Kaiser Foundation Hospital - Oakland/richmond
Kaiser Foundation Hospital - Oakland/Richmond charges 4.9x the Medicare reimbursement rate across 26 analyzed procedures, representing typical pricing for a nonprofit hospital in Oakland, CA.
Oakland, CA 94611 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Pricing grade
C
Average
Avg markup vs Medicare
4.94x
Charge / Medicare rate
Max markup
7.32x
Worst procedure
Procedures analyzed
26
With pricing data
Outlier procedures
3.8%
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 |
|---|---|---|---|---|---|
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $98,719 | $49,360 | — | 7.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $77,056 | $38,528 | — | 7.2x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $134,566 | $67,283 | — | 6.5x |
| RENAL FAILURE WITH CC | 683 | $61,321 | $30,660 | — | 6.1x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $90,656 | $45,328 | — | 6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $52,831 | $26,415 | — | 5.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $48,319 | $24,160 | — | 5.7x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $107,003 | $53,501 | — | 5.6x |
| SEIZURES WITHOUT MCC | 101 | $58,423 | $29,212 | — | 5.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $114,920 | $57,460 | — | 5.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $56,880 | $28,440 | — | 5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $74,273 | $37,137 | — | 4.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $59,766 | $29,883 | — | 4.7x |
| HEART FAILURE AND SHOCK WITH CC | 292 | $46,385 | $23,193 | — | 4.7x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $69,266 | $34,633 | — | 4.6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $77,110 | $38,555 | — | 4.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $117,547 | $58,774 | — | 4.6x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $186,563 | $93,281 | — | 4.4x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $94,296 | $47,148 | — | 4.2x |
| SYNCOPE AND COLLAPSE | 312 | $41,191 | $20,596 | — | 4.2x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $258,929 | $129,464 | — | 4.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $106,698 | $53,349 | — | 4.1x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $79,169 | $39,584 | — | 3.4x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $42,070 | $21,035 | — | 3.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $50,391 | $25,196 | — | 3.2x |
| RENAL FAILURE WITH MCC | 682 | $54,700 | $27,350 | — | 3.2x |
How KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND 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