CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$766 - $4,633
from 4 insurers · median $2,106
Common here, based on CMS Medicare volume
Alameda Health System · Alameda, CA
4 of 5
CMS star rating
247
Beds
2,526
Inpatient discharges a year
$123.3M
Net patient revenue a year
32
In-network payers
Alameda Hospital is a 247-bed government - hospital district or authority hospital in Alameda, CA, affiliated with Alameda Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 264 disclosed rate categories.
The 24 services Alameda Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
CT imaging
CPT 74177
$766 - $4,633
from 4 insurers · median $2,106
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$634 - $5,227
from 4 insurers · median $3,634
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$82,166 - $86,629
from 2 insurers · median $84,397
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 473
$60,478 - $81,802
from 2 insurers · median $71,140
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery
CPT 66984
$942 - $8,350
from 3 insurers · median $4,837
74 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Digestive procedures
CPT 45385
$805 - $4,996
from 3 insurers · median $4,837
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$46,714 - $62,957
from 2 insurers · median $54,836
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 45380
$797 - $4,837
from 4 insurers · median $3,358
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$435 - $3,608
from 4 insurers · median $1,561
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$673 - $5,314
from 4 insurers · median $2,168
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 743
$29,288 - $40,541
from 2 insurers · median $34,915
Hospital reports inpatient surgical services to CMS
Digestive procedures
CPT 45378
$785 - $4,928
from 4 insurers · median $3,982
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 64721
$735 - $6,742
from 3 insurers · median $4,837
49 Medicare claims in Level 1 Nerve Procedures (CMS 2024)
Mammography
CPT 77067
$273 - $356
from 4 insurers · median $314
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$246 - $406
from 3 insurers · median $315
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$66 - $368
from 4 insurers · median $302
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,316 - $5,001
from 4 insurers · median $3,662
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$8,617 - $9,110
from 2 insurers · median $8,864
Typical for a hospital with this service line
CT imaging
CPT 71275
$525 - $3,359
from 3 insurers · median $795
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 20610
$218 - $5,992
from 3 insurers · median $3,645
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 69436
$4,837 - $7,439
from 2 insurers · median $6,138
Typical for a hospital with this service line
MRI imaging
CPT 70553
$777 - $4,227
from 4 insurers · median $940
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93970
$373 - $1,857
from 4 insurers · median $1,056
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 31231
$3,645
negotiated rate
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 18 | 396% | 15 | 3 |
| Insurer B* | 23 | 338% | 11 | 12 |
| Insurer C* | 13 | 299% | 6 | 7 |
| Insurer D* | 21 | 222% | 1 | 13 |
How we chose these services: 2 appear in this hospital's own Medicare claims, 16 are common here based on CMS Medicare volume, and 6 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Alameda Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.





Quality
4 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$123.3M net patient revenue
Ownership and leadership
Hospital district or authority
The employer identification numbers (EINs) health plans and networks list for Alameda Hospital in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 94-3302014Alameda Health System | 53Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 48 more | 1831529049 Alameda Health System1083815872 Alameda Health System1104267848 Alameda Health Systemand 50 more |
Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.
2070 Clinton Avenue, Alameda, CA 94501
(510) 522-3700
How Alameda Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
4 of 5
Higher than 58% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 5 measures
0 better, 5 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
No different on 3 measures
0 better, 3 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
No different on 4 measures
0 better, 4 no different, 0 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
3 of 5
Lower than 40% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
64%
Lower than 76% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.89
Lower than 76% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
153 min
Higher than 53% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
83%
Higher than 89% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 4 of 5 | |
| Death rates | No different on 5 measures | |
| Safety | No different on 3 measures | |
| Readmissions | No different on 4 measures | |
| Patient survey ratingCMS: Summary star rating | 3 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 64% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 0.89 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 153 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 83% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Alameda Hospital's inpatient payments for its readmissions, quality and cost results.
