F

Palomar Health Downtown Campus

555 East Valley Parkway · Escondido, CA 92025

🤖AI Overview

⚠️ This hospital charges 9.2x what Medicare pays — significantly above the national average of 5.5x.

Total Charges
$536.8M
Medicare Payments
$58.3M
Discharges
3,612
Avg Length of Stay
4.8 days
Markup Ratio
9.2x
Risk Score
2.14

Fairness Grade: F

Failing — charges more than 5x what Medicare pays

Palomar Health Downtown Campus charges an average of $148,608 per discharge, but Medicare only pays $16,148 — a markup of 9.2x. 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
9.2x
State Avg
7.2x
National Avg
5.3x
Avg Charge per Discharge
This Hospital
$148,608
State Avg
$146,116
National Avg
$69,838
Avg Length of Stay
This Hospital
4.8 days
State Avg
5.5 days
National Avg
4.8 days

Patient Demographics

Age Distribution

Under 65
9.1%
65–74
28.7%
75–84
35.9%
85+
26.3%

Gender

52.6%
Female
47.4%
Male

Dual Eligibility

28.6%
Dual Eligible
71.4%
Non-Dual

Race & Ethnicity

White
74.6%
Black
2.0%
Hispanic
13.5%
Asian
5.2%
Native American
1.7%
Other
3.1%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension
75.0%
High Cholesterol
75.0%
Arthritis
53.3%
Chronic Kidney Disease
42.5%
Mood Disorders
42.1%
Ischemic Heart Disease
41.8%
Diabetes
41.4%
Depression
38.8%
Atrial Fibrillation
38.3%
Heart Failure
38.2%
Anxiety
33.5%
Alzheimer's/Dementia
29.5%
COPD
28.5%
Stroke/TIA
22.3%
Osteoporosis
21.1%
Cancer
18.5%
Substance Use
16.9%
Asthma
14.1%
Tobacco Use
12.3%
Schizophrenia/Psychosis
8.3%
Bipolar Disorder
7.7%
Parkinson's
5.0%
PTSD
2.3%
Personality Disorders
1.8%
ADHD/Conduct Disorders
1.6%
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.