Alameda Health System · Oakland, CA
1 of 5
CMS star rating
449
Beds
11,847
Inpatient discharges a year
$307.3M
Net patient revenue a year
7
In-network payers
Highland Hospital is a 449-bed government - hospital district or authority hospital in Oakland, CA, affiliated with Alameda Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 7 in-network payers and 368 disclosed rate categories.
The 24 services Highland 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.
Childbirth · Inpatient
MS-DRG 807
$13,370 - $27,922
from 4 insurers · median $15,417
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$12,980 - $53,543
from 4 insurers · median $24,499
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
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 $3,839
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$13,370 - $27,922
from 4 insurers · median $15,417
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 460
$82,166 - $86,629
from 2 insurers · median $84,397
Hospital reports neurosurgical services to CMS
Ear, nose and throat
CPT 30520
$1,831 - $7,398
from 3 insurers · median $4,837
26 Medicare claims in Level 4 ENT Procedures (CMS 2024)
Digestive procedures
CPT 45385
$805 - $4,996
from 4 insurers · median $4,265
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$797 - $4,837
from 4 insurers · median $3,358
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$8,286 - $89,540
from 4 insurers · median $71,140
Hospital reports neurosurgical services to CMS
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
CPT 66984
$942 - $8,350
from 3 insurers · median $4,837
145 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Digestive procedures
CPT 45378
$785 - $4,928
from 4 insurers · median $2,902
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 743
$8,286 - $61,154
from 4 insurers · median $34,915
Hospital reports inpatient surgical services to CMS
Mammography
CPT 77067
$240 - $356
from 4 insurers · median $314
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$7,258 - $8,227
from 2 insurers · median $7,742
20 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
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 $285
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,316 - $5,001
from 4 insurers · median $3,898
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$525 - $3,359
from 3 insurers · median $795
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
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
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* | 21 | 389% | 9 | 7 |
| Insurer B* | 19 | 294% | 5 | 9 |
| Insurer C* | 20 | 226% | 1 | 8 |
| Insurer D* | 24 | 223% | 9 | 12 |
How we chose these services: 3 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 8 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 Highland Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
1 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$307.3M net patient revenue
Ownership and leadership
Hospital district or authority
The employer identification numbers (EINs) health plans and networks list for Highland 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 | 16Aetna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan, Avera Health Plans and 11 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.
1411 East 31st Street, Oakland, CA 94602
(510) 437-4800
How Highland Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
1 of 5
The lowest rating, shared by 6% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 7 measures
0 better, 7 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Worse on 1 of 6 measures
0 better, 5 no different, 1 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 3 of 9 measures
0 better, 6 no different, 3 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
70%
Lower than 53% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Penalized
Among the worst-performing 25% of US hospitals
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
1.07
Higher 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
182 min
Higher than 71% 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
62%
Lower than 57% 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 | 1 of 5 | |
| Death rates | No different on 7 measures | |
| Safety | Worse on 1 of 6 measures | |
| Readmissions | Worse on 3 of 9 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 | 70% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 1.07 | 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 | 182 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 62% | 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 Highland Hospital's inpatient payments for its readmissions, quality and cost results.
-0.28% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-0.52% 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 Highland 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 | Highland 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 · 1,143 cases | 3.3 | 3.9 | 3.81 | Better than 83% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 60 cases | 11.8 | 11.8 | 11.57 | Worse than 49% of US hospitals | |
| 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 · 83 cases | 6.8 | 8.5 | 8.235 | Better than 91% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 148 cases | 13.3 | 11 | 10.29 | Worse than 87% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 237 cases | 11.9 | 15.2 | 14.49 | Better than 92% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 68 cases | 10.7 | 11.6 | 11.57 | Better than 67% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 3,387 cases | 0.76 | 0.51 | 0.4818 | No Different Than the National Rate | Worse than 80% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 · 50 cases | 198 | 173 | 171 | No Different Than the National Rate | Worse than 86% of US hospitals |
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 4,370 cases | 0.17 | 0.2 | 0.21 | No Different Than the National Rate | Better than 84% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 4,344 cases | 0.27 | 0.27 | 0.261 | No Different Than the National Rate | Worse than 46% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 681 cases | 1.91 | 2.29 | 2.308 | No Different Than the National Rate | Better than 90% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 165 cases | 2.07 | 1.63 | 1.668 | No Different Than the National Rate | Worse than 90% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 179 cases | 11.62 | 8.88 | 9.555 | No Different Than the National Rate | Worse than 81% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 689 cases | 2.54 | 3.4 | 3.521 | No Different Than the National Rate | Better than 95% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 163 cases | 5.44 | 5.105 | 5.495 | No Different Than the National Rate | Worse than 65% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 126 cases | 1.97 | 1.72 | 1.796 | No Different Than the National Rate | Worse than 84% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 487 cases | 0.95 | 1.02 | 1.061 | No Different Than the National Rate | Better than 73% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Highland Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 · 59 cases | 142 | 4.2 | 11.09 | Worse than 99% of US hospitals | |