-0.24% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-0.61% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Alameda Hospital, beside the US median and the average of CA hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | Alameda Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.075 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 532 cases | 3.8 | 3.9 | 3.81 | Better than 56% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.57 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.379 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 35 cases | 8.9 | 8.5 | 8.235 | Worse than 60% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 82 cases | 10.3 | 11 | 10.29 | Better than 63% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 210 cases | 13.5 | 15.2 | 14.49 | Better than 75% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 91 cases | 11.7 | 11.6 | 11.57 | Worse than 50% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 1,359 cases | 0.3 | 0.51 | 0.4818 | No Different Than the National Rate | Better than 80% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 171 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 1,887 cases | 0.19 | 0.2 | 0.21 | No Different Than the National Rate | Better than 66% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 1,916 cases | 0.26 | 0.27 | 0.261 | No Different Than the National Rate | Better than 54% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 85 cases | 2.3 | 2.29 | 2.308 | No Different Than the National Rate | Worse than 52% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 | Not Available | 1.668 | Number of Cases Too Small | ||
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 | Not Available | 9.555 | Number of Cases Too Small | ||
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 80 cases | 3.37 | 3.4 | 3.521 | No Different Than the National Rate | Better than 52% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 | Not Available | 5.495 | Number of Cases Too Small | ||
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 38 cases | 1.74 | 1.72 | 1.796 | No Different Than the National Rate | Worse than 59% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 119 cases | 1.03 | 1.02 | 1.061 | No Different Than the National Rate | Worse than 52% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Alameda Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.09 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 94 cases | -2.4 | 1.25 | 7.901 | Better than 55% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 242 cases | -3.6 | 3.85 | 16.67 | Better than 60% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 | Not Available | 12.91 | |||
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 11.39 | |||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.546 | |||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 | Not Available | 1.001 | Number of cases too small | ||
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.43 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 11.19 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 40 cases | 20.2 | 19.8 | 19.94 | Worse than 66% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 98 cases | 19.9 | 21.3 | 21.41 | Better than 89% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 5.612 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 244 cases | 17.5 | 17.2 | 17.7 | Worse than 60% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Alameda Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2347 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.834 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 1,192 | 1,370 | 5,722 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.878 | 0.9835 | 5.638 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 3.347 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.5696 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2147 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.749 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 1,343 | 1,799 | 5,308 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.848 | 1.377 | 6.105 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 3.273 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.5366 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.32 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.433 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 8 | 61 | 112 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.181 | 1.591 | 2.999 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 2.368 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.8107 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2606 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.273 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | Not Available | 73.49 | |||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 0.6136 | |||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 0.5911 | |||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 0.7863 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3103 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.305 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 14,093 | 14,451 | 52,601 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.554 | 0.567 | 3.111 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.166 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.7784 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1925 | Better than the National Benchmark | ||
