California / Eden Medical Center
CMS certification 050488 · Castro Valley, CA · 4 entries in CMS's price-transparency list
Eden Medical Center: charges and Medicare payments
Eden Medical Center reported 1,735 Medicare inpatient stays across 55 DRGs in 2024. Across them it charged 4.94 times what it was paid — mid-range in California, number 135 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: 418 stays at an average charge of $109,140, 21% above the national average. It also billed 1,071 outpatient services, charging 8.54 times what Medicare paid.
- 1Medicare inpatient stays 1,735
- 2Charge ÷ paid, inpatient 4.94×
- 3Rank in CA (highest ratio = 1) 135 of 247
- 4CMS price-transparency actions 4
Inpatient stays
For the 55 DRGs that can be compared with the national average, Eden Medical Center charged more than the national average in 51 (93%). 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 | 418 | $109,140 | +21% | $22,504 |
| 291 Heart Failure and Shock with MCC | 106 | $68,972 | +22% | $14,344 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 82 | $58,679 | +20% | $11,707 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 63 | $80,934 | +45% | $11,726 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 54 | $138,631 | +39% | $27,834 |
| 177 Respiratory Infections and Inflammations with MCC | 52 | $99,020 | +40% | $18,315 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 51 | $214,460 | -6% | $56,631 |
| 193 Simple Pneumonia and Pleurisy with MCC | 41 | $83,109 | +39% | $14,919 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 40 | $87,978 | +20% | $22,450 |
| 481 Hip and Femur Procedures except Major Joint with CC | 37 | $117,877 | +17% | $23,110 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 34 | $62,570 | +4% | $16,129 |
| 683 Renal Failure with CC | 33 | $54,971 | +35% | $10,457 |
| 682 Renal Failure with MCC | 31 | $80,536 | +22% | $18,268 |
| 189 Pulmonary Edema and Respiratory Failure | 30 | $79,588 | +38% | $13,867 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 27 | $280,868 | +21% | $53,818 |
| 552 Medical Back Problems without MCC | 25 | $67,461 | +38% | $11,279 |
| 312 Syncope and Collapse | 22 | $63,910 | +40% | $11,974 |
| 603 Cellulitis without MCC | 22 | $51,025 | +37% | $10,171 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 22 | $430,043 | +33% | $85,684 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 21 | $59,926 | +66% | $8,682 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 21 | $55,236 | +38% | $9,329 |
| 086 Traumatic Stupor and Coma <1 Hour with CC | 20 | $88,635 | +30% | $14,692 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 20 | $73,005 | -4% | $15,827 |
| 638 Diabetes with CC | 20 | $47,948 | +15% | $10,435 |
| 690 Kidney and Urinary Tract Infections without MCC | 20 | $48,629 | +29% | $9,513 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 19 | $361,495 | +29% | $74,398 |
| 389 Gastrointestinal Obstruction with CC | 19 | $48,038 | +23% | $9,401 |
| 083 Traumatic Stupor and Coma >1 Hour with CC | 18 | $97,011 | +32% | $15,711 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 18 | $50,289 | +36% | $8,937 |
| 069 Transient Ischemia without Thrombolytic | 16 | $73,404 | +46% | $9,470 |
| 101 Seizures without MCC | 16 | $61,012 | +25% | $10,846 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 16 | $79,528 | +57% | $12,572 |
| 378 Gastrointestinal Hemorrhage with CC | 16 | $49,998 | +3% | $11,263 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 16 | $112,224 | +20% | $21,435 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 15 | $129,900 | +27% | $23,791 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 15 | $59,055 | +39% | $10,132 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 15 | $53,586 | +13% | $11,333 |
| 812 Red Blood Cell Disorders without MCC | 15 | $55,606 | +25% | $10,643 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 15 | $91,091 | -7% | $22,344 |
