Alta Bates Summit Medical Center
ALTA BATES SUMMIT MEDICAL CENTER in Oakland, CA charges 5.5x the Medicare reimbursement rate on average across 82 analyzed procedures at this nonprofit hospital.
Oakland, CA 94609 · Acute Care Hospitals · CMS Rating: 5/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Pricing grade
D
High
Avg markup vs Medicare
5.47x
Charge / Medicare rate
Max markup
10.34x
Worst procedure
Procedures analyzed
82
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $173,539 | $86,770 | — | 10.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $60,480 | $30,240 | — | 9.2x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $157,866 | $78,933 | — | 7.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $66,682 | $33,341 | — | 7.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $32,913 | $16,456 | — | 7.5x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $59,473 | $29,736 | — | 7.3x |
| ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WIT | 062 | $140,929 | $70,464 | — | 6.8x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $155,501 | $77,751 | — | 6.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $65,363 | $32,682 | — | 6.8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $228,294 | $114,147 | — | 6.8x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $108,895 | $54,448 | — | 6.7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $71,596 | $35,798 | — | 6.6x |
| O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | 621 | $103,969 | $51,985 | — | 6.5x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $115,744 | $57,872 | — | 6.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $74,672 | $37,336 | — | 6.4x |
| CHEST PAIN | 313 | $47,659 | $23,830 | — | 6.4x |
| CELLULITIS WITHOUT MCC | 603 | $54,712 | $27,356 | — | 6.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $49,070 | $24,535 | — | 6.4x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $58,005 | $29,002 | — | 6.3x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $48,870 | $24,435 | — | 6.3x |
| SYNCOPE AND COLLAPSE | 312 | $51,716 | $25,858 | — | 6.1x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $52,365 | $26,182 | — | 6.1x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $55,279 | $27,640 | — | 6.1x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $103,327 | $51,664 | — | 5.8x |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $98,010 | $49,005 | — | 5.8x |
| OTHER CARDIOTHORACIC PROCEDURES WITH MCC | 228 | $282,202 | $141,101 | — | 5.8x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $149,343 | $74,672 | — | 5.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $68,659 | $34,329 | — | 5.8x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $71,603 | $35,802 | — | 5.8x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $47,401 | $23,700 | — | 5.7x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $80,370 | $40,185 | — | 5.7x |
| RENAL FAILURE WITH CC | 683 | $48,119 | $24,059 | — | 5.6x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $50,834 | $25,417 | — | 5.6x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $105,743 | $52,871 | — | 5.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $59,861 | $29,931 | — | 5.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $71,974 | $35,987 | — | 5.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $38,892 | $19,446 | — | 5.4x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $86,030 | $43,015 | — | 5.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $73,945 | $36,973 | — | 5.4x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $42,598 | $21,299 | — | 5.3x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $70,811 | $35,406 | — | 5.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $41,517 | $20,759 | — | 5.3x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $71,634 | $35,817 | — | 5.2x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $111,612 | $55,806 | — | 5.2x |
| PERIPHERAL VASCULAR DISORDERS WITH MCC | 299 | $83,767 | $41,883 | — | 5.1x |
| CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | 847 | $67,702 | $33,851 | — | 5.1x |
| CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | 846 | $151,310 | $75,655 | — | 5.1x |
| SEIZURES WITH MCC | 100 | $97,753 | $48,877 | — | 5.1x |
| MAJOR CHEST PROCEDURES WITH MCC | 163 | $280,618 | $140,309 | — | 5.1x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $287,616 | $143,808 | — | 5.1x |
Showing 50 of 82 procedures
How ALTA BATES SUMMIT MEDICAL CENTER compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use