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.457 | 0.747 | 0.9502 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 14,093 | 13,646 | 48,317 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 6.554 | 5.683 | 27.04 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 0 | 2 | 9.99 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0 | 0.279 | 0.383 | Better than the National Benchmark | The best result, shared by 19% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Alameda Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 319 cases | 76 | 73 | 72.2 | Better than 60% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 319 cases | 4 | 8 | 8.78 | Better than 80% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 319 cases | 20 | 18 | 19.02 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 319 cases | 90 | 87 | 86.82 | Better than 74% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 319 cases | 4 | 4 | 3.514 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 319 cases | 69 | 80 | 75.76 | Worse than 97% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 319 cases | 89 | 91 | 89.84 | Worse than 79% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 319 cases | 5 | 4 | 5.713 | Worse than 61% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 319 cases | 2 | 3 | 2.855 | Worse than 79% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 319 cases | 26 | 16 | 18.53 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 319 cases | 76 | 79 | 75.81 | Worse than 71% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 319 cases | 91 | 91 | 89.11 | Better than 45% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 319 cases | 4 | 5 | 7.043 | Better than 62% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 319 cases | 3 | 3 | 2.688 | Worse than 37% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 319 cases | 20 | 16 | 17.15 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 319 cases | 55 | 61 | 58.95 | Worse than 83% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 319 cases | 75 | 77 | 75.75 | Worse than 63% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 319 cases | 21 | 19 | 21.56 | Worse than 58% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 319 cases | 2 | 3 | 2.449 | Worse than 53% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 319 cases | 24 | 19 | 19.48 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 319 cases | 84 | 86 | 84.61 | Worse than 66% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 319 cases | 15 | 13 | 15.03 | Worse than 63% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 319 cases | 3 | 3 | 3.08 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 319 cases | 85 | 87 | 84.97 | Worse than 63% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 319 cases | 16 | 14 | 16.39 | Worse than 60% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 319 cases | 84 | 86 | 83.61 | Worse than 60% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 319 cases | 70 | 74 | 70.69 | Worse than 74% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 319 cases | 6 | 7 | 8.855 | Better than 53% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 319 cases | 24 | 19 | 20.45 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 319 cases | 77 | 77 | 73.94 | Worse than 49% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 319 cases | 5 | 6 | 7.637 | Better than 53% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 319 cases | 18 | 17 | 18.43 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 319 cases | 82 | 85 | 81.99 | Worse than 74% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 319 cases | 3 | 3 | 4.958 | Better than 49% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 319 cases | 15 | 11 | 13.06 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 319 cases | 9 | 8 | 10.01 | Worse than 59% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 319 cases | 25 | 20 | 22.36 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 319 cases | 66 | 72 | 67.63 | Worse than 72% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 319 cases | 88 | 88 | 86.85 | Worse than 45% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 319 cases | 3 | 3 | 3.047 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 319 cases | 68 | 74 | 72.06 | Worse than 86% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 319 cases | 12 | 9 | 10.94 | Worse than 73% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 319 cases | 20 | 16 | 17 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 319 cases | 65 | 75 | 71.11 | Worse than 95% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 319 cases | 5 | 5 | 7.488 | Better than 49% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 319 cases | 30 | 20 | 21.4 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 319 cases | 65 | 77 | 72.49 | Worse than 96% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 319 cases | 7 | 4 | 6.121 | Worse than 81% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 319 cases | 28 | 19 | 21.39 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 319 cases | 78 | 86 | 82.8 | Worse than 93% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 319 cases | 3 | 3 | 3.779 | Worse than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 319 cases | 19 | 11 | 13.42 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 319 cases | 42 | 59 | 47.5 | Worse than 94% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 319 cases | 24 | 9 | 17.79 | Worse than 97% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 319 cases | 34 | 31 | 34.71 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 319 cases | 71 | 82 | 74.85 | Worse than 94% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 319 cases | 2 | 3 | 2.203 | Worse than 76% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 319 cases | 6 | 5 | 7.623 | Worse than 55% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 319 cases | 64 | 71 | 68.6 | Worse than 76% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 319 cases | 86 | 87 | 85.85 | Worse than 58% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 319 cases | 30 | 23 | 23.77 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 319 cases | 3 | 4 | 3.431 | Worse than 58% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 319 cases | 42 | 47 | 45.33 | Worse than 76% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 319 cases | 31 | 30 | 32.51 | Worse than 51% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 319 cases | 27 | 22 | 22.16 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 319 cases | 3 | 3 | 2.859 | Worse than 40% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 319 cases | 15 | 12 | 13.94 | Worse than 73% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 319 cases | 85 | 88 | 86.06 | Worse than 73% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Alameda Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | low | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 8.289 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 · 882 cases | 2 | 1 | 1.008 | Worse than 72% of US hospitals | |