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 186 cases | 27.6 | 1.25 | 7.901 | Worse than 82% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 253 cases | 35.3 | 3.85 | 16.67 | Worse than 86% 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 · 355 cases | 14.4 | 12.9 | 12.91 | No Different Than the National Rate | Worse than 95% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 64 cases | 13.5 | 10.7 | 11.39 | No Different Than the National Rate | Worse than 95% of US hospitals |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 64 cases | 5 | 5.3 | 5.546 | No Different Than the National Rate | Better than 68% of US hospitals |
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 84 cases | 1 | 1 | 1.001 | No Different than expected | Worse than 32% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 51 cases | 15.5 | 14.4 | 14.43 | Worse than 90% of US hospitals | |
| 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 · 107 cases | 19 | 19.8 | 19.94 | Better than 84% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 184 cases | 21.9 | 21.3 | 21.41 | Worse than 68% 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 · 243 cases | 16.6 | 17.2 | 17.7 | Better than 77% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Highland 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 | Better than the National Benchmark | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.387 | 1.504 | 1.834 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 9,266 | 1,370 | 5,722 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 7.734 | 0.9835 | 5.638 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 3.347 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 0 | 0.484 | 0.5696 | Better than the National Benchmark | The best result, shared by 21% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2147 | Better than the National Benchmark | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.398 | 1.392 | 1.749 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 8,207 | 1,799 | 5,308 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 7.533 | 1.377 | 6.105 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 3.273 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0 | 0.399 | 0.5366 | Better than the National Benchmark | The best result, shared by 24% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.736 | 0.2345 | 0.32 | No Different than National Benchmark | |
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | 3.327 | 2.135 | 2.433 | No Different than National Benchmark | |
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 131 | 61 | 112 | No Different than National Benchmark | |
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 4.162 | 1.591 | 2.999 | No Different than National Benchmark | |
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 7 | 1 | 2.368 | No Different than National Benchmark | |
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | 1.682 | 0.7155 | 0.8107 | No Different than National Benchmark | Worse than 90% of US hospitals |
| 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 | 41 | 38 | 73.49 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.381 | 0.328 | 0.6136 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 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 | 0.087 | 0.193 | 0.3103 | No Different than National Benchmark | |
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.716 | 1.855 | 2.305 | No Different than National Benchmark | |
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 66,923 | 14,451 | 52,601 | No Different than National Benchmark | |
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 3.851 | 0.567 | 3.111 | No Different than National Benchmark | |
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 2 | 0 | 2.166 | No Different than National Benchmark | |
| MRSA Bacteremia2024-10-01 to 2025-09-30 | 0.519 | 0.597 | 0.7784 | No Different than National Benchmark | Better than 57% of US hospitals |
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.352 | 0.127 | 0.1925 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.871 | 0.747 | 0.9502 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 63,238 | 13,646 | 48,317 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 33.44 | 5.683 | 27.04 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 19 | 2 | 9.99 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.568 | 0.279 | 0.383 | Better than the National Benchmark | Worse than 80% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Highland Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 1,960 cases | 68 | 73 | 72.2 | Worse than 71% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 1,960 cases | 13 | 8 | 8.78 | Worse than 81% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 1,960 cases | 19 | 18 | 19.02 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 1,960 cases | 84 | 87 | 86.82 | Worse than 71% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 1,960 cases | 3 | 4 | 3.514 | Worse than 53% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 1,960 cases | 72 | 80 | 75.76 | Worse than 90% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 1,960 cases | 88 | 91 | 89.84 | Worse than 88% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 1,960 cases | 7 | 4 | 5.713 | Worse than 86% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 1,960 cases | 2 | 3 | 2.855 | Worse than 79% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 1,960 cases | 21 | 16 | 18.53 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 1,960 cases | 77 | 79 | 75.81 | Worse than 63% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 1,960 cases | 90 | 91 | 89.11 | Worse than 55% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 1,960 cases | 5 | 5 | 7.043 | Better than 44% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 1,960 cases | 3 | 3 | 2.688 | Worse than 37% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 1,960 cases | 18 | 16 | 17.15 