California / St Rose Hospital
CMS certification 050002 · Hayward, CA · 7 entries in CMS's price-transparency list
St Rose Hospital: charges and Medicare payments
St Rose Hospital reported 506 Medicare inpatient stays across 19 DRGs in 2024. Across them it charged 5.01 times what it was paid — mid-range in California, number 132 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: 137 stays at an average charge of $97,331, 8% above the national average. It also billed 247 outpatient services, charging 9.31 times what Medicare paid.
- 1Medicare inpatient stays 506
- 2Charge ÷ paid, inpatient 5.01×
- 3Rank in CA (highest ratio = 1) 132 of 247
- 4CMS price-transparency actions 7
Inpatient stays
For the 19 DRGs that can be compared with the national average, St Rose Hospital charged more than the national average in 18 (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 | 137 | $97,331 | +8% | $21,255 |
| 291 Heart Failure and Shock with MCC | 59 | $63,638 | +13% | $14,518 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 57 | $127,793 | +37% | $22,197 |
| 177 Respiratory Infections and Inflammations with MCC | 22 | $90,420 | +28% | $19,054 |
| 189 Pulmonary Edema and Respiratory Failure | 22 | $104,757 | +82% | $17,112 |
| 690 Kidney and Urinary Tract Infections without MCC | 20 | $51,858 | +37% | $9,715 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 18 | $64,158 | +73% | $9,245 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 18 | $70,601 | +44% | $11,930 |
| 193 Simple Pneumonia and Pleurisy with MCC | 16 | $69,969 | +17% | $14,940 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 16 | $67,030 | +18% | $14,292 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 15 | $110,829 | +46% | $16,436 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 15 | $60,788 | +68% | $8,457 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 14 | $164,225 | +43% | $21,455 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 14 | $275,087 | +20% | $55,455 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 14 | $340,683 | +5% | $73,361 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 13 | $89,625 | -34% | $30,103 |
| 682 Renal Failure with MCC | 13 | $70,728 | +7% | $16,354 |
| 683 Renal Failure with CC | 12 | $56,530 | +39% | $10,769 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $44,840 | +12% | $9,457 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 180 | $28,878 | $3,784 |
| Level 1 Endovascular Procedures | 27 | $46,702 | $4,448 |
| Level 4 Vascular Procedures | 15 | $37,315 | $7,377 |
| Level 3 Vascular Procedures | 14 | $30,301 | $4,427 |
| Level 1 Laparoscopy and Related Services | 11 | $30,462 | $8,012 |
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Rose Hospital charged $97,331 on average, 32% less than the California average of $143,063, and was paid $21,255 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), St Rose Hospital charged $63,638 on average, 37% less than the California average of $100,739, and was paid $14,518 against a state average of $15,556. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), St Rose Hospital charged $127,793 on average, 7% less than the California average of $137,972, and was paid $22,197 against a state average of $21,800. For Respiratory Infections and Inflammations with MCC (DRG 177), St Rose Hospital charged $90,420 on average, 27% less than the California average of $124,302, and was paid $19,054 against a state average of $18,986. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $28,878 was 31% below the state average of $41,628. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $46,702 was 15% above the state average of $40,544. For Level 4 Vascular Procedures (outpatient APC 5184), its average charge of $37,315 was 36% below the state average of $58,147. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $30,301 was 0% below the state average of $30,190.
Price-transparency record
CMS's enforcement list records these actions for a hospital named St Rose Hospital in Hayward, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-09-19 (CMS case 2682)
- Closure Notice — 2024-10-18 (CMS case 2682)
- Warning Notice — 2025-05-01 (CMS case 4255)
- CAP Request — 2025-08-06 (CMS case 4255)
- Closure Notice — 2025-08-20 (CMS case 4255)
- Warning Notice — 2026-04-08 (CMS case 7394)
- Closure Notice — 2026-06-16 (CMS case 7394)
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.