19/100
#2,201 nationally
Washington Hospital
2000 Mowry Ave, Fremont, CA 94538 · (510) 797-1111
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Washington Hospital billed $7.11 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
- 7.1x
- volume-weighted across all its priced work
- Procedures priced
- 102
- inpatient and outpatient combined
- Rank in CA
- #171
- lower markup ranks higher
- CMS quality stars
- 2/5
- 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 16% of U.S. hospitals.
Better than 33% of U.S. hospitals.
Better than 10% of U.S. hospitals.
Better than 19% 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 |
|---|---|---|---|---|
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
991 | $142,177 | $18,456 | +128% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
793 | $37,465 | $3,843 | +93% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
337 | $156,979 | $23,856 | +141% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
193 | $120,050 | $15,420 | +177% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
171 | $14,295 | $2,259 | +42% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
155 | $41,968 | $4,596 | +66% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
144 | $131,813 | $19,074 | +140% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
116 | $90,747 | $12,130 | +131% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
111 | $69,019 | $9,311 | +132% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
93 | $103,912 | $15,235 | +123% |
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 |
|---|---|---|---|
|
Sepsis
MS-DRG 870 · Inpatient stay |
$910,378 | $137,303 | +239% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$140,121 | $15,958 | +189% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
$246,681 | $25,979 | +180% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
$96,525 | $10,321 | +179% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$120,050 | $15,420 | +177% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$145,610 | $20,729 | +175% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$208,325 | $31,198 | +173% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
$81,781 | $8,697 | +167% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D
MS-DRG 464 · Inpatient stay |
$139,819 | $23,705 | about average |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$18,069 | $4,001 | about average |
|
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Major
MS-DRG 441 · Inpatient stay |
$80,783 | $18,219 | +6% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$26,409 | $4,872 | +14% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
$234,200 | $54,032 | +24% |
|
Level 4 Pacemaker and Similar Procedures
APC 5224 · Hospital outpatient visit |
$120,734 | $27,360 | +26% |
|
Cirrhosis and Alcoholic Hepatitis with Complications
MS-DRG 433 · Inpatient stay |
$63,923 | $11,921 | +40% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$15,869 | $2,263 | +41% |
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.