F

Adventist Health St Helena

10 Woodland Road · Saint Helena, CA 94574

🤖AI Overview

⚠️ This hospital charges 7.8x what Medicare pays — significantly above the national average of 5.5x.

Total Charges
$304.9M
Medicare Payments
$38.8M
Discharges
1,457
Avg Length of Stay
5.0 days
Markup Ratio
7.8x
Risk Score
1.96

Fairness Grade: F

Failing — charges more than 5x what Medicare pays

Adventist Health St Helena charges an average of $209,262 per discharge, but Medicare only pays $26,664 — a markup of 7.8x. Grades are based on this ratio: A (under 2x), B (2–3x), C (3–4x), D (4–5x), F (over 5x).

How This Hospital Compares

Markup Ratio
This Hospital
7.8x
State Avg
7.2x
National Avg
5.3x
Avg Charge per Discharge
This Hospital
$209,262
State Avg
$146,116
National Avg
$69,838
Avg Length of Stay
This Hospital
5.0 days
State Avg
5.5 days
National Avg
4.8 days

Patient Demographics

Age Distribution

Under 65
12.1%
65–74
35.4%
75–84
35.7%
85+
16.7%

Gender

48.4%
Female
51.6%
Male

Dual Eligibility

37.5%
Dual Eligible
62.5%
Non-Dual

Race & Ethnicity

White
84.0%
Black
1.6%
Hispanic
8.5%
Asian
1.2%
Native American
2.7%
Other
1.9%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension
75.0%
High Cholesterol
75.0%
Ischemic Heart Disease
51.7%
Heart Failure
45.8%
Arthritis
44.4%
Atrial Fibrillation
41.8%
Diabetes
35.9%
Chronic Kidney Disease
35.0%
Mood Disorders
33.2%
COPD
32.4%
Anxiety
29.0%
Depression
28.0%
Substance Use
25.2%
Tobacco Use
23.1%
Cancer
20.2%
Stroke/TIA
13.9%
Osteoporosis
13.1%
Alzheimer's/Dementia
12.1%
Asthma
11.9%
Bipolar Disorder
6.9%
Schizophrenia/Psychosis
5.8%
PTSD
4.5%
Personality Disorders
2.5%
Parkinson's
2.3%
ADHD/Conduct Disorders
1.2%
Related from TheDataProject.ai

🔍 See Medicare provider data on OpenMedicare

⚠️ Important: Data reflects Medicare inpatient claims. Charges represent what hospitals bill — not what patients typically pay. Medicare payment amounts reflect negotiated rates. Individual patient costs depend on insurance coverage and specific services.