D

Santa Monica - Ucla Med Ctr & Orthopaedic Hospital

1250 16th Street · Santa Monica, CA 90404

🤖AI Overview

⚠️ This hospital charges 4.9x what Medicare pays — significantly above the national average of 5.5x.

Total Charges
$575.5M
Medicare Payments
$117.3M
Discharges
4,299
Avg Length of Stay
6.7 days
Markup Ratio
4.9x
Risk Score
2.81

Fairness Grade: D

Poor — charges 4–5x what Medicare pays

Santa Monica - Ucla Med Ctr & Orthopaedic Hospital charges an average of $133,868 per discharge, but Medicare only pays $27,279 — a markup of 4.9x. 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
4.9x
State Avg
7.2x
National Avg
5.3x
Avg Charge per Discharge
This Hospital
$133,868
State Avg
$146,116
National Avg
$69,838
Avg Length of Stay
This Hospital
6.7 days
State Avg
5.5 days
National Avg
4.8 days

Patient Demographics

Age Distribution

Under 65
11.0%
65–74
31.7%
75–84
32.9%
85+
24.4%

Gender

54.5%
Female
45.5%
Male

Dual Eligibility

36.7%
Dual Eligible
63.3%
Non-Dual

Race & Ethnicity

White
64.5%
Black
10.2%
Hispanic
12.6%
Asian
8.7%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension
75.0%
High Cholesterol
75.0%
Arthritis
68.2%
Mood Disorders
47.1%
Ischemic Heart Disease
46.9%
Depression
43.4%
Chronic Kidney Disease
43.0%
Diabetes
42.8%
Anxiety
42.5%
Heart Failure
40.5%
Atrial Fibrillation
31.0%
Osteoporosis
28.1%
COPD
28.1%
Cancer
26.2%
Alzheimer's/Dementia
25.9%
Stroke/TIA
18.7%
Asthma
17.9%
Substance Use
14.5%
Bipolar Disorder
9.6%
Tobacco Use
9.6%
Schizophrenia/Psychosis
9.1%
Parkinson's
5.2%
PTSD
2.8%
ADHD/Conduct Disorders
2.1%
Personality Disorders
2.1%
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.