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 1,960 cases | 55 | 61 | 58.95 | Worse than 83% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 1,960 cases | 75 | 77 | 75.75 | Worse than 63% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 1,960 cases | 22 | 19 | 21.56 | Worse than 65% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 1,960 cases | 2 | 3 | 2.449 | Worse than 53% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 1,960 cases | 23 | 19 | 19.48 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 1,960 cases | 82 | 86 | 84.61 | Worse than 82% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 1,960 cases | 17 | 13 | 15.03 | Worse than 79% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 1,960 cases | 2 | 3 | 3.08 | Worse than 82% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 1,960 cases | 83 | 87 | 84.97 | Worse than 79% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 1,960 cases | 17 | 14 | 16.39 | Worse than 68% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 1,960 cases | 83 | 86 | 83.61 | Worse than 68% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 1,960 cases | 73 | 74 | 70.69 | Worse than 52% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 1,960 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 · 1,960 cases | 21 | 19 | 20.45 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 1,960 cases | 76 | 77 | 73.94 | Worse than 57% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 1,960 cases | 5 | 6 | 7.637 | Better than 53% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 1,960 cases | 19 | 17 | 18.43 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,960 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 · 1,960 cases | 4 | 3 | 4.958 | Worse than 51% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,960 cases | 14 | 11 | 13.06 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 1,960 cases | 8 | 8 | 10.01 | Worse than 48% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 1,960 cases | 24 | 20 | 22.36 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 1,960 cases | 68 | 72 | 67.63 | Worse than 64% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 1,960 cases | 89 | 88 | 86.85 | Better than 55% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 1,960 cases | 4 | 3 | 3.047 | Better than 55% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 1,960 cases | 68 | 74 | 72.06 | Worse than 86% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 1,960 cases | 13 | 9 | 10.94 | Worse than 80% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 1,960 cases | 19 | 16 | 17 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 1,960 cases | 68 | 75 | 71.11 | Worse than 88% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 1,960 cases | 8 | 5 | 7.488 | Worse than 78% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 1,960 cases | 24 | 20 | 21.4 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 1,960 cases | 68 | 77 | 72.49 | Worse than 91% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 1,960 cases | 8 | 4 | 6.121 | Worse than 88% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 1,960 cases | 24 | 19 | 21.39 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,960 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 · 1,960 cases | 6 | 3 | 3.779 | Worse than 92% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,960 cases | 16 | 11 | 13.42 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 1,960 cases | 50 | 59 | 47.5 | Worse than 80% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 1,960 cases | 15 | 9 | 17.79 | Worse than 79% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 1,960 cases | 35 | 31 | 34.71 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 1,960 cases | 78 | 82 | 74.85 | Worse than 72% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 1,960 cases | 3 | 3 | 2.203 | Worse than 44% 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 · 1,960 cases | 5 | 5 | 7.623 | Better than 45% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 1,960 cases | 70 | 71 | 68.6 | Worse than 53% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 1,960 cases | 88 | 87 | 85.85 | Better than 51% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 1,960 cases | 25 | 23 | 23.77 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 1,960 cases | 4 | 4 | 3.431 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 1,960 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 · 1,960 cases | 30 | 30 | 32.51 | Better than 49% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 1,960 cases | 28 | 22 | 22.16 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 1,960 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 · 1,960 cases | 18 | 12 | 13.94 | Worse than 90% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 1,960 cases | 82 | 88 | 86.06 | Worse than 90% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Highland Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | very high | ||||
| 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 · 3,268 cases | 1 | 1 | 1.008 | Worse than 34% of US hospitals | |
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 · 8,585 cases | 1 | 0 | 0.1852 | Worse than 84% of US hospitals | |
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 4,363 cases | 79 | 79 | 69.96 | Worse than 50% 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 · 786 cases | 188 | 154 | 187 | Worse than 71% 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 · 701 cases | 182 | 148 | 182 | Worse than 71% 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 · 70 cases | 290 | 247 | 282 | Worse than 65% 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 · 15 cases | 347 | 293 | 411 | Worse than 71% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 92,245 cases | 6 | 1 | 2.162 | Worse than 97% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 15 cases | 47 | 74 | 75.06 | Worse than 88% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 77 cases | 94 | 97 | 92.55 | Worse than 65% of US hospitals | |
| 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 · 53 cases | 43 | 53 | 48.75 | Worse than 65% of US hospitals | |
