Washington Hospital
WASHINGTON HOSPITAL in Fremont, CA charges 7.7x the Medicare reimbursement rate across 74 analyzed procedures, with 58% showing significant price variations as a government-owned facility.
Fremont, CA 94538 · Acute Care Hospitals · CMS Rating: 3/5
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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Billing patterns — government
Government hospitals in our dataset demonstrate distinct billing patterns compared to other ownership types. With 374 facilities analyzed, these hospitals show an average markup of 4.2x Medicare rates, which typically falls below the industry average for comparable services. Government hospitals often maintain more standardized pricing structures due to regulatory oversight and public accountability requirements. Patients may encounter charges above the benchmark for certain procedures, though the potential difference between government hospital billing and private facilities can vary significantly by service type and geographic region. Common charge patterns include transparent itemization of services and adherence to established fee schedules. Patients should be aware that government hospitals frequently offer financial assistance programs and sliding scale payment options based on income eligibility. These facilities often provide detailed cost estimates upon request and maintain patient financial counselors to discuss billing arrangements before treatment when possible.
Pricing grade
D
High
Avg markup vs Medicare
7.73x
Charge / Medicare rate
Max markup
11x
Worst procedure
Procedures analyzed
74
With pricing data
Outlier procedures
58.1%
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 |
|---|---|---|---|---|---|
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $56,010 | $28,005 | — | 11x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $116,433 | $58,217 | — | 10.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $74,637 | $37,319 | — | 10.3x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $87,953 | $43,977 | — | 10.2x |
| SYNCOPE AND COLLAPSE | 312 | $89,883 | $44,942 | — | 9.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $104,911 | $52,455 | — | 9.8x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $124,789 | $62,395 | — | 9.7x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | 442 | $95,702 | $47,851 | — | 9.7x |
| RENAL FAILURE WITH CC | 683 | $80,636 | $40,318 | — | 9.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $73,129 | $36,564 | — | 9.4x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $276,998 | $138,499 | — | 9.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $132,361 | $66,180 | — | 9.1x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $99,767 | $49,883 | — | 9.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $73,235 | $36,617 | — | 8.8x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $44,794 | $22,397 | — | 8.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $116,278 | $58,139 | — | 8.8x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $431,243 | $215,621 | — | 8.8x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $172,709 | $86,354 | — | 8.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $89,906 | $44,953 | — | 8.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $78,055 | $39,027 | — | 8.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $179,915 | $89,957 | — | 8.6x |
| DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | 446 | $66,279 | $33,139 | — | 8.5x |
| SEIZURES WITHOUT MCC | 101 | $75,499 | $37,749 | — | 8.5x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $82,992 | $41,496 | — | 8.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $114,366 | $57,183 | — | 8.4x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $78,155 | $39,078 | — | 8.4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $66,404 | $33,202 | — | 8.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $108,708 | $54,354 | — | 8.3x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $183,846 | $91,923 | — | 8.2x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $208,807 | $104,404 | — | 8.2x |
| ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WIT | 062 | $162,159 | $81,079 | — | 8.1x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $64,654 | $32,327 | — | 8.1x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $61,663 | $30,831 | — | 8.1x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $119,436 | $59,718 | — | 8.1x |
| CELLULITIS WITHOUT MCC | 603 | $68,787 | $34,393 | — | 7.9x |
| DIABETES WITH CC | 638 | $69,844 | $34,922 | — | 7.8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $359,218 | $179,609 | — | 7.6x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $87,891 | $43,945 | — | 7.5x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $224,984 | $112,492 | — | 7.4x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $157,077 | $78,538 | — | 7.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $134,438 | $67,219 | — | 7.3x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $56,649 | $28,324 | — | 7.3x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $53,536 | $26,768 | — | 7.3x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $70,797 | $35,399 | — | 7.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $97,911 | $48,956 | — | 7.2x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $157,248 | $78,624 | — | 7.2x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $121,192 | $60,596 | — | 7.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $156,355 | $78,178 | — | 7.2x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $166,181 | $83,090 | — | 7.2x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $64,639 | $32,319 | — | 7x |
Showing 50 of 74 procedures
How WASHINGTON HOSPITAL 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