call the Patient Estimate Program at the toll-free number below. For questions about our price lists, email <a href="/cdn-cgi/l/email-protection#e9999b808a80878e9d9b88879a99889b8c878a90a99c8a9a8fc78c8d9c"><span class="__cf_email__" data-cfemail="aededcc7cdc7c0c9dadccfc0dddecfdccbc0cdd7eedbcdddc880cbcadb">[email protected]</span></a>.</p> </div> </div> <div class="component rich-text col-xs-12"> <div class="component-content"> <h2>Price list file</h2> <p>If you have difficulty accessing a file, try a different browser.</p> </div> </div> <div class="component link-list meta-links col-xs-12"> <div class="component-content"> <ul class="use-download-icon "> <li class="item0 odd first "> <p class="font-smaller"> <a href="https://app.box.com/index.php?rm=box_download_shared_file&shared_name=flvb94pj68red9qvcidxx5updc3wa2gg&file_id=f_1724810958755" target=>UCSF Benioff Children's Hospital Oakland Standard Charges</a> </p> </li> <li class="item1 even last "> <p class="font-smaller"> <a href="https://app.box.com/index.php?rm=box_download_shared_file&shared_name=nk7dp0b6o776k1ii4he8s7x0b9ceo0gl&file_id=f_1724820213296" target=>UCSF Medical Center & UCSF Benioff Children's Hospital San Francisco Standard Charges</a> </p> </li> </ul> </div> </div> <div class="component rich-text col-xs-12"> <div class="component-content"> <h2>Download our charge description master (CDM)</h2> <p>The hospital charges on our CDM are listed by item and subject to change.</p> </div> </div> <div class="component link-list meta-links col-xs-12"> <div class="component-content"> <ul class="use-download-icon "> <li class="item0 odd first "> <p class="font-smaller"> <a href="/-/media/project/ucsf/ucsf-bch/pricing-transparency/bch-oakland-cdm_all-6-2024.xlsx?rev=fb7238714ba6467e815d7622db3c0b7f" target=>UCSF Benioff Children's Hospital Oakland charge description master (CDM)</a> </p> </li> <li class="item1 even last "> <p class="font-smaller"> <a href="/-/media/project/ucsf/ucsf-bch/pricing-transparency/ucsf-cdm_all-06-2024.xlsx?rev=e0d3820958c746169506c3139821cb36" target=>UCSF Medical Center & UCSF Benioff Children鈥檚 Hospital San Francisco charge description master (CDM)</a> </p> </li> </ul> </div> </div> </div> <div class="right-col"> </div> </div> </div> <div class="component faq-module col-xs-12"> <div class="component-content"> <h2 class="heading2 title-anchor field-title">Frequently Asked Questions</h2><ul class="paragraph1"><li><a class="question" href="#">What is the new CMS regulation, and what does it require?</a><div><p class="field-answer"><p>In November 2019, CMS published a requirement that hospitals post a machine readable file containing gross charges, discounted cash prices, payer-specific negotiated charges, and de-identified minimum and maximum negotiated charges. This requirement went into effect on January 1, 2021.</p></p></div></li><li><a class="question" href="#">Has UCSF Health complied with the regulations?</a><div><p class="field-answer"><p>Yes, we have complied with this new regulation by posting a machine readable file above. In addition to the steps CMS has required us to take, we are committed to helping patients and their families make informed decisions about every aspect of their care, including the out-of-pocket costs. We have a team of financial advisors available to help you with this. To speak with an advisor about a personalized out-of-pocket financial responsibility estimate specific to your visit and care, call the Patient Estimate Program at the number below or visit our <a href="/billing-and-insurance">Billing & Insurance</a> page for more information. </p></p></div></li><li><a class="question" href="#">Haven't you been transparent about pricing in the past?</a><div><p class="field-answer"><p>Yes. In fact, UCSF Health has been posting these prices online with the State of California Office of Statewide Health Planning and Development for years, in accordance with the State of California Payers Bill of Rights of 2003. The site updates pricing information each June for all hospitals in California. In addition, price information is readily available at our facilities.</p></p></div></li><li><a class="question" href="#">Is this what I will actually be charged if I come to UCSF Health?