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 3,790 cases | 14 | 15 | 13.67 | Better than 52% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 203 cases | 62 | 65 | 68.8 | Worse than 57% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 67 cases | 70 | 73 | 76.38 | Worse than 56% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 42 cases | 88 | 88 | 86.64 | Worse than 50% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 203 cases | 84 | 82 | 82.89 | Better than 56% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 120 cases | 88 | 94 | 93.98 | Worse than 79% 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 · 1,429 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 | Highland Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 4.5 | 5 | 4.959 | Better than 55% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 3.2 | 6.6 | 8.417 | Better than 91% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Highland 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 | 1 | 0.99 | 1.024 | Worse than 53% of US hospitals |
Measures CMS reports for the hospital's psychiatric unit or for a psychiatric hospital.
| Measure | Highland Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Follow-up care within 30 days after psychiatric hospitalization2023-07-01 to 2024-06-30 · 253 cases | 29.6 | 60.8 | 53.27 | Worse than 99% of US hospitals | |
| Follow-up care within 7 days after psychiatric hospitalization2023-07-01 to 2024-06-30 · 253 cases | 13.8 | 35.5 | 33.73 | Worse than 98% of US hospitals | |
| Hours of physical-restraint use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 28,499 cases | 0.06 | 0.05 | 0.9227 | Better than 51% of US hospitals | |
| Hours of seclusion use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 28,499 cases | 0.34 | 0.03 | 0.8326 | Better than 84% of US hospitals | |
| Psychiatric patients screened for and given the flu vaccine2024-10-01 to 2025-03-31 · 296 cases | 86 | 87 | 75.59 | Worse than 51% of US hospitals | |
| Medication continuation after psychiatric discharge2022-07-01 to 2024-06-30 · 388 cases | 70.9 | 78.1 | 77 | Worse than 79% of US hospitals | |
| Readmitted to any hospital within 30 days of psychiatric discharge2022-07-01 to 2024-06-30 · 648 cases | 23.2 | 19.1 | 19.17 | Worse Than the National Rate | Worse than 93% of US hospitals |
| Psychiatric patients screened for metabolic disorders2024-01-01 to 2024-12-31 · 401 cases | 88 | 92 | 83.77 | Worse than 60% of US hospitals | |
| Alcohol use brief intervention provided or offered2024-01-01 to 2024-12-31 | Not Available | 65.57 | |||
| Alcohol use brief intervention provided2024-01-01 to 2024-12-31 | Not Available | 70.11 | |||
| Alcohol and other drug use disorder treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 11 cases | 36 | 77 | 64.72 | Worse than 86% of US hospitals | |
| Alcohol and other drug use disorder treatment provided at discharge2024-01-01 to 2024-12-31 · 11 cases | 27 | 56 | 54.45 | Worse than 78% of US hospitals | |
| Tobacco use treatment provided or offered at discharge2024-01-01 to 2024-12-31 | Not Available | 50.58 | |||
| Tobacco use treatment provided at discharge2024-01-01 to 2024-12-31 | Not Available | 23.57 | |||
| Discharged patients who received a transition record with the specified elements2024-01-01 to 2024-12-31 · 625 cases | 19 | 77 | 55.11 | Worse than 79% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Highland Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 40 | 20 | 30.07 | Better than 81% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 10 | 5 | 7.571 | Better than 81% 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 | 16 | 34 | 28.67 | Worse than 87% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 4 | 8.75 | 7.519 | Worse than 87% of US hospitals | |
| VBP safety domain scoreFY 2026 | 20 | 40 | 45.16 | Worse than 85% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 5 | 10 | 11.79 | Worse than 85% of US hospitals | |
| VBP total performance scoreFY 2026 | 21.5 | 29.5 | 30.43 | Worse than 78% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 60 | 62.5 | 26.67 | 7.5 | 10 | 40 |
| VBP clinical outcomes weighted domain score | 15 | 15.63 | 6.667 | 1.875 | 2.5 | 10 |
| VBP efficiency and cost reduction domain score | 0 | Not Available | 20 | 20 | 10 | 10 |
| VBP efficiency and cost reduction weighted domain score | 0 | Not Available | 5 | 5 | 2.5 | 2.5 |
| VBP person and community engagement domain score | 13 | Not Available | Not Available | 6 | 7 | 16 |
| VBP person and community engagement weighted domain score | 3.25 | Not Available | Not Available | 1.5 | 1.75 | 4 |
| VBP safety domain score | 12 | Not Available | Not Available | 16 | 16 | 20 |
| VBP safety weighted domain score | 3 | Not Available | Not Available | 4 | 4 | 5 |
| VBP total performance score | 21.25 | Not Available | Not Available | 12.38 | 10.75 | 21.5 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Highland Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 · 61 cases | 1.099 | 0.9995 | 1.015 | Worse than 93% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.005 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 110 cases | 0.921 | 0.9969 | 1.002 | Better than 97% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 204 cases | 0.9921 | 0.9983 | 1.017 | Better than 55% 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 · 237 cases | 1.072 | 0.9955 | 1.026 | Worse than 86% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 1.108 | 1.05 | 1.059 | 1.059 | 1.095 | 1.099 |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 1.075 | 1.009 | 1.007 | 0.9716 | 0.9448 | 0.921 |
| READM-30-HF-HRRP | 1.045 | 1.032 | 0.9886 | 0.967 | 0.9286 | 0.9921 |
| READM-30-HIP-KNEE-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-PN-HRRP | 0.9873 | 0.9711 | 1.016 | 1.092 | 1.128 | 1.072 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Highland Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 1.934 | 0.489 | 0.6114 | Worse than 98% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.812 | 0.346 | 0.449 | Worse than 91% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.601 | 0.559 | 0.679 | Worse than 54% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | Yes | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0.865 | 0.6405 | 0.7204 | Worse than 68% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 1.067 | 0.9628 | 0.9656 | Worse than 76% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 2.686 | 0.7945 | 0.8116 | Worse than 98% of US hospitals | |
| Total HAC scoreFY 2026 | 1.188 | -0.0453 | 0.02733 | Worse than 97% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | Yes | Yes | N/A | Yes | Yes | Yes |
| Total HAC score | 0.8994 | 0.8031 | 0 | 0.8469 | 0.9503 | 1.188 |
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 2020)
Accreditation
Limited
Medical school affiliation
Hospital district or authority
Ownership type
613
Medicare-certified beds
710
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Highland Hospital reported to Medicare in its latest cost report, covering Jul 1, 2024 to Jun 30, 2025.
