California / Alameda Hospital
CMS certification 050211 · Alameda, CA · 3 entries in CMS's price-transparency list
Alameda Hospital: charges and Medicare payments
Alameda Hospital reported 604 Medicare inpatient stays across 22 DRGs in 2024. Across them it charged 5.7 times what it was paid — mid-range in California, number 102 of 247 hospitals with at least 100 stays (state median 5.18×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 139 stays at an average charge of $132,330, 47% above the national average. It also billed 248 outpatient services, charging 11.12 times what Medicare paid.
- 1Medicare inpatient stays 604
- 2Charge ÷ paid, inpatient 5.7×
- 3Rank in CA (highest ratio = 1) 102 of 247
- 4CMS price-transparency actions 3
Inpatient stays
For the 22 DRGs that can be compared with the national average, Alameda Hospital charged more than the national average in 21 (95%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 139 | $132,330 | +47% | $21,787 |
| 291 Heart Failure and Shock with MCC | 48 | $81,799 | +45% | $15,150 |
| 193 Simple Pneumonia and Pleurisy with MCC | 47 | $81,322 | +36% | $15,075 |
| 177 Respiratory Infections and Inflammations with MCC | 44 | $97,569 | +38% | $18,855 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 34 | $75,080 | +25% | $15,323 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 26 | $84,708 | +52% | $12,165 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 26 | $117,484 | +60% | $18,084 |
| 189 Pulmonary Edema and Respiratory Failure | 25 | $83,432 | +45% | $14,890 |
| 690 Kidney and Urinary Tract Infections without MCC | 23 | $57,894 | +53% | $9,721 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 20 | $74,412 | +85% | $9,744 |
| 682 Renal Failure with MCC | 18 | $107,168 | +63% | $17,584 |
| 683 Renal Failure with CC | 18 | $57,079 | +40% | $10,584 |
| 689 Kidney and Urinary Tract Infections with MCC | 18 | $58,677 | +14% | $13,303 |
| 100 Seizures with MCC | 15 | $94,863 | +1% | $19,998 |
| 603 Cellulitis without MCC | 15 | $54,195 | +45% | $9,894 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 15 | $59,053 | +20% | $11,991 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 14 | $385,197 | +19% | $76,834 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 12 | $162,388 | +63% | $23,460 |
| 069 Transient Ischemia without Thrombolytic | 12 | $75,210 | +49% | $9,921 |
| 377 Gastrointestinal Hemorrhage with MCC | 12 | $72,231 | -15% | $18,949 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $66,546 | +80% | $9,776 |
| 812 Red Blood Cell Disorders without MCC | 11 | $80,804 | +82% | $11,092 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 107 | $49,877 | $3,801 |
| Level 1 Intraocular Procedures | 74 | $13,655 | $3,237 |
| Level 1 Nerve Procedures | 49 | $14,153 | $2,681 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 18 | $9,842 | $2,252 |
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Alameda Hospital charged $132,330 on average, 8% less than the California average of $143,063, and was paid $21,787 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Alameda Hospital charged $81,799 on average, 19% less than the California average of $100,739, and was paid $15,150 against a state average of $15,556. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Alameda Hospital charged $81,322 on average, 22% less than the California average of $103,761, and was paid $15,075 against a state average of $15,112. For Respiratory Infections and Inflammations with MCC (DRG 177), Alameda Hospital charged $97,569 on average, 22% less than the California average of $124,302, and was paid $18,855 against a state average of $18,986. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $49,877 was 20% above the state average of $41,628. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $13,655 was 35% below the state average of $20,986. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $14,153 was 27% below the state average of $19,391. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,842 was 33% below the state average of $14,749.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Alameda Hospital in Alameda, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2025-04-30 (CMS case 4164)
- CAP Request — 2025-08-06 (CMS case 4164)
- Closure Notice — 2025-08-18 (CMS case 4164)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.