| 070 Other Cerebrovascular Disorders with MCC | 14 | $87,400 | +15% | $19,792 |
| 194 Simple Pneumonia and Pleurisy with CC | 14 | $42,953 | +12% | $9,668 |
| 637 Diabetes with MCC | 14 | $78,253 | +18% | $21,511 |
| 057 Degenerative Nervous System Disorders without MCC | 13 | $69,074 | +22% | $15,709 |
| 061 Ischemic Stroke, Precerebral Occlusion or Transient Ischemia... | 13 | $213,114 | +44% | $39,034 |
| 071 Other Cerebrovascular Disorders with CC | 13 | $69,364 | +37% | $12,781 |
| 100 Seizures with MCC | 12 | $115,163 | +22% | $22,499 |
| 377 Gastrointestinal Hemorrhage with MCC | 12 | $77,921 | -9% | $20,256 |
| 811 Red Blood Cell Disorders with MCC | 12 | $82,474 | +21% | $16,241 |
| 092 Other Disorders of Nervous System with CC | 11 | $66,719 | +29% | $11,310 |
| 329 Major Small and Large Bowel Procedures with MCC | 11 | $228,512 | +6% | $53,556 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $86,417 | +42% | $14,726 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 11 | $96,762 | +4% | $18,836 |
| 551 Medical Back Problems with MCC | 11 | $131,821 | +67% | $18,097 |
| 689 Kidney and Urinary Tract Infections with MCC | 11 | $64,831 | +26% | $12,776 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 11 | $70,847 | +91% | $9,795 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 413 | $39,556 | $3,779 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 117 | $11,120 | $2,236 |
| Level 3 Vascular Procedures | 103 | $25,981 | $4,405 |
| Level 4 Musculoskeletal Procedures | 88 | $38,594 | $9,832 |
| Level 4 Vascular Procedures | 52 | $75,708 | $7,284 |
| Level 5 Urology and Related Services | 42 | $34,111 | $7,185 |
| Level 5 Musculoskeletal Procedures | 36 | $77,099 | $17,773 |
| Level 3 Urology and Related Services | 31 | $18,553 | $2,828 |
| Level 1 Laparoscopy and Related Services | 28 | $59,274 | $8,013 |
| Level 2 Vascular Procedures | 24 | $13,204 | $2,224 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 24 | $21,967 | $4,804 |
| Level 4 Urology and Related Services | 24 | $25,170 | $4,841 |
| Level 2 Upper GI Procedures | 21 | $14,272 | $2,642 |
| Level 2 Breast/Lymphatic Surgery and Related Procedures | 20 | $54,787 | $9,051 |
| Level 4 Gynecologic Procedures | 19 | $28,417 | $4,341 |
| Level 2 Musculoskeletal Procedures | 18 | $20,077 | $2,232 |
| Level 5 Gynecologic Procedures | 11 | $35,566 | $6,907 |
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Eden Medical Center charged $109,140 on average, 24% less than the California average of $143,063, and was paid $22,504 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Eden Medical Center charged $68,972 on average, 32% less than the California average of $100,739, and was paid $14,344 against a state average of $15,556. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Eden Medical Center charged $58,679 on average, 23% less than the California average of $76,120, and was paid $11,707 against a state average of $12,552. For Intracranial Hemorrhage or Cerebral Infarction with CC or Tpa in 24 Hours (DRG 065), Eden Medical Center charged $80,934 on average, 16% less than the California average of $96,351, and was paid $11,726 against a state average of $12,570. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $39,556 was 5% below the state average of $41,628. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $11,120 was 25% below the state average of $14,749. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $25,981 was 14% below the state average of $30,190. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $38,594 was 44% below the state average of $69,476.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Eden Medical Center in Castro Valley, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-07-20 (CMS case 358)
- Closure Notice — 2022-01-06 (CMS case 358)
- Met Requirements — 2024-11-12 (CMS case 2900)
- Met Requirements — 2025-08-01 (CMS case 6156)
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.