11,847
Inpatient discharges
Medicare 21%, Medicaid 9%
65,763
Inpatient days
78% of available bed days used
3,211
Employees (full-time equivalent)
146
Interns and residents (full-time equivalent)
Source: CMS cost report (HCRIS) (report 841067). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Highland Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 13,442 | 9,469 | 42,852 | 65,763 |
| Discharges | 2,467 | 1,064 | 8,316 | 11,847 |
| Average length of stay | 5.4 days | 8.9 days | 5.2 days | 5.6 days |
| Average daily census | 36.8 | 25.9 | 117.4 | 180.2 |
4,304
Medicare Advantage days
742 discharges
25,297
Medicaid managed care days
5,837 discharges
5,227
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 191 | 54,082 | 11,421 | 78% |
| Intensive care unit | 33 | 8,039 | 2,021 | 67% |
| Nursery | 2,609 | |||
| Subprovider - ipf | 80 | 23,788 | 4,808 | 81% |
| Subprovider - irf | 28 | 8,359 | 2,071 | 82% |
| Skilled nursing facility | 109 | 39,333 | 105 | 99% |
Source: CMS cost report (HCRIS, Form 2552-10), report 841067, amended. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Highland Hospital treats Medicare patients for most often, in 2024. 1,374 Medicare discharges in 50 published DRGs; 7% surgical; 71% 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 | 201 | $145,490 | $31,690 | $40,883 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 112 | $103,803 | $22,373 | $29,169 | 1.28 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 71 | $96,246 | $20,818 | $27,045 | 1.23 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 58 | $74,332 | $21,232 | $20,887 | 1.33 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 48 | $93,042 | $21,557 | $26,145 | 1.32 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 43 | $117,421 | $25,880 | $32,995 | 1.65 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 37 | $111,585 | $27,779 | $31,355 | 1.70 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 36 | $167,533 | $33,314 | $47,077 | 2.07 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 35 | $65,630 | $14,091 | $18,442 | 0.78 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 31 | $200,458 | $47,758 | $56,329 | 2.70 |
| Renal failure with CCMS-DRG 683, medical | 31 | $70,485 | $16,129 | $19,806 | 0.90 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 31 | $82,770 | $17,910 | $23,258 | 1.03 |
| Cellulitis without MCCMS-DRG 603, medical | 30 | $61,423 | $14,744 | $17,260 | 0.88 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 27 | $128,390 | $25,220 | $36,078 | 1.59 |
| Syncope and collapseMS-DRG 312, medical | 27 | $74,168 | $15,685 | $20,841 | 0.86 |
| Poisoning and toxic effects of drugs with MCCMS-DRG 917, medical | 26 | $99,517 | $25,624 | $27,964 | 1.60 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 24 | $66,793 | $16,869 | $18,769 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 24 | $56,326 | $14,295 | $15,827 | 0.79 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 23 | $425,093 | $92,121 | $119,451 | 5.00 |
| Medical back problems without MCCMS-DRG 552, medical | 22 | $92,687 | $16,749 | $26,045 | 0.97 |
See all 50 Medicare inpatient DRGs at Highland 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) Highland Hospital billed Medicare for most in 2024: 894 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 315 | 291 | $48,035 | $2,997 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 145 | 105 | $16,523 | $2,569 | $1,752 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 69 | 66 | $12,077 | $1,784 | $1,220 |
| Level 3 Vascular ProceduresAPC 5183 | 50 | 46 | $24,953 | $3,526 | $2,405 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 29 | 29 | $93,855 | $16,602 | $10,772 |
| Level 4 ENT ProceduresAPC 5164 | 26 | 17 | $20,721 | $2,322 | $2,217 |
| Level 4 Vascular ProceduresAPC 5184 | 24 | 23 | $36,230 | $6,080 | $3,946 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 22 | 22 | $23,641 | $3,128 | $2,141 |
| Level 2 Upper GI ProceduresAPC 5302 | 21 | 20 | $13,441 | $2,094 | $1,445 |
| Level 5 Urology and Related ServicesAPC 5375 | 21 | 17 | $39,797 | $5,724 | $3,918 |
See all 21 Medicare outpatient services at Highland Hospital
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 Highland 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 3,408 in 2020 to 3,177 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 94621 | 320 | 10% | 1,668 | $45M | 34% | 37% |
| 94603 | 295 | 9% | 1,513 | $40.4M | 29% | 30% |
| 94605 | 294 | 9% | 1,882 | $48.7M | 18% | 20% |
| 94577 | 266 | 8% | 1,367 | $34.6M | 12% | 25% |
| 94601 | 251 | 8% | 1,526 | $40.4M | 23% | 22% |
| 94501 | 220 | 7% | 1,295 | $38.4M | 11% | 11% |
| 94606 | 209 | 7% | 1,176 | $30.9M | 20% | 20% |
| 94578 | 168 | 5% | 742 | $19.1M | 15% | 21% |
| 94602 | 142 | 4% | 731 | $22M | 15% | 16% |
| 94619 | 99 | 3% | 456 | $13.1M | 13% | 13% |
| 94612 | 91 | 3% | 490 | $13.9M | 13% | 18% |
| 94607 | 88 | 3% | 436 | $13.7M | 12% | 17% |
| 94541 | 80 | 3% | 374 | $9.7M | 4% | 4% |
| 94611 | 76 | 2% | 309 | $10M | 6% | 6% |
| 94608 | 59 | 2% | 284 | $7.6M | 8% | 13% |
| 94580 | 55 | 2% | 193 | $5.3M | 7% | 8% |
| 94610 | 54 | 2% | 246 | $6.8M | 8% | 12% |
| 94544 | 46 | 1% | 237 | $6.7M | 2% | 4% |
| 94579 | 46 | 1% | 191 | $5.1M | 7% | 10% |
| 94609 | 46 | 1% | 298 | $10.7M | 9% | 8% |
| 94502 | 31 | 1% | 187 | $6.4M | 10% | 8% |
| 94702 | 30 | 1% | 249 | $7.3M | 6% | 8% |
| 94545 | 25 | 1% | 151 | $4.1M | 2% | 5% |
| 94703 | 23 | 1% | 116 | $4.3M | 4% | 6% |
| 94546 | 22 | 1% | 74 | $1.9M | 2% | 3% |
Source: CMS Hospital Service Area file. Shares are of the 3,177 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 Highland Hospital reported at its latest Medicare certification survey (2019). Counts are people, not full-time equivalents.
26
Operating rooms
5
Endoscopy rooms
3
Cardiac catheterization rooms
80
Psychiatric unit beds
28
Rehabilitation unit beds
3
Off-site locations
710
Registered nurses
60
Licensed practical nurses
33
Physicians
133
Resident physicians
47
Nurse practitioners
30
Physician assistants
11
Nurse anesthetists (CRNAs)
18
Pharmacists
38
Respiratory therapists
20
Physical therapists
18
Occupational therapists
7
Speech pathologists and audiologists
22
Radiology technicians
1
Nuclear medicine technicians
7
Dietitians
28
Social workers
3
Psychologists
1,982
Other personnel
Source: CMS Provider of Services file.
