Tri-City Medical Center

4002 Vista Way · Oceanside, CA 92056

🤖AI Overview

⚠️ This hospital charges 5.3x what Medicare pays — significantly above the national average of 5.5x.

Total Charges

$147.4M

Medicare Payments

$27.8M

Discharges

1,783

Avg Length of Stay

5.0 days

Markup Ratio

5.3x

Risk Score

2.27

Fairness Grade: F

Failing — charges more than 5x what Medicare pays

Tri-City Medical Center charges an average of $82,643 per discharge, but Medicare only pays $15,601 — a markup of 5.3x. 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

5.3x

State Avg

7.2x

National Avg

5.3x

Avg Charge per Discharge

This Hospital

$82,643

State Avg

$146,116

National Avg

$69,838

Avg Length of Stay

This Hospital

5.0 days

State Avg

5.5 days

National Avg

4.8 days

Patient Demographics

Age Distribution

Under 65

9.9%

65–74

30.9%

75–84

33.3%

85+

26.0%

Gender

53.2%

Female

46.8%

Male

Dual Eligibility

29.6%

Dual Eligible

70.4%

Non-Dual

Race & Ethnicity

White

72.3%

Black

4.9%

Hispanic

13.6%

Asian

5.6%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension

75.0%

High Cholesterol

73.2%

Arthritis

45.1%

Ischemic Heart Disease

41.7%

Diabetes

41.1%

Chronic Kidney Disease

40.2%

Atrial Fibrillation

39.6%

Heart Failure

39.2%

Mood Disorders

36.0%

Depression

33.1%

COPD

27.0%

Anxiety

27.0%

Alzheimer's/Dementia

25.6%

Stroke/TIA

22.4%

Cancer

18.4%

Osteoporosis

17.8%

Substance Use

15.9%

Tobacco Use

13.6%

Asthma

11.9%

Schizophrenia/Psychosis

9.5%

Bipolar Disorder

7.7%

Parkinson's

4.8%

PTSD

2.6%

ADHD/Conduct Disorders

1.5%

Personality Disorders

1.4%

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.