28/100
#1,933 nationally
Highland Hospital
1411 East 31St Street, Oakland, CA 94602 · (510) 437-4800
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Highland Hospital billed $4.57 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 4.6x
- volume-weighted across all its priced work
- Procedures priced
- 71
- inpatient and outpatient combined
- Rank in CA
- #114
- lower markup ranks higher
- CMS quality stars
- 1/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 44% of U.S. hospitals.
Better than 35% of U.S. hospitals.
Better than 11% of U.S. hospitals.
Better than 9% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
315 | $48,035 | $3,765 | +147% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
201 | $145,490 | $33,676 | +123% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
145 | $16,523 | $3,236 | +41% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
112 | $103,803 | $23,977 | +139% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
71 | $96,246 | $22,526 | +99% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
69 | $12,077 | $2,252 | +20% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
58 | $74,332 | $22,648 | +60% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
50 | $24,953 | $4,426 | +31% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
48 | $93,042 | $23,247 | +92% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
43 | $117,421 | $27,873 | +107% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Traumatic Stupor and Coma >1 Hour with Complications
MS-DRG 083 · Inpatient stay |
$217,753 | $31,901 | +264% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
$159,062 | $30,787 | +218% |
|
Major Chest Trauma with Complications
MS-DRG 184 · Inpatient stay |
$154,852 | $20,487 | +217% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$240,447 | $41,265 | +215% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
$135,622 | $23,334 | +198% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
$99,693 | $28,718 | +176% |
|
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without
MS-DRG 563 · Inpatient stay |
$98,195 | $17,634 | +167% |
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay |
$101,729 | $20,863 | +162% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
$11,739 | $5,201 | -48% |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
$52,906 | $26,782 | -18% |
|
Chemotherapy without Acute Leukemia as Secondary Diagnosis with Complications
MS-DRG 847 · Inpatient stay |
$49,133 | $22,869 | -8% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
$62,681 | $15,247 | -7% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
$36,230 | $7,631 | about average |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$23,327 | $4,804 | about average |
|
Level 4 ENT Procedures
APC 5164 · Hospital outpatient visit |
$20,721 | $2,923 | +9% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$13,441 | $2,643 | +14% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.