Pih Health Downey Hospital

11500 Brookshire Avenue · Downey, CA 90241

🤖AI Overview

⚠️ This hospital charges 6.8x what Medicare pays — significantly above the national average of 5.5x.

Total Charges

$133.9M

Medicare Payments

$19.7M

Discharges

1,440

Avg Length of Stay

4.5 days

Markup Ratio

6.8x

Risk Score

3.29

Fairness Grade: F

Failing — charges more than 5x what Medicare pays

Pih Health Downey Hospital charges an average of $92,957 per discharge, but Medicare only pays $13,663 — a markup of 6.8x. 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

6.8x

State Avg

7.2x

National Avg

5.3x

Avg Charge per Discharge

This Hospital

$92,957

State Avg

$146,116

National Avg

$69,838

Avg Length of Stay

This Hospital

4.5 days

State Avg

5.5 days

National Avg

4.8 days

Patient Demographics

Age Distribution

Under 65

18.0%

65–74

31.8%

75–84

26.4%

85+

23.8%

Gender

52.9%

Female

47.1%

Male

Dual Eligibility

74.0%

Dual Eligible

26.0%

Non-Dual

Race & Ethnicity

White

26.2%

Black

7.1%

Hispanic

61.0%

Asian

4.5%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension

75.0%

High Cholesterol

75.0%

Diabetes

66.7%

Chronic Kidney Disease

55.1%

Heart Failure

52.7%

Arthritis

48.4%

Ischemic Heart Disease

44.0%

Mood Disorders

36.8%

Atrial Fibrillation

34.1%

Depression

33.3%

Anxiety

31.0%

COPD

30.1%

Alzheimer's/Dementia

28.8%

Stroke/TIA

22.1%

Osteoporosis

17.4%

Schizophrenia/Psychosis

17.3%

Cancer

15.3%

Asthma

15.2%

Tobacco Use

13.4%

Substance Use

12.5%

Bipolar Disorder

7.5%

Parkinson's

5.0%

ADHD/Conduct Disorders

2.3%

PTSD

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.