629 clinicians who bill Medicare list Highland 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.
Suneet Grewal, M.D.
Rheumatology Physician
NPI 1811264476
See commercial rates for Suneet Grewal, 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.Bao Dao, MD
Hematology & Oncology Physician
NPI 1033349485
See commercial rates for Bao Dao, MDLawrence Pan, M.D.
Diagnostic Radiology Physician
NPI 1265750343
See commercial rates for Lawrence Pan, M.D.Neha Desouza, MD
Hematology & Oncology Physician
NPI 1598109324
See commercial rates for Neha Desouza, MDShelly Gupta, MD
Hematology & Oncology Physician
NPI 1831558329
See commercial rates for Shelly Gupta, MDJeremy Kuniyoshi, MD
Diagnostic Radiology Physician
NPI 1124212667
See commercial rates for Jeremy Kuniyoshi, MDRajesh Suri, MD
Cardiovascular Disease Physician
NPI 1790700987
See commercial rates for Rajesh Suri, MDThomas Dewland, M.D.
Clinical Cardiac Electrophysiology Physician
NPI 1811163371
See commercial rates for Thomas Dewland, M.D.Jennifer Foley, M.D.
Diagnostic Radiology Physician
NPI 1215277108
See commercial rates for Jennifer Foley, M.D.Apar Ghuman, D.O., M.PH.
Physical Medicine & Rehabilitation Physician
NPI 1871948265
See commercial rates for Apar Ghuman, D.O., M.PH.Muhammad Abdul-Wahab, MD
Diagnostic Radiology Physician
NPI 1649690686
See commercial rates for Muhammad Abdul-Wahab, MDMitesh Patel, M.D.
Diagnostic Radiology Physician
NPI 1235511924
See commercial rates for Mitesh Patel, M.D.Young Kang, MD
Specialist
NPI 1720050529
See commercial rates for Young Kang, MDAditya Jain, MD
Cardiovascular Disease Physician
NPI 1821102641
See commercial rates for Aditya Jain, MDKwan Chen, MD
Interventional Cardiology Physician
NPI 1619928025
See commercial rates for Kwan Chen, MDPradeep Kumar, MD FACC FSCAI
Cardiovascular Disease Physician
NPI 1295838746
See commercial rates for Pradeep Kumar, MD FACC FSCAIDouglas Zhang, M.D.
Geriatric Medicine (Family Medicine) Physician
NPI 1023074341
See commercial rates for Douglas Zhang, M.D.Vera Mayercik, M.D.
Diagnostic Radiology Physician
NPI 1396000451
See commercial rates for Vera Mayercik, M.D.Rishi Kapila, M.D.
Hospitalist Physician
NPI 1811197973
See commercial rates for Rishi Kapila, M.D.Ricardo Molina, MD
Orthopaedic Surgery Physician
NPI 1063446953
See commercial rates for Ricardo Molina, MDSteven Degalan, M.D
Interventional Cardiology Physician
NPI 1508849860
See commercial rates for Steven Degalan, M.DJenna Brimmer, M.D.
Internal Medicine Physician
NPI 1295703775
See commercial rates for Jenna Brimmer, M.D.Source: 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 Highland 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) | $3.6B | 1164.4% |
| Inpatient | $2.1B | 679.1% |
| Outpatient | $1.5B | 485.3% |
| Contractual allowances and discounts | -$3.3B | -1064.4% |
| Net patient revenue | $307.3M | 100.0% |
| Operating expenses | -$1.4B | -464.3% |
| Operating income from patient care | -$1.1B | -364.3% |
| Other income | $1.2B | 382.5% |
| Investment income | $1.9M | 0.6% |
| Government appropriations | $592.6M | 192.8% |
| Other | $580.8M | 189.0% |
| Net income | $55.9M | 18.2% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $427.4M | 11.9% |
| Medicaid (including managed care) | $2.2B | 60.5% |
| Other payers and self-pay | $985.2M | 27.5% |
| Total charges | $3.6B | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 841067, 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 Highland Hospital's latest cost report.
-364.3%
Operating margin
Operating income from patient care / net patient revenue
3.8%
Total margin
Net income / net patient revenue plus other income
7.7%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
53% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$83.15
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
6.3%
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
4 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
120 days
Days in patient receivables
Net patient receivables / daily net patient revenue
104 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.67
Asset turnover
Total revenue for a year / total assets
3.7 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 841067, amended. Hospitals report these figures themselves; they are not audited financial statements.
What Highland 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 841067, amended. Hospitals report these figures themselves; they are not audited financial statements.
Care Highland Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$36.7M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$33.1M
Bad debt
Patient bills written off as uncollectible, at charges
$276.1M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
-$30.4M
State and local indigent care shortfall
Cost of indigent care program patients minus program payments
$46.3M
Total unreimbursed and uncompensated care
3.2% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
$15.9M
Government grants and appropriations
Government grants or transfers supporting hospital operations
Source: CMS cost report (HCRIS, Form 2552-10), report 841067, amended. Hospitals report these figures themselves; they are not audited financial statements.