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 · 1,538 cases | 1 | 0 | 0.1852 | Worse than 84% of US hospitals | |
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 620 cases | 86 | 79 | 69.96 | Better than 62% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 393 cases | 156 | 154 | 187 | Worse than 51% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 369 cases | 153 | 148 | 182 | Worse than 53% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 14 cases | 345 | 247 | 282 | Worse than 79% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 411 | |||
| Left before being seen2024-01-01 to 2024-12-31 · 19,448 cases | 1 | 1 | 2.162 | Better than 42% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 14 cases | 71 | 74 | 75.06 | Worse than 55% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 | Not Available | 92.55 | |||
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 80 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 48.75 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 656 cases | 23 | 15 | 13.67 | Worse than 92% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 100 cases | 83 | 65 | 68.8 | Better than 89% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 46 cases | 80 | 73 | 76.38 | Better than 65% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 27 cases | 100 | 88 | 86.64 | The best result, shared by 11% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 100 cases | 94 | 82 | 82.89 | Better than 93% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 59 cases | 98 | 94 | 93.98 | Better than 77% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 93.4 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 70.68 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 89.93 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 86.9 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 469 cases | 98 | 97 | 94.78 | Better than 56% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Alameda Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 2.2 | 5 | 4.959 | Better than 83% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 4.2 | 6.6 | 8.417 | Better than 81% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Alameda Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.96 | 0.99 | 1.024 | Better than 63% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Alameda Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 16.67 | 20 | 30.07 | Worse than 56% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 4.167 | 5 | 7.571 | Worse than 57% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 10 | 10 | 16.48 | Better than 43% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 2.5 | 2.5 | 4.567 | Worse than 44% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 17 | 34 | 28.67 | Worse than 85% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 4.25 | 8.75 | 7.519 | Worse than 85% of US hospitals | |
| VBP safety domain scoreFY 2026 | 36.67 | 40 | 45.16 | Worse than 54% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 9.167 | 10 | 11.79 | Worse than 55% of US hospitals | |
| VBP total performance scoreFY 2026 | 20.08 | 29.5 | 30.43 | Worse than 83% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 37.5 | 56.67 | 40 | 0 | 6.667 | 16.67 |
| VBP clinical outcomes weighted domain score | 9.375 | 14.17 | 10 | 0 | 1.667 | 4.167 |
| VBP efficiency and cost reduction domain score | 0 | Not Available | 20 | 20 | 0 | 10 |
| VBP efficiency and cost reduction weighted domain score | 0 | Not Available | 5 | 5 | 0 | 2.5 |
| VBP person and community engagement domain score | 11 | Not Available | Not Available | 31 | 11 | 17 |
| VBP person and community engagement weighted domain score | 2.75 | Not Available | Not Available | 7.75 | 2.75 | 4.25 |
| VBP safety domain score | 50 | Not Available | Not Available | 60 | 82.5 | 36.67 |
| VBP safety weighted domain score | 12.5 | Not Available | Not Available | 15 | 20.63 | 9.167 |
| VBP total performance score | 24.63 | Not Available | Not Available | 27.75 | 25.04 | 20.08 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Alameda Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 1.015 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.005 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | 1.008 | 0.9969 | 1.002 | Worse than 60% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 99 cases | 1.005 | 0.9983 | 1.017 | Worse than 54% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9788 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 196 cases | 1.038 | 0.9955 | 1.026 | Worse than 74% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 1.072 | 1.048 | 1.023 | 1.009 | 0.9829 | 1.008 |
| READM-30-HF-HRRP | 1.033 | 1.034 | 1.026 | 0.977 | 1.016 | 1.005 |
| READM-30-HIP-KNEE-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-PN-HRRP | 1.029 | 0.992 | 1.012 | 1.009 | 0.996 | 1.038 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Alameda Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.489 | 0.6114 | The best result, shared by 14% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.835 | 0.346 | 0.449 | Worse than 92% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.559 | 0.679 | The best result, shared by 14% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.6405 | 0.7204 | The best result, shared by 12% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.8895 | 0.9628 | 0.9656 | Better than 76% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.8116 | |||
| Total HAC scoreFY 2026 | -0.6204 | -0.0453 | 0.02733 | Better than 85% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | Yes | No | N/A | No | No | No |
| Total HAC score | 0.4612 | -0.0792 | 0 | -0.4066 | -0.5149 | -0.6204 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 1992)
