F

Northbay Medical Center

1200 B Gale Wilson Blvd · Fairfield, CA 94533

🤖AI Overview

⚠️ This hospital charges 11.4x what Medicare pays — significantly above the national average of 5.5x.

Total Charges
$867.6M
Medicare Payments
$75.8M
Discharges
3,475
Avg Length of Stay
5.1 days
Markup Ratio
11.4x
Risk Score
2.23

Fairness Grade: F

Failing — charges more than 5x what Medicare pays

Northbay Medical Center charges an average of $249,677 per discharge, but Medicare only pays $21,807 — a markup of 11.4x. 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
11.4x
State Avg
7.2x
National Avg
5.3x
Avg Charge per Discharge
This Hospital
$249,677
State Avg
$146,116
National Avg
$69,838
Avg Length of Stay
This Hospital
5.1 days
State Avg
5.5 days
National Avg
4.8 days

Patient Demographics

Age Distribution

Under 65
12.6%
65–74
31.5%
75–84
30.1%
85+
25.9%

Gender

55.1%
Female
44.9%
Male

Dual Eligibility

36.4%
Dual Eligible
63.6%
Non-Dual

Race & Ethnicity

White
59.0%
Black
14.3%
Hispanic
14.0%
Asian
9.0%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension
75.0%
High Cholesterol
75.0%
Arthritis
50.3%
Chronic Kidney Disease
49.6%
Diabetes
48.5%
Ischemic Heart Disease
44.1%
Heart Failure
39.5%
Atrial Fibrillation
36.9%
Mood Disorders
35.3%
COPD
32.3%
Depression
31.5%
Anxiety
28.8%
Stroke/TIA
24.3%
Alzheimer's/Dementia
22.1%
Substance Use
19.7%
Cancer
19.2%
Tobacco Use
18.3%
Asthma
17.6%
Osteoporosis
17.1%
Bipolar Disorder
5.9%
Schizophrenia/Psychosis
4.9%
Parkinson's
4.0%
PTSD
2.4%
Personality Disorders
1.1%
ADHD/Conduct Disorders
0.9%
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.