St Rose Hospital
ST ROSE HOSPITAL in Hayward, CA charges 6.5x the Medicare reimbursement rate on average, based on analysis of 18 common procedures at this nonprofit-religious facility.
Hayward, CA 94545 · Acute Care Hospitals · CMS Rating: 1/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
No credit card required. Results in 60 seconds.
Billing patterns — nonprofit-religious
Nonprofit religious hospitals, representing 203 facilities in the dataset, demonstrate an average markup of 5.4x Medicare rates, positioning them in the mid-range compared to other ownership types. These institutions typically maintain standardized charge structures across their health system networks, often reflecting their mission-driven approach to healthcare delivery. Patients at nonprofit religious hospitals may encounter charges above the benchmark for routine procedures, though many offer financial assistance programs and charity care policies that can significantly reduce out-of-pocket expenses for qualifying individuals. Common billing patterns include transparent pricing for elective procedures and comprehensive financial counseling services. The potential difference between listed charges and actual patient responsibility can be substantial, particularly for uninsured patients who may qualify for sliding-scale payment options. Patients should inquire about available financial assistance programs during the admissions process, as these hospitals often have more flexible payment arrangements compared to for-profit facilities, reflecting their tax-exempt status and community benefit obligations.
Pricing grade
D
High
Avg markup vs Medicare
6.51x
Charge / Medicare rate
Max markup
9.5x
Worst procedure
Procedures analyzed
18
With pricing data
Outlier procedures
27.8%
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 |
|---|---|---|---|---|---|
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $165,393 | $82,697 | — | 9.5x |
| RENAL FAILURE WITH CC | 683 | $71,419 | $35,710 | — | 8.3x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $66,832 | $33,416 | — | 8.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $75,307 | $37,654 | — | 7.2x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $75,651 | $37,825 | — | 7.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $57,895 | $28,947 | — | 7.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $56,377 | $28,189 | — | 6.8x |
| CELLULITIS WITHOUT MCC | 603 | $60,651 | $30,325 | — | 6.6x |
| RENAL FAILURE WITH MCC | 682 | $105,387 | $52,693 | — | 6.6x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $87,511 | $43,756 | — | 6.5x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $88,993 | $44,496 | — | 6.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $100,005 | $50,002 | — | 6.3x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $128,444 | $64,222 | — | 6.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $124,450 | $62,225 | — | 6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $72,269 | $36,134 | — | 5.1x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $99,103 | $49,551 | — | 4.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $64,336 | $32,168 | — | 4.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $334,618 | $167,309 | — | 4.1x |
Got a bill from ST ROSE HOSPITAL?
Upload your bill and our AI compares every line item against these benchmark prices. Free analysis in 60 seconds. You only pay if we find savings.
Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
FAQ — nonprofit-religious hospital billing
How do nonprofit religious hospital charges compare to Medicare rates?
What does a 5.4x Medicare markup mean for my medical bills?
Are nonprofit religious hospitals required to offer financial assistance?
How can I find out the actual charges at a specific nonprofit religious hospital?
Related pricing data
Got a bill from St Rose Hospital?
Free guides to help you take action
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