P&P, Paid & Penalized

Public Medicare data, made visible.

Metro area

Oakland-Fremont-Berkeley, CA

CMS cut 4 of the 18 hospitals in Oakland-Fremont-Berkeley, CA with a payment decision for fiscal year 2026: 22.2%, against 24.9% nationally.

Oakland-Fremont-Berkeley, CA · FY2026Compared with the nation

1Hospitals cut

4

Of 18 with a payment decision

2Share cut

22.2%

−2.7 pts vs the nation (24.9%)

3Rank

23rd of 59

Share cut, highest first, among metro areas with at least 10 hospitals with a decision

4Median score

−0.0479

Nation: −0.0453

5Scored on all 6

15

Of 18 scored (83%; nation 66%)

6Scored without data

0

Hospitals CMS gave its worst score on a measure

7Estimated dollars

$3.6M estimate
1.2% of the nation’s $306M, this site’s estimate

Likely range $2.8–4.3M

8Per traditional Medicare stay

$99

The nation: $47

22% cut

Average Lowest score: −1.4728 Highest score: 2.3133 CMS’s line 4 of 718 here Average Lowest score: −1.4728 Highest score: 2.3133 CMS’s line 718 cut nationally · 4 here
Every hospital in the nation with a payment decision, lowest score to highest, each as tall as its score (above the rule, worse than average); the solid hairlines are Oakland-Fremont-Berkeley, CA’s, red where CMS cut.

On the map

Each dot is a hospital in CMS’s file: red, cut; ringed, not cut; gray, no decision. Pick one to open its page.

Figure 1. Oakland-Fremont-Berkeley, CA: 4 cut of 18 with a payment decision.
St Rose Hospital, Hayward: 0.8753 · cutAlta Bates Summit Medical Center, Oakland: −0.8087 · not cutKaiser Foundation Hospital - Walnut Creek, Walnut Creek: 0.2989 · not cutKaiser Foundation Hospital - Oakland/Richmond, Oakland: 0.2786 · not cutJohn Muir Medical Center - Walnut Creek Campus, Walnut Creek: 0.5571 · cutWashington Hospital, Fremont: −0.3622 · not cutAlameda Hospital, Alameda: −0.6204 · not cutContra Costa Regional Medical Center, Martinez: −0.0931 · not cutStanford Health Care Tri-Valley, Pleasanton: −0.5065 · not cutAlta Bates Summit Medical Center - Alta Bates Camp, Berkeley: −0.0079 · not cutHighland Hospital, Oakland: 1.1876 · cutEden Medical Center, Castro Valley: −0.5847 · not cutJohn Muir Medical Center - Concord Campus, Concord: 0.5130 · cutKaiser Foundation Hospital - Fremont, Fremont: 0.3788 · not cutSutter Delta Medical Center, Antioch: −0.6179 · not cutSan Ramon Regional Medical Center, San Ramon: −0.7452 · not cutKaiser Foundation Hospital - Antioch, Antioch: 0.0384 · not cutKaiser Foundation Hospital - San Leandro, San Leandro: −0.0878 · not cut St Rose Hospital, Hayward: 0.8753 · cutAlta Bates Summit Medical Center, Oakland: −0.8087 · not cutKaiser Foundation Hospital - Walnut Creek, Walnut Creek: 0.2989 · not cutKaiser Foundation Hospital - Oakland/Richmond, Oakland: 0.2786 · not cutJohn Muir Medical Center - Walnut Creek Campus, Walnut Creek: 0.5571 · cutWashington Hospital, Fremont: −0.3622 · not cutAlameda Hospital, Alameda: −0.6204 · not cutContra Costa Regional Medical Center, Martinez: −0.0931 · not cutStanford Health Care Tri-Valley, Pleasanton: −0.5065 · not cutAlta Bates Summit Medical Center - Alta Bates Camp, Berkeley: −0.0079 · not cutHighland Hospital, Oakland: 1.1876 · cutEden Medical Center, Castro Valley: −0.5847 · not cutJohn Muir Medical Center - Concord Campus, Concord: 0.5130 · cutKaiser Foundation Hospital - Fremont, Fremont: 0.3788 · not cutSutter Delta Medical Center, Antioch: −0.6179 · not cutSan Ramon Regional Medical Center, San Ramon: −0.7452 · not cutKaiser Foundation Hospital - Antioch, Antioch: 0.0384 · not cutKaiser Foundation Hospital - San Leandro, San Leandro: −0.0878 · not cut
  • Cut
  • Not cut
  • Not subject (Maryland) or no score

Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
HospitalCityTotal HAC ScorePayment reduction
Alameda HospitalAlameda−0.6204No
Alta Bates Summit Medical CenterOakland−0.8087No
Alta Bates Summit Medical Center - Alta Bates CampBerkeley−0.0079No
Contra Costa Regional Medical CenterMartinez−0.0931No
Eden Medical CenterCastro Valley−0.5847No
Highland HospitalOakland1.1876Yes
John Muir Medical Center - Concord CampusConcord0.5130Yes
John Muir Medical Center - Walnut Creek CampusWalnut Creek0.5571Yes
Kaiser Foundation Hospital - AntiochAntioch0.0384No
Kaiser Foundation Hospital - FremontFremont0.3788No
Kaiser Foundation Hospital - Oakland/RichmondOakland0.2786No
Kaiser Foundation Hospital - San LeandroSan Leandro−0.0878No
Kaiser Foundation Hospital - Walnut CreekWalnut Creek0.2989No
San Ramon Regional Medical CenterSan Ramon−0.7452No
St Rose HospitalHayward0.8753Yes
Stanford Health Care Tri-ValleyPleasanton−0.5065No
Sutter Delta Medical CenterAntioch−0.6179No
Washington HospitalFremont−0.3622No

Its scores against the nation’s

The columns are this place’s hospitals; the outline is every hospital in the nation. Both are shares of their own hospitals, so a small place and the nation compare.

Figure 2. 22.2% of hospitals here scored past CMS’s line, against 24.9% nationally; the middle score here is −0.0479, and nationally −0.0453.
0%5%10%15%20% −1.6 to −1.4: 0% here, 1% nationally−1.4 to −1.2: 0% here, 1% nationally−1.2 to −1.0: 0% here, 2% nationally−1.0 to −0.8: 0% here, 4% nationally−0.8 to −0.6: 22% here, 7% nationally−0.6 to −0.4: 11% here, 10% nationally−0.4 to −0.2: 6% here, 12% nationally−0.2 to 0.0: 11% here, 14% nationally0.0 to 0.2: 11% here, 12% nationally0.2 to 0.4: 17% here, 12% nationally0.4 to 0.6: 11% here, 8% nationally0.6 to 0.8: 0% here, 6% nationally0.8 to 1.0: 6% here, 4% nationally1.0 to 1.2: 0% here, 3% nationally1.2 to 1.4: 6% here, 1% nationally1.4 to 1.6: 0% here, 1% nationally1.6 to 1.8: 0% here, 0% nationally1.8 to 2.0: 0% here, 0% nationally2.0 to 2.2: 0% here, 0% nationally2.2 to 2.4: 0% here, 1% nationally CMS’s line −1.00.01.02.0 0%5%10%15%20% −1.6 to −1.4: 0% here, 1% nationally−1.4 to −1.2: 0% here, 1% nationally−1.2 to −1.0: 0% here, 2% nationally−1.0 to −0.8: 0% here, 4% nationally−0.8 to −0.6: 22% here, 7% nationally−0.6 to −0.4: 11% here, 10% nationally−0.4 to −0.2: 6% here, 12% nationally−0.2 to 0.0: 11% here, 14% nationally0.0 to 0.2: 11% here, 12% nationally0.2 to 0.4: 17% here, 12% nationally0.4 to 0.6: 11% here, 8% nationally0.6 to 0.8: 0% here, 6% nationally0.8 to 1.0: 6% here, 4% nationally1.0 to 1.2: 0% here, 3% nationally1.2 to 1.4: 6% here, 1% nationally1.4 to 1.6: 0% here, 1% nationally1.6 to 1.8: 0% here, 0% nationally1.8 to 2.0: 0% here, 0% nationally2.0 to 2.2: 0% here, 0% nationally2.2 to 2.4: 0% here, 1% nationally CMS’s line −1.5−1.0−0.50.00.51.01.52.0

Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
Score fromtoHereNation
−1.6−1.4040
−1.4−1.2017
−1.2−1.0051
−1.0−0.80126
−0.8−0.64204
−0.6−0.42290
−0.4−0.21357
−0.20.02407
0.00.22343
0.20.43333
0.40.62237
0.60.80173
0.81.01116
1.01.2091
1.21.4130
1.41.6021
1.61.8010
1.82.003
2.02.2013
2.22.4024

Measure by measure

For each measure, the share of this place’s hospitals with a value worse than the national median. Half would be ordinary; a stem to the right of the line is a measure where more hospitals here did worse.