Accreditation
None
Medical school affiliation
Hospital district or authority
Ownership type
145
Medicare-certified beds
106
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Alameda Hospital reported to Medicare in its latest cost report, covering Jul 1, 2024 to Jun 30, 2025.
2,526
Inpatient discharges
Medicare 40%, Medicaid 4%
12,168
Inpatient days
51% of available bed days used
378
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 842567). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Alameda Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 4,584 | 732 | 6,852 | 12,168 |
| Discharges | 1,007 | 97 | 1,422 | 2,526 |
| Average length of stay | 4.6 days | 7.5 days | 4.8 days | 4.8 days |
| Average daily census | 12.6 | 2.0 | 18.8 | 33.3 |
1,265
Medicare Advantage days
259 discharges
2,998
Medicaid managed care days
772 discharges
2,547
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 58 | 10,401 | 3,893 | 49% |
| Coronary care unit | 8 | 1,767 | 691 | 61% |
| Skilled nursing facility | 181 | 62,120 | 567 | 94% |
Source: CMS cost report (HCRIS, Form 2552-10), report 842567, amended. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Alameda Hospital treats Medicare patients for most often, in 2024. 604 Medicare discharges in 22 published DRGs; 0% surgical; 76% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 139 | $132,330 | $20,651 | $31,230 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 48 | $81,799 | $14,199 | $19,305 | 1.28 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 47 | $81,322 | $13,825 | $19,192 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 44 | $97,569 | $17,890 | $23,026 | 1.70 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 34 | $75,080 | $14,507 | $17,719 | 1.32 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 26 | $84,708 | $10,910 | $19,991 | 1.02 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 26 | $117,484 | $17,504 | $27,726 | 1.65 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 25 | $83,432 | $13,780 | $19,690 | 1.23 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 23 | $57,894 | $8,303 | $13,663 | 0.81 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 20 | $74,412 | $8,438 | $17,561 | 0.79 |
| Renal failure with MCCMS-DRG 682, medical | 18 | $107,168 | $16,496 | $25,292 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 18 | $57,079 | $9,496 | $13,471 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 18 | $58,677 | $12,215 | $13,848 | 1.17 |
| Seizures with MCCMS-DRG 100, medical | 15 | $94,863 | $19,130 | $22,388 | 1.98 |
| Cellulitis without MCCMS-DRG 603, medical | 15 | $54,195 | $8,588 | $12,790 | 0.88 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 15 | $59,053 | $10,794 | $13,936 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 14 | $385,197 | $75,203 | $90,907 | 6.96 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 12 | $162,388 | $22,236 | $38,324 | 2.00 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 12 | $75,210 | $8,289 | $17,749 | 0.80 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 12 | $72,231 | $18,204 | $17,046 | 1.79 |
See all 22 Medicare inpatient DRGs at Alameda Hospital
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Alameda Hospital billed Medicare for most in 2024: 248 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 107 | 99 | $49,877 | $3,028 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 74 | 56 | $13,655 | $2,552 | $1,752 |
| Level 1 Nerve ProceduresAPC 5431 | 49 | 30 | $14,153 | $2,127 | $1,407 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 18 | 14 | $9,842 | $1,788 | $1,220 |
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at Alameda Hospital in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 710 in 2020 to 1,030 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 94501 | 534 | 52% | 2,412 | $58.2M | 27% | 27% |
| 94502 | 79 | 8% | 291 | $7M | 25% | 29% |
| 94601 | 54 | 5% | 229 | $4.6M | 5% | 4% |
| 94621 | 51 | 5% | 204 | $4.1M | 5% | 3% |
| 94603 | 40 | 4% | 148 | $3.2M | 4% | 3% |
| 94577 | 37 | 4% | 217 | $4.3M | 2% | 1% |
| 94606 | 36 | 3% | 194 | $3.9M | 3% | 3% |
| 94602 | 30 | 3% | 151 | $2.9M | 3% | 3% |
| 94612 | 29 | 3% | 140 | $3.1M | 4% | |
| 94605 | 26 | 3% | 138 | $2.7M | 2% | 1% |
| 94619 | 24 | 2% | 97 | $2.1M | 3% | 2% |
| 94607 | 23 | 2% | 92 | $2M | 3% | 2% |
| 94578 | 20 | 2% | 56 | $1.5M | 2% | 1% |
| 94541 | 18 | 2% | 96 | $2.8M | 1% | |
| 94608 | 17 | 2% | 63 | $1.1M | 2% | |
| 94579 | 12 | 1% | 45 | $1.2M | 2% |
Source: CMS Hospital Service Area file. Shares are of the 1,030 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Alameda Hospital reported at its latest Medicare certification survey (2013). Counts are people, not full-time equivalents.
6
Operating rooms
1
Endoscopy rooms
12
Psychiatric unit beds
1
Off-site locations
106
Registered nurses
13
Licensed practical nurses
5
Pharmacists
9
Respiratory therapists
6
Physical therapists
2
Occupational therapists
6
Radiology technicians
1
Nuclear medicine technicians
8
Medical technologists
1
Dietitians
237
Other personnel
Source: CMS Provider of Services file.
322 clinicians who bill Medicare list Alameda Hospital as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Min Yan, M.D.
Internal Medicine Physician
NPI 1447499710
See commercial rates for Min Yan, M.D.Qaiser Niaz, MD
Hematology & Oncology Physician
NPI 1528056389
See commercial rates for Qaiser Niaz, MDC. Michael Neuwelt, M.D.
Rheumatology Physician
NPI 1598786790
See commercial rates for C. Michael Neuwelt, M.D.Srikanth Reddy, M.D.
Hematology & Oncology Physician
NPI 1649440744
See commercial rates for Srikanth Reddy, M.D.Elaine Wong, MD
Endocrinology, Diabetes & Metabolism Physician
NPI 1932258258
See commercial rates for Elaine Wong, MDJeremy Kuniyoshi, MD
Diagnostic Radiology Physician
NPI 1124212667
See commercial rates for Jeremy Kuniyoshi, MDChristopher Welty, MD
Urology Physician
NPI 1750571360
See commercial rates for Christopher Welty, MDVera Mayercik, M.D.
Diagnostic Radiology Physician
NPI 1396000451
See commercial rates for Vera Mayercik, M.D.Jenna Brimmer, M.D.
