F

Providence St. Jude Medical Center

101 E Valencia Mesa Drive · Fullerton, CA 92835

🤖AI Overview

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

Total Charges
$373.1M
Medicare Payments
$68.2M
Discharges
4,043
Avg Length of Stay
5.1 days
Markup Ratio
5.5x
Risk Score
2.56

Fairness Grade: F

Failing — charges more than 5x what Medicare pays

Providence St. Jude Medical Center charges an average of $92,281 per discharge, but Medicare only pays $16,872 — a markup of 5.5x. 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
5.5x
State Avg
7.2x
National Avg
5.3x
Avg Charge per Discharge
This Hospital
$92,281
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
7.2%
65–74
27.8%
75–84
34.7%
85+
30.2%

Gender

52.2%
Female
47.8%
Male

Dual Eligibility

35.4%
Dual Eligible
64.6%
Non-Dual

Race & Ethnicity

White
57.2%
Black
2.7%
Hispanic
15.5%
Asian
21.2%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension
75.0%
High Cholesterol
75.0%
Arthritis
54.2%
Chronic Kidney Disease
49.4%
Diabetes
48.3%
Heart Failure
44.9%
Ischemic Heart Disease
44.7%
Atrial Fibrillation
38.7%
Mood Disorders
38.4%
Depression
35.9%
Anxiety
33.3%
Alzheimer's/Dementia
30.0%
COPD
26.8%
Stroke/TIA
25.2%
Osteoporosis
23.2%
Cancer
22.5%
Asthma
15.0%
Substance Use
13.2%
Tobacco Use
10.2%
Schizophrenia/Psychosis
8.9%
Parkinson's
6.1%
Bipolar Disorder
4.7%
ADHD/Conduct Disorders
1.5%
PTSD
1.1%
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.