Highland 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 | -$243.2M | -$67.8M | $269.4M | $297.8M | $300.7M | $307.3M |
| Operating expenses | $952M | $977.7M | $1B | $1.2B | $1.3B | $1.4B |
| Operating margin | -277.3% | -316.2% | -326.9% | -364.3% | ||
| Net income | -$284.7M | -$306.4M | $134.4M | $30.8M | $28.5M | $55.9M |
| Total assets | $703.4M | $750.3M | $938.7M | $957.3M | $899.3M | $885.7M |
| Discharges | 11,126 | 11,300 | 12,000 | 13,387 | 12,629 | 11,847 |
| Inpatient days | 63,111 | 61,531 | 63,542 | 68,128 | 67,315 | 65,763 |
| Medicare Advantage days | 1,897 | 2,900 | 4,117 | 5,901 | 3,839 | 4,304 |
| Beds | 415 | 415 | 434 | 475 | 475 | 449 |
| Employees (FTE) | 2,419 | 2,223 | 2,873 | 2,697 | 3,006 | 3,211 |
Source: CMS cost report (HCRIS, Form 2552-10), report 841067, amended. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Highland 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 |
|---|---|---|---|---|---|
| Drugs charged to patients | $115.2M | $298M | 0.39 | ||
| Emergency | $60.5M | $96.8M | $628.8M | 0.15 | 27,992 |
| Medical supplies charged to patient | $66.1M | $72.7M | 0.91 | ||
| Jgp emergency psych | $21.4M | $45.7M | $63.8M | 0.72 | 6,263 |
| Operating room | $26.2M | $45.6M | $159.7M | 0.29 | 26,540 |
| Laboratory | $16.6M | $41.6M | $346.4M | 0.12 | 11,469 |
| Radiology-diagnostic | $21M | $38.4M | $111.3M | 0.34 | 23,273 |
| Delivery room & labor room | $13.3M | $21.2M | $24.8M | 0.85 | 9,161 |
| Respiratory therapy | $8.2M | $18.3M | $74.4M | 0.25 | 2,923 |
| Observation beds (non-distinct part | $16.9M | $46M | 0.37 | ||
| Recovery room | $7.5M | $15M | $18.7M | 0.80 | 4,896 |
| Impl. dev. charged to patients | $13.7M | $34M | 0.40 | ||
| Physical therapy | $5M | $11.3M | $22.7M | 0.50 | 8,217 |
| Psych partial hospitalization | $4.1M | $9.7M | $40.6M | 0.24 | 13,005 |
| Gastro intestinal services | $8.3M | $9.7M | $19.6M | 0.49 | 4,640 |
| Occupational therapy | $3.5M | $8.4M | $24.2M | 0.35 | 5,548 |
| Infusion services | $2.9M | $7.8M | $7.9M | 0.98 | 9,758 |
| Cardiac catheterization | $2.1M | $6.3M | $18.3M | 0.35 | 6,376 |
| Electrocardiology | $6.6M | $5.5M | $57.3M | 0.10 | 3,130 |
| Clinic | $3.4M | $5.5M | $5M | 1.09 | 3,474 |
| Renal dialysis | $1.1M | $5.3M | $17.6M | 0.30 | 1,211 |
| Ct scan | $5.2M | $304.4M | 0.02 | 1,879 | |
| Mri | $1.2M | $4.3M | $38.9M | 0.11 | 3,501 |
| Speech pathology | $1.8M | $4M | $8.6M | 0.46 | 2,390 |
| Anesthesiology | $18.9M | $2.4M | $30.9M | 0.08 | 1,195 |
| Radioisotope | $322,575 | $1.2M | $6.5M | 0.18 | 1,644 |
| Blood storing processing & trans. | $580,072 | $12.5M | 0.05 | 1,637 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $123.2M | $188.8M | $557.2M | 0.34 | 83,391 |
| Subprovider - ipf | $48.8M | $87.9M | $179.1M | 0.49 | 37,870 |
| Intensive care unit | $27.2M | $61.2M | $152.3M | 0.40 | 21,148 |
| Skilled nursing facility | $15.5M | $45.8M | $106.8M | 0.43 | 19,732 |
| Subprovider - irf | $11.7M | $24.3M | $65.5M | 0.37 | 18,532 |
| Intensive care nursery | $4.7M | $10.2M | $14.2M | 0.72 | 3,884 |
| Nursery | $5.6M | $9.5M | 0.59 | 7,168 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Other administrative and general | $16.9M | $206.1M | 14,537 | ||
| Cap rel costs-bldg & fixt | $58.6M | 748,235 | |||
| Maintenance & repairs | $5M | $25.9M | 72,802 | $69.12 | 75,140 |
| Housekeeping | $13.8M | $24.5M | 373,827 | $36.84 | 19,922 |
| Pharmacy | $16.1M | $22.9M | 200,583 | $79.39 | 8,902 |
| Employee benefits department | $22.5M | ||||
| Operation of plant | $21.9M | 2,363 | |||
| Nursing administration | $12.2M | $21.7M | 181,069 | $67.40 | 3,497 |
| I&r services-salary & fringes apprv | $14.1M | $21M | 12,621 | ||
| Cashiering/accounts receivable | $18.5M | ||||
| I&r services-other prgm costs apprv | $17.4M | ||||
| Medical records & library | $12.1M | ||||
| Central services & supply | $5.5M | $11.3M | 120,597 | $45.89 | 30,380 |
| Dietary | $5.8M | $10.2M | 147,074 | $39.30 | 44,638 |
| Cafeteria | $5.3M | $10M | 143,279 | $37.00 | 986 |
| Admitting | $4.9M | $7.3M | 2,570 | ||
| Social service | $3.1M | $4.9M | 43,377 | $70.99 | 2,404 |
| Purchasing | $2.4M | ||||
| Nonpatient telephones | $414,513 | $2.2M | |||
| Laundry & linen service | $557,896 | $939,602 | 15,294 | $36.48 | 1,165 |
| Data processing | $387,955 | $835,443 | 2,456 | ||
| Pharmacy residency | $315,086 | ||||
| Cap rel costs-mvble equip | $220,136 |
Source: CMS cost report (HCRIS, Form 2552-10), report 841067, 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 Highland Hospital for an inpatient stay.
1.82
Case mix index
Higher than 64% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
Major teaching hospital
Teaching status
0.49 residents per bed
Medicare-funded interns and residents per bed (FY 2027).
72.0%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
2,674
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 | 1.75 | 1.74 | 1.77 | 1.82 | 1.76 | 1.83 | 1.82 |
| Wage index | 1.756 | 1.776 | 1.800 | 1.802 | 1.714 | 1.653 | 1.636 |
| Readmissions adjustment | -0.38% | -0.33% | -0.11% | -0.08% | -0.27% | -0.43% | -0.28% |
| Value-based purchasing adjustment | -0.19% | -0.64% | -0.64% | +0.28% | -0.83% | -1.04% | -0.52% |
| Medicare inpatient stays | 1,906 | 1,906 | 2,572 | 2,490 | 2,419 | 2,220 | 2,674 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Highland Hospital reports to Medicare as owners or with operational control.
Sources: CMS Hospital All Owners, CMS Hospital Change of Ownership.
The officers and board members on Highland 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.
340B drug pricing program
Participating since 1995
340B ID DSH050320, registered as a disproportionate share hospital; 1 registered outpatient sites; 20 active contract pharmacies. Authorizing official: Mark Steven Fratzke, Interim COO.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
John george pavillion
CCN 05S320, certified 1979, Medicare prospective payment
Alameda county medical center rehab
CCN 05T320, certified 1985, Medicare prospective payment
Alameda county - snf
CCN 056479, certified 1974, Medicare prospective payment
Source: Worksheet S-2 Part I of Highland Hospital's latest Medicare cost report (HCRIS).
About Highland Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Highland Hospital range from $777 to $4,227 across 4 insurers. Cigna's rate is $1,089. The median at nearby comparable hospitals is $3,500. 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 Highland Hospital range from $766 to $4,633 across 4 insurers. Cigna's rate is $1,088. The median at nearby comparable hospitals is $4,394. 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 Highland Hospital range from $805 to $4,996 across 4 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $4,837. The median at nearby comparable hospitals is $2,188. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Highland Hospital range from $13,370 to $27,922 across 4 insurers. UnitedHealthcare's rate is $14,103. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Highland Hospital range from $240 to $356 across 4 insurers. Cigna's rate is $324. The median at nearby comparable hospitals is $413. What a patient pays depends on their plan's deductible, coinsurance and network status.
Highland Hospital has a CMS overall hospital star rating of 1 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is the lowest rating, shared by 6% of US hospitals.
Yes. CMS counts 0.49 Medicare-funded residents per bed at Highland Hospital for fiscal year 2027, so it is a major teaching hospital.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Highland Hospital's base inpatient payments by an estimated 0.28% 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 (201 discharges), heart failure and shock with mcc (112 discharges), pulmonary edema and respiratory failure (71 discharges).
Highland Hospital's Medicare case mix index is 1.82 for fiscal year 2027, higher than 64% of hospitals paid under the inpatient prospective payment system.
Highland Hospital reported 11,847 inpatient discharges and 65,763 inpatient days from Jul 1, 2024 to Jun 30, 2025.
Highland Hospital reported 3,211 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.
Highland Hospital reported $307.3M in net patient revenue on $3.6B of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of -364.3%, and net income of $55.9M.
Highland Hospital reported $46.3M of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025, including $36.7M of charity care at cost.
Highland Hospital's Medicare enrollment lists Delvecchio S Finley as CEO since 2015.
Insurers' price transparency files list Highland Hospital under employer identification number 94-3302014 (Alameda Health System). 16 health plans and networks list 94-3302014 for it.
Yes. HRSA's 340B database lists Highland Hospital (340B ID DSH050320) as a participating disproportionate share hospital since 1995, with 20 active contract pharmacies.
629 clinicians who bill Medicare list Highland Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are internal medicine physician (112), emergency medicine physician (62), diagnostic radiology physician (26).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Highland Hospital, effective 2020.
CMS lists 38 services at Highland Hospital, including Acute Renal Dialysis, Adult Inpatient Psychiatric Care, Alcohol and/or Drug Service, Anesthesia, Cardiac Catheterization Lab, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation).
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Highland Hospital came from ZIP codes 94621 (320), 94603 (295), 94605 (294).
Highland Hospital has 449 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 613 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Highland Hospital is located at 1411 East 31st Street, Oakland, CA 94602. Its main phone number is (510) 437-4800.
Highland Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 050320.
The National Provider Identifier (NPI) on file for Highland Hospital is 1396764353.
Highland Hospital is affiliated with Alameda Health System.
Highland Hospital lists 7 in-network payers, including Avera Health Plans, BCBS, Harvard Pilgrim Health Care (Point32Health), Kaiser Permanente, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
368 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