Internal Medicine Physician
NPI 1295703775
See commercial rates for Jenna Brimmer, M.D.Sandra Mun, MD
Diagnostic Radiology Physician
NPI 1952505539
See commercial rates for Sandra Mun, MDRobert Gwynn, MD
Interventional Cardiology Physician
NPI 1942236401
See commercial rates for Robert Gwynn, MDFrancisco Isolani, M.D.
Internal Medicine Physician
NPI 1326185265
See commercial rates for Francisco Isolani, M.D.Chung Lee, MD
Diagnostic Radiology Physician
NPI 1932124518
See commercial rates for Chung Lee, MDEric Yasumoto, M.D.
Diagnostic Radiology Physician
NPI 1700914116
See commercial rates for Eric Yasumoto, M.D.Aditya Vaze, MD
Cardiovascular Disease Physician
NPI 1356737530
See commercial rates for Aditya Vaze, MDCrystal May, D.O.
Diagnostic Radiology Physician
NPI 1235475518
See commercial rates for Crystal May, D.O.Rabinder Sandhu, MD, MPH
Diagnostic Radiology Physician
NPI 1396903894
See commercial rates for Rabinder Sandhu, MD, MPHBobbak Vahid, MD
Critical Care Medicine (Internal Medicine) Physician
NPI 1952449001
See commercial rates for Bobbak Vahid, MDChao Ho
Internal Medicine Physician
NPI 1629161146
See commercial rates for Chao HoHussain Gilani, M.D.
Nephrology Physician
NPI 1588800080
See commercial rates for Hussain Gilani, M.D.Louise Truong, M.D.
Diagnostic Radiology Physician
NPI 1386961985
See commercial rates for Louise Truong, M.D.Alvaro Waissbluth, MD
Cardiovascular Disease Physician
NPI 1093714743
See commercial rates for Alvaro Waissbluth, MDVijay Mirmira, M.D
Family Medicine Physician
NPI 1851577241
See commercial rates for Vijay Mirmira, M.DTeddy Su, MD
Diagnostic Radiology Physician
NPI 1003881830
See commercial rates for Teddy Su, MDSource: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Alameda Hospital reported to Medicare for Jul 1, 2024 to Jun 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $721.1M | 584.9% |
| Inpatient | $483.7M | 392.4% |
| Outpatient | $237.3M | 192.5% |
| Contractual allowances and discounts | -$597.8M | -484.9% |
| Net patient revenue | $123.3M | 100.0% |
| Operating expenses | -$183.4M | -148.7% |
| Operating income from patient care | -$60.1M | -48.7% |
| Other income | $21.9M | 17.8% |
| Investment income | $291,079 | 0.2% |
| Government appropriations | $21.1M | 17.1% |
| Other | $581,042 | 0.5% |
| Net income | -$38.1M | -30.9% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $96.1M | 13.3% |
| Medicaid (including managed care) | $404.6M | 56.1% |
| Other payers and self-pay | $220.4M | 30.6% |
| Total charges | $721.1M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 842567, amended. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Alameda Hospital's latest cost report.
-48.7%
Operating margin
Operating income from patient care / net patient revenue
-26.3%
Total margin
Net income / net patient revenue plus other income
-25.3%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
58% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$64.32
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-4.3%
Return on assets
Net income for a year / total assets
1.47
Current ratio
Current assets / current liabilities
0.30
Quick ratio
Cash, temporary investments and net receivables / current liabilities
29 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
300 days
Days in patient receivables
Net patient receivables / daily net patient revenue
783 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.16
Asset turnover
Total revenue for a year / total assets
160.2 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 842567, amended. Hospitals report these figures themselves; they are not audited financial statements.
What Alameda Hospital owned and owed at the end of its reporting period (Jun 2025), across all fund types: $885.7M in total assets and a -$61.8M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $14.6M | 1.6% |
| Patient receivables, net | $101.4M | 11.4% |
| Inventory | $12.3M | 1.4% |
| Total current assets | $573.8M | 64.8% |
| Property and equipment, net of depreciation | $138.7M | 15.7% |
| Investments and other assets | $173.1M | 19.5% |
| Total assets | $885.7M | 100.0% |
| Current liabilities | $390.4M | 44.1% |
| Total liabilities | $947.5M | 107.0% |
| Fund balance (net assets) | -$61.8M | -7.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 842567, amended. Hospitals report these figures themselves; they are not audited financial statements.
