F

Palomar Medical Center Poway

15615 Pomerado Road · Poway, CA 92064

🤖AI Overview

⚠️ This hospital charges 9.4x what Medicare pays — significantly above the national average of 5.5x.

Total Charges
$162.6M
Medicare Payments
$17.3M
Discharges
1,302
Avg Length of Stay
4.9 days
Markup Ratio
9.4x
Risk Score
2.13

Fairness Grade: F

Failing — charges more than 5x what Medicare pays

Palomar Medical Center Poway charges an average of $124,852 per discharge, but Medicare only pays $13,253 — a markup of 9.4x. 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
9.4x
State Avg
7.2x
National Avg
5.3x
Avg Charge per Discharge
This Hospital
$124,852
State Avg
$146,116
National Avg
$69,838
Avg Length of Stay
This Hospital
4.9 days
State Avg
5.5 days
National Avg
4.8 days

Patient Demographics

Age Distribution

Under 65
10.2%
65–74
25.5%
75–84
35.1%
85+
29.2%

Gender

56.6%
Female
43.4%
Male

Dual Eligibility

31.2%
Dual Eligible
68.8%
Non-Dual

Race & Ethnicity

White
76.8%
Black
2.3%
Hispanic
9.6%
Asian
7.3%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension
75.0%
High Cholesterol
75.0%
Arthritis
52.7%
Mood Disorders
47.2%
Depression
43.8%
Chronic Kidney Disease
42.8%
Diabetes
42.5%
Heart Failure
39.5%
Anxiety
39.5%
Ischemic Heart Disease
38.7%
Atrial Fibrillation
38.2%
Alzheimer's/Dementia
31.7%
COPD
30.9%
Cancer
20.7%
Osteoporosis
20.1%
Stroke/TIA
16.9%
Substance Use
16.0%
Asthma
15.3%
Schizophrenia/Psychosis
13.8%
Tobacco Use
13.2%
Bipolar Disorder
11.2%
Parkinson's
5.9%
PTSD
2.9%
Personality Disorders
2.4%
ADHD/Conduct Disorders
1.8%
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.