Figure 3. Worst against the nation on CDI (61% of its hospitals above the national median); best on MRSA (39%).

Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
MeasureHospitals with a valueHalf
PSI 901850%
CLABSI1753%
CAUTI1856%
SSI1656%
CDI1861%
MRSA1839%

Oakland-Fremont-Berkeley, CA across the line

The nation’s hospitals within 0.05 of CMS’s line that this site estimates, Oakland-Fremont-Berkeley, CA’s in full ink: scores a hair apart, money all or nothing.

Figure 4. Of the nation’s 141 hospitals within 0.05 of CMS’s line that this site estimates, Oakland-Fremont-Berkeley, CA has 1 hospital not cut, where a cut would have been about $30K.
CMS’s line 82 not cut $52.8M at stake82 not cut$52.8M at stake 59 cut $29.8M cut59 cut$29.8M cut 0.340.360.380.400.42 Total HAC Score CMS’s line 82 not cut $52.8M at stake82 not cut$52.8M at stake 59 cut $29.8M cut59 cut$29.8M cut Kaiser Foundation Hospital - Fremont, Fremont, CA: score 0.3788; a cut would have been $30K 0.340.360.380.400.42 Total HAC Score

3 more within 0.05 have no estimate, and Maryland’s 2 are exempt.

Estimate · Source: this site’s arithmetic on CMS’s FY2026 IPPS final rule files (the impact file, the rate tables and the value-based factors), its FY2026 HRRP supplemental file and HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
Side of the lineHospitalsEstimated cut, taken or not (whole dollars)
Under the line: not cut82$52,846,861
Over the line: cut59$29,847,503

Oakland-Fremont-Berkeley, CA, year by year

Every hospital in Oakland-Fremont-Berkeley, CA with a payment decision in any year, one sliver each, one row per fiscal year; red where CMS cut it. At the right of each row: the share of Oakland-Fremont-Berkeley, CA’s hospitals cut that year, then the nation’s.

Figure 5. Oakland-Fremont-Berkeley, CA’s share cut was above the nation’s in 7 of the 11 years CMS cut anyone; 17 of its 18 hospitals have been cut at least once.
201520162017201820192020202120222023202420252026 No hospital scored or cut 41.2% · 21.9%52.9% · 23.4%61.1% · 24.0%44.4% · 23.6%38.9% · 25.0%22.2% · 25.0%38.9% · 24.9%38.9% · 25.0%22.2% · 24.9%22.2% · 24.8%22.2% · 24.9% Ever cut: 17 Never cut: 1 201520162017201820192020202120222023202420252026 No hospital scored or cut 41.2% · 21.9%52.9% · 23.4%61.1% · 24.0%44.4% · 23.6%38.9% · 25.0%22.2% · 25.0%38.9% · 24.9%38.9% · 25.0%22.2% · 24.9%22.2% · 24.8%22.2% · 24.9% Ever cut: 17 Never cut: 1

Source: CMS, HACRP hospital files for fiscal years 2015 to 2026 (Provider Data Catalog, its archives and, for the oldest years, the Internet Archive’s copies), and CMS’s cut lists for FY2015 and FY2016.

Show table
Fiscal yearHospitals with a decisionCutShare cutNation
FY201517741.2%21.9%
FY201617952.9%23.4%
FY2017181161.1%24.0%
FY201818844.4%23.6%
FY201918738.9%25.0%
FY202018422.2%25.0%
FY202118738.9%24.9%
FY202218738.9%25.0%
FY202300
FY202418422.2%24.9%
FY202518422.2%24.8%
FY202618422.2%24.9%

Every hospital in Oakland-Fremont-Berkeley, CA

The sortable table of this place’s hospitals needs JavaScript; the CSV file holds every hospital’s values.

A penalty reflects how CMS’s formula scored relative performance; it is not a verdict on the quality of care.

Cite this page

Paid & Penalized. Oakland-Fremont-Berkeley, CA: hospital-acquired conditions, FY2026. https://paidandpenalized.org/hacrp/metro/36084/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.