Care Alameda Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$2.8M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$3.7M
Bad debt
Patient bills written off as uncollectible, at charges
$31.1M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
-$1.6M
State and local indigent care shortfall
Cost of indigent care program patients minus program payments
$3.7M
Total unreimbursed and uncompensated care
2.0% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 842567, amended. Hospitals report these figures themselves; they are not audited financial statements.
Alameda Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Jun 2020 | Jun 2021 | Jun 2022 | Jun 2023 | Jun 2024 | Jun 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $378.8M | $382.1M | $174.1M | $106.4M | $116.3M | $123.3M |
| Operating expenses | $136.5M | $135.6M | $151M | $173.2M | $170.7M | $183.4M |
| Operating margin | 64.0% | 64.5% | 13.3% | -62.7% | -46.7% | -48.7% |
| Net income | $270.8M | $293.2M | $75.3M | -$7.6M | -$25.4M | -$38.1M |
| Total assets | $703.4M | $750.3M | $938.7M | $957.3M | $899.3M | $885.7M |
| Discharges | 2,320 | 2,082 | 2,467 | 2,636 | 2,956 | 2,526 |
| Inpatient days | 10,649 | 10,882 | 11,865 | 13,981 | 13,272 | 12,168 |
| Medicare Advantage days | 3 | 831 | 1,166 | 1,265 | ||
| Beds | 217 | 247 | 247 | 221 | 247 | 247 |
| Employees (FTE) | 339 | 316 | 330 | 297 | 362 | 378 |
Source: CMS cost report (HCRIS, Form 2552-10), report 842567, amended. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Alameda Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Emergency | $7.6M | $15.5M | $108.8M | 0.14 | 6,012 |
| Medical supplies charged to patient | $9M | $9M | 1.00 | ||
| Laboratory | $3.2M | $7.4M | $54M | 0.14 | 4,031 |
| Drugs charged to patients | $7.3M | $27.3M | 0.27 | 841 | |
| Observation beds (non-distinct part | $7M | $23.1M | 0.30 | ||
| Clinic | $3.2M | $6.7M | $22.6M | 0.30 | 10,156 |
| Operating room | $2.5M | $6.3M | $8.3M | 0.76 | 11,046 |
| Radiology-diagnostic | $2.3M | $4.3M | $14.3M | 0.30 | 8,960 |
| Respiratory therapy | $1.9M | $4M | $39M | 0.10 | 631 |
| Ct scan | $2.6M | $53.1M | 0.05 | 361 | |
| Physical therapy | $1M | $2.5M | $9.8M | 0.25 | 1,322 |
| Mri | $1.6M | $11.3M | 0.15 | ||
| Occupational therapy | $311,803 | $1.2M | $7.3M | 0.16 | 1,152 |
| Electrocardiology | $235,190 | $685,446 | $10.8M | 0.06 | 1,120 |
| Impl. dev. charged to patients | $606,356 | $723,388 | 0.84 | ||
| Renal dialysis | $584,837 | $1.2M | 0.50 | 218 | |
| Speech pathology | $74,175 | $365,400 | $2.3M | 0.16 | |
| Anesthesiology | $313,324 | $764,412 | 0.41 | 61 | |
| Blood storing processing & trans. | $244,966 | $1M | 0.24 | 393 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Skilled nursing facility | $23.6M | $57.7M | $176.5M | 0.33 | 14,007 |
| Adults & pediatrics | $15.6M | $35.6M | $111.6M | 0.32 | 18,348 |
| Coronary care unit | $5.5M | $10.8M | $28.1M | 0.38 | 3,132 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $2.3M | $33.4M | 47,882 | $48.46 | 19,073 |
| Maintenance & repairs | $1.3M | $6.7M | 16,581 | $75.91 | 1,757 |
| Housekeeping | $2.6M | $4.6M | 66,636 | $39.54 | 2,087 |
| Nursing administration | $2.7M | $3.9M | 35,870 | $75.34 | 1,898 |
| Employee benefits department | $2.9M | 699 | |||
| Operation of plant | $2.9M | 7,814 | |||
| Pharmacy | $1.8M | $2.8M | 27,562 | $66.58 | 1,485 |
| Central services & supply | $714,911 | $2.5M | 18,585 | $38.47 | 1,379 |
| Dietary | $2.2M | $2.2M | 29,907 | $39.69 | 2,932 |
| Cafeteria | $1.8M | 25,684 | $39.69 | 752 | |
| Laundry & linen service | $868,971 | 128 | |||
| Cap rel costs-bldg & fixt | $866,633 | 142,664 | |||
| Social service | $476,118 | $601,394 | 6,471 | $73.58 | 1,048 |
| Cap rel costs-mvble equip | $506,076 | ||||
| Medical records & library | $274,082 | $462,167 | 6,476 | $42.32 | 3,710 |
Source: CMS cost report (HCRIS, Form 2552-10), report 842567, amended. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Alameda Hospital for an inpatient stay.
