California / Kaiser Foundation Hospital - Oakland/Richmond
CMS certification 050075 · Oakland, CA
Kaiser Foundation Hospital - Oakland/Richmond: charges and Medicare payments
Kaiser Foundation Hospital - Oakland/Richmond reported 867 Medicare inpatient stays across 27 DRGs in 2024. Across them it charged 3.58 times what it was paid — among the lower ratios in California, number 199 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: 261 stays at an average charge of $121,920, 35% above the national average. It also billed 285 outpatient services, charging 10.64 times what Medicare paid.
- 1Medicare inpatient stays 867
- 2Charge ÷ paid, inpatient 3.58×
- 3Rank in CA (highest ratio = 1) 199 of 247
- 4CMS price-transparency actions 0
Inpatient stays
For the 27 DRGs that can be compared with the national average, Kaiser Foundation Hospital - Oakland/Richmond charged more than the national average in 23 (85%). 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 | 261 | $121,920 | +35% | $31,652 |
| 291 Heart Failure and Shock with MCC | 87 | $80,698 | +43% | $24,843 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 46 | $58,042 | +18% | $18,112 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 41 | $69,493 | +25% | $18,018 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 39 | $108,964 | +44% | $28,575 |
| 189 Pulmonary Edema and Respiratory Failure | 33 | $131,516 | +128% | $28,212 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 31 | $141,238 | +41% | $37,546 |
| 177 Respiratory Infections and Inflammations with MCC | 30 | $70,512 | 0% | $22,088 |
| 193 Simple Pneumonia and Pleurisy with MCC | 28 | $99,940 | +67% | $30,031 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 24 | $67,459 | +33% | $18,955 |
| 312 Syncope and Collapse | 19 | $38,208 | -16% | $21,983 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 18 | $124,008 | +8% | $45,643 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 17 | $45,648 | +23% | $13,247 |
| 683 Renal Failure with CC | 17 | $64,692 | +59% | $13,107 |
| 378 Gastrointestinal Hemorrhage with CC | 16 | $52,710 | +9% | $13,539 |
| 389 Gastrointestinal Obstruction with CC | 16 | $48,836 | +25% | $19,818 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 16 | $43,869 | +9% | $16,011 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 15 | $113,070 | +11% | $38,291 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 14 | $39,835 | +10% | $13,697 |
| 292 Heart Failure and Shock with CC | 13 | $85,549 | +120% | $13,943 |
| 377 Gastrointestinal Hemorrhage with MCC | 13 | $85,813 | 0% | $36,068 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $126,679 | +110% | $34,927 |
| 690 Kidney and Urinary Tract Infections without MCC | 13 | $58,292 | +54% | $12,011 |
| 071 Other Cerebrovascular Disorders with CC | 12 | $60,700 | +20% | $20,952 |
| 638 Diabetes with CC | 12 | $51,020 | +22% | $15,318 |
| 682 Renal Failure with MCC | 12 | $69,855 | +6% | $24,421 |
| 100 Seizures with MCC | 11 | $88,653 | -6% | $22,395 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 220 | $36,124 | $3,823 |
| Level 2 Endovascular Procedures | 19 | $35,837 | $8,012 |
| Level 3 Vascular Procedures | 17 | $26,974 | $4,468 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 16 | $21,773 | $1,970 |
| Level 3 Urology and Related Services | 13 | $13,571 | $2,855 |
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Kaiser Foundation Hospital - Oakland/Richmond charged $121,920 on average, 15% less than the California average of $143,063, and was paid $31,652 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Kaiser Foundation Hospital - Oakland/Richmond charged $80,698 on average, 20% less than the California average of $100,739, and was paid $24,843 against a state average of $15,556. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Kaiser Foundation Hospital - Oakland/Richmond charged $58,042 on average, 24% less than the California average of $76,120, and was paid $18,112 against a state average of $12,552. For Intracranial Hemorrhage or Cerebral Infarction with CC or Tpa in 24 Hours (DRG 065), Kaiser Foundation Hospital - Oakland/Richmond charged $69,493 on average, 28% less than the California average of $96,351, and was paid $18,018 against a state average of $12,570. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $36,124 was 13% below the state average of $41,628. For Level 2 Endovascular Procedures (outpatient APC 5192), its average charge of $35,837 was 30% below the state average of $51,060. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $26,974 was 11% below the state average of $30,190. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $21,773 was 48% above the state average of $14,749.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
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.