</a><div><p class="field-answer"><p>The prices that hospitals are required to publish may not reflect the price you will pay. As an individual patient, your responsibility would depend on your insurance plan, coverage, deductibles, co-insurance and other factors. </p></p></div></li><li><a class="question" href="#">Why do different hospitals charge different prices for the care they provide?</a><div><p class="field-answer"><p>There are no specific requirements or consistent guidelines for how hospitals determine their charges. As a result, one hospital might combine the charges of some line items, while another may spell out each charge individually. Neither approach is right or wrong, and both comply with the federal rule; they are simply different ways of representing the charge for a therapy or procedure.</p> <p>In addition, some hospitals, including UCSF Medical Center and UCSF Benioff Children's Hospitals, serve as tertiary and quaternary referral hospitals, so other hospitals send patients who require more specialized care to us. As a result, the total charges for our patients normally include more extensive care, meaning potentially more line items and higher average charges.</p></p></div></li><li><a class="question" href="#">These lists are extremely confusing. How do we make sense of them?</a><div><p class="field-answer"><p>Yes, this is extremely confusing. At UCSF Health, we have a team of financial assistance counselors to help current and prospective patients understand their potential out-of-pocket costs. Our team makes every attempt to personalize these quotes to enable patients to make informed decisions and understand their potential financial liability, both before and after their care. We also offer financial assistance and discounts for patients who have no insurance or, for patients who qualify, help them enroll in available and appropriate Medicare and Medi-Cal programs.</p> <p>To speak with a staff member about a personalized out-of-pocket estimate specific to your visit and care, call the Patient Estimate Program toll-free at (844) 678-6831 or visit our <a href="/billing-and-insurance">Billing & Insurance</a> page for more information. </p> <p>For questions about our standard charges posted above, please email us at <a href="/cdn-cgi/l/email-protection#bececcd7ddd7d0d9caccdfd0cdcedfccdbd0ddc7fecbddcdd890dbdacb"><span class="__cf_email__" data-cfemail="82f2f0ebe1ebece5f6f0e3ecf1f2e3f0e7ece1fbc2f7e1f1e4ace7e6f7">[email protected]</span></a>.</p></p></div></li></ul> </div> </div> <div class="component column-layout col-2-66-33 col-xs-12 col-2-80-20"> <div class="component-content"> <div class="left-col"> <div class="component rich-text col-xs-12"> <div class="component-content"> <p>* This information is made available for inspection in compliance with the Centers for Medicare & Medicaid Services (CMS) rule CMS-1694-F and CMS-1717-P.</p> </div> </div> </div> <div class="right-col"> </div> </div> </div> <div class="component cls-info-cards col-xs-12"> <div class="component-content"> <div class="cls-info-cards-columns"><div class="cls-info-cards-column info-cards-column-left"> <div class="component cls-info-card cls-info-card cls-info-card-small col-xs-12"> <div class="component-content"> <div class="cls-info-card-title"> <h2>Financial Counseling</h2> </div> <div class="cls-info-card-content"> <p><span style="margin-right: 5px;" class="icon-decorative-hours"></span>M-F, 9 a.m. - 5 p.m.<br /> <span style="margin-right: 5px;" class="icon-ui-phone"></span><span style="display: inline-block;" href="tel:(415) 353-1966">(415) 353-1966</span></p> </div> </div> </div> </div><div class="cls-info-cards-column info-cards-column-right"> <div class="component cls-info-card cls-info-card cls-info-card-small col-xs-12"> <div class="component-content"> <div class="cls-info-card-title"> <h2>Patient Estimate Program</h2> </div> <div class="cls-info-card-content"> <p><a rel="noopener noreferrer" rel="noopener noreferrer" href="https://ucsfmychart.ucsfmedicalcenter.org/UCSFMychart/guestestimates" target="_blank"><button type="button" class="btn btn-primary">Get a price estimate online</button></a></p> <p><span style="margin-right: 5px;" class="icon-ui-phone"></span><a style="display:inline-block;" href="tel:(844) 678-6831">(844) 678-6831</a><br /> <span style="margin-right: 5px;" class="icon-ui-mail"></span><a href="/cdn-cgi/l/email-protection#97e7f6e3fef2f9e3f2e4e3fefaf6e3f2d7e2f4e4f1b9f2f3e2" style="display:inline-block;"><span class="__cf_email__" data-cfemail="b2c2d3c6dbd7dcc6d7c1c6dbdfd3c6d7f2c7d1c1d49cd7d6c7">[email protected]</span></a></p> </div> </div> </div> </div></div> </div> </div> <div class="component article-cards cards-component col-xs-12"> <div class="component-content"> <div> <h2 class="heading1 title-anchor"> Related articles </h2> <div class="view-all"> </div> </div> <div class="cards"> <div class="card"> <div class="component-content"> <div class="card-content"> <a href="/billing-and-insurance" class="phantom-link" title="Billing & Insurance"></a> <img loading="lazy" src="/-/media/project/ucsf/ucsf-bch/images/article/hero/billing-and-insurance-2x.jpg?h=376&w=974&rev=4153a9f3091542b9b820256b8b2cfcd4&hash=23709555F4F49B36BEE919C5D955D2F7" alt="" width="2880" height="1112" /> <p class="font-larger"> Billing & Insurance </p> <p> After health insurance processes a claim, you may need to pay a portion out of pocket. Learn about billing, payment options, assistance and more. </p> <span class="field-read-more-link"> <span class="include-ucsf-arrow"></span> </span> </div> </div> </div> <div class="card"> <div class="component-content"> <div class="card-content"> <a href="/billing-and-insurance/health-insurance" class="phantom-link" title="Health Insurance"></a> <img loading="lazy" src="/-/media/project/ucsf/ucsf-bch/images/article/hero/health-insurance-2x.jpg?h=376&w=974&rev=bda9470c86ab43c49970ce71353fed21&hash=AFFB0DBFCD21811B09D607361021D943" alt="health-insurance-2x" width="2880" height="1112" /> <p class="font-larger"> Health Insurance </p> <p> We accept numerous health insurance plans at our pediatric hospitals in San Francisco and Oakland. Find out if your plan is one of them. </p> <span class="field-read-more-link"> <span class="include-ucsf-arrow"></span> </span> </div> </div> </div> <div class="card"> <div class="component-content"> <div class="card-content"> <a href="/billing-and-insurance/help-paying-your-bill" class="phantom-link" title="Help Paying Your Bill"></a> <img loading="lazy" src="/-/media/project/ucsf/ucsf-bch/images/article/hero/financial-assistance-2x.jpg?h=376&w=974&rev=206e67df7ef84f1a9292732c31fc3c79&hash=CDEEFBEE368BCD69C11115CBB6B29C13" alt="financial-assistance-2x" width="2880" height="1112" /> <p class="font-larger"> Help Paying Your Bill </p> <p> Financial assistance is available to eligible families for emergency and medically necessary pediatric care. Read about requirements and how to apply. </p> <span class="field-read-more-link"> <span class="include-ucsf-arrow"></span> </span> </div> </div> </div> <div class="card"> <div class="component-content"> <div class="card-content"> <a href="/billing-and-insurance/health-insurance/glossary" class="phantom-link" title="Health Insurance Glossary"></a> <img loading="lazy" src="/-/media/project/ucsf/ucsf-bch/images/article/hero/health-insurance-glossary-2x.jpg?h=376&w=974&rev=816dc43168c64a0e92af815b0c734cf7&hash=EFB6E6F7D4147572DCD9F4BB66483428" alt="Glossary-2x" width="2880" height="1112" /> <p class="font-larger"> Health Insurance Glossary </p> <p> Our glossary explains health insurance terms related to your child's care in language that's easy to understand. Get info about HIPAA, referrals and more. </p> <span class="field-read-more-link"> <span class="include-ucsf-arrow"></span> </span> </div> </div> </div> </div> </div> </div> <div class="component bys-moment col-xs-12"> <div class="component-content"> <div class="bys-moment-content"> <p class="bys-moment-eyebrow"> Translation, please </p> <h2 class="bys-moment-headline"> We have interpreters for Cantonese, Mandarin, Spanish, Russian, American Sign Language and more. </h2> <a href="/services/interpreter-services-and-communication-assistance" target="_self" class="bys-moment-cta"> Request an interpreter </a> </div> <div class="bys-moment-image"> <img loading="lazy" src="/-/media/project/ucsf/ucsf-bch/images/by-your-side-moment/duck/bys_footer_duck-playful-2x.jpg?rev=1202c0da42924c018f0aa29874303fe9&hash=EA0B683476A8641ABA67D2564291622E" alt="" width="1154" height="912"> </div> </div> </div> </div> </div> </div> </main>   <footer> <div id="footer" class="container"> <div class="component 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