1.54
Case mix index
Higher than 33% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
45.7%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
1,028
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.42 | 1.43 | 1.64 | 1.60 | 1.60 | 1.51 | 1.54 |
| Wage index | 1.756 | 1.776 | 1.800 | 1.802 | 1.714 | 1.653 | 1.636 |
| Readmissions adjustment | -0.53% | -0.31% | -0.16% | -0.06% | -0.01% | 0.00% | -0.24% |
| Value-based purchasing adjustment | -0.28% | -0.42% | -0.42% | -0.57% | +0.63% | +0.24% | -0.61% |
| Medicare inpatient stays | 1,171 | 1,171 | 795 | 931 | 946 | 997 | 1,028 |
Source: CMS IPPS final rule Impact File (FY 2027).
The officers and board members on Alameda Hospital's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 4 of 5 are shown.
340B drug pricing program
Participating since 2015
340B ID DSH050211, registered as a disproportionate share hospital; 2 registered outpatient sites. Authorizing official: Mark Steven Fratzke, Interim COO.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Alameda skilled nursing facility
CCN 555381, certified 1989, Medicare prospective payment
Source: Worksheet S-2 Part I of Alameda Hospital's latest Medicare cost report (HCRIS).
About Alameda Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Alameda Hospital range from $777 to $4,227 across 4 insurers. Cigna's rate is $1,089. The median at nearby comparable hospitals is $3,289. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Alameda Hospital range from $766 to $4,633 across 4 insurers. Cigna's rate is $1,088. The median at nearby comparable hospitals is $3,629. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Alameda Hospital range from $805 to $4,996 across 3 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $4,837. The median at nearby comparable hospitals is $2,646. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Alameda Hospital range from $273 to $356 across 4 insurers. Cigna's rate is $324. The median at nearby comparable hospitals is $491. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Alameda Hospital range from $46,714 to $62,957 across 2 insurers. Aetna's rate is $62,957. The median at nearby comparable hospitals is $82,432. What a patient pays depends on their plan's deductible, coinsurance and network status.
Alameda Hospital has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.
CMS reports no Medicare-funded interns or residents at Alameda Hospital for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Alameda Hospital's base inpatient payments by an estimated 0.24% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (139 discharges), heart failure and shock with mcc (48 discharges), simple pneumonia and pleurisy with mcc (47 discharges).
Alameda Hospital's Medicare case mix index is 1.54 for fiscal year 2027, higher than 33% of hospitals paid under the inpatient prospective payment system.
Alameda Hospital reported 2,526 inpatient discharges and 12,168 inpatient days from Jul 1, 2024 to Jun 30, 2025.
Alameda Hospital reported 378 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.
Alameda Hospital reported $123.3M in net patient revenue on $721.1M of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of -48.7%, and net income of -$38.1M.
Alameda Hospital reported $3.7M of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025, including $2.8M of charity care at cost.
Alameda Hospital's Medicare enrollment lists Delvecchio S Finley as CEO since 2015.
Insurers' price transparency files list Alameda Hospital under employer identification number 94-3302014 (Alameda Health System). 53 health plans and networks list 94-3302014 for it.
Yes. HRSA's 340B database lists Alameda Hospital (340B ID DSH050211) as a participating disproportionate share hospital since 2015.
322 clinicians who bill Medicare list Alameda Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are internal medicine physician (77), emergency medicine physician (33), family medicine physician (25).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Alameda Hospital, effective 1992.
CMS lists 25 services at Alameda Hospital, including Anesthesia, Chemotherapy, Clinical Laboratory, Coronary Care Unit, CT Scan, Diagnostic Radiology.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Alameda Hospital came from ZIP codes 94501 (534), 94502 (79), 94601 (54).
Alameda Hospital has 247 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 145 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Alameda Hospital is located at 2070 Clinton Avenue, Alameda, CA 94501. Its main phone number is (510) 522-3700.
Alameda Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 050211.
The National Provider Identifier (NPI) on file for Alameda Hospital is 1831529049.
Alameda Hospital is affiliated with Alameda Health System.
Alameda Hospital lists 32 in-network payers, including Aetna, Aspirus Health Plan, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
264 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers