Novato Community Hospital

180 Rowland Way · Novato, CA 94945

🤖AI Overview

⚠️ This hospital charges 4.5x what Medicare pays — significantly above the national average of 5.5x.

Total Charges

$71.5M

Medicare Payments

$15.9M

Discharges

988

Avg Length of Stay

3.7 days

Markup Ratio

4.5x

Risk Score

1.66

Fairness Grade: D

Poor — charges 4–5x what Medicare pays

Novato Community Hospital charges an average of $72,366 per discharge, but Medicare only pays $16,124 — a markup of 4.5x. 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

4.5x

State Avg

7.2x

National Avg

5.3x

Avg Charge per Discharge

This Hospital

$72,366

State Avg

$146,116

National Avg

$69,838

Avg Length of Stay

This Hospital

3.7 days

State Avg

5.5 days

National Avg

4.8 days

Patient Demographics

Age Distribution

Under 65

7.2%

65–74

28.9%

75–84

40.1%

85+

23.8%

Gender

58.3%

Female

41.7%

Male

Dual Eligibility

24.1%

Dual Eligible

75.9%

Non-Dual

Race & Ethnicity

White

87.1%

Black

2.8%

Hispanic

4.4%

Asian

2.8%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension

75.0%

High Cholesterol

75.0%

Arthritis

61.7%

Mood Disorders

39.7%

Chronic Kidney Disease

35.7%

Ischemic Heart Disease

34.8%

Depression

34.8%

Anxiety

33.7%

Atrial Fibrillation

31.8%

Diabetes

29.9%

Heart Failure

28.6%

COPD

22.6%

Alzheimer's/Dementia

21.7%

Osteoporosis

21.1%

Cancer

17.5%

Stroke/TIA

16.9%

Substance Use

16.4%

Asthma

15.8%

Tobacco Use

11.6%

Bipolar Disorder

6.7%

Schizophrenia/Psychosis

5.3%

Parkinson's

4.4%

PTSD

3.0%

ADHD/Conduct Disorders

1.3%

Personality Disorders

1.0%

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.