F

Scripps Memorial Hospital - Encinitas

354 Santa Fe Drive · Encinitas, CA 92024

🤖AI Overview

⚠️ This hospital charges 8.1x what Medicare pays — significantly above the national average of 5.5x.

Total Charges
$494.1M
Medicare Payments
$60.8M
Discharges
4,459
Avg Length of Stay
4.6 days
Markup Ratio
8.1x
Risk Score
1.98

Fairness Grade: F

Failing — charges more than 5x what Medicare pays

Scripps Memorial Hospital - Encinitas charges an average of $110,810 per discharge, but Medicare only pays $13,629 — a markup of 8.1x. 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
8.1x
State Avg
7.2x
National Avg
5.3x
Avg Charge per Discharge
This Hospital
$110,810
State Avg
$146,116
National Avg
$69,838
Avg Length of Stay
This Hospital
4.6 days
State Avg
5.5 days
National Avg
4.8 days

Patient Demographics

Age Distribution

Under 65
4.8%
65–74
27.2%
75–84
38.0%
85+
30.1%

Gender

54.5%
Female
45.5%
Male

Dual Eligibility

14.3%
Dual Eligible
85.7%
Non-Dual

Race & Ethnicity

White
84.0%
Black
2.3%
Hispanic
7.0%
Asian
3.2%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension
75.0%
High Cholesterol
75.0%
Arthritis
56.8%
Ischemic Heart Disease
42.7%
Chronic Kidney Disease
41.1%
Mood Disorders
40.6%
Heart Failure
39.3%
Anxiety
37.8%
Atrial Fibrillation
37.6%
Depression
37.6%
Diabetes
31.6%
COPD
27.8%
Osteoporosis
24.4%
Cancer
24.0%
Alzheimer's/Dementia
23.9%
Stroke/TIA
19.9%
Asthma
14.7%
Substance Use
14.1%
Tobacco Use
9.5%
Bipolar Disorder
6.6%
Parkinson's
6.4%
Schizophrenia/Psychosis
4.7%
PTSD
2.5%
ADHD/Conduct Disorders
2.1%
Personality Disorders
1.5%
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.