Inpatient stay prices at Palomar Health Downtown Campus
80 procedures, each showing what the hospital billed, what that care was actually paid for, and how the charge compares with the national middle for the same coded work.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
342 | $176,671 | $17,030 | +171% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
153 | $105,283 | $10,128 | +143% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
122 | $126,156 | $11,223 | +171% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
121 | $145,166 | $13,288 | +164% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
90 | $100,072 | $9,428 | +155% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
80 | $98,168 | $8,849 | +141% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
78 | $128,082 | $12,817 | +125% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
75 | $76,721 | $6,665 | +158% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
66 | $76,066 | $7,431 | +136% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
63 | $158,564 | $18,036 | +90% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
60 | $77,559 | $7,992 | +135% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
55 | $115,411 | $12,003 | +138% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
52 | $88,334 | $7,531 | +114% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
51 | $133,097 | $15,153 | +31% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
48 | $194,262 | $17,532 | +155% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
45 | $397,444 | $46,062 | +123% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
43 | $134,214 | $8,182 | +244% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
40 | $86,102 | $6,527 | +181% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
39 | $67,263 | $8,398 | +120% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
39 | $73,554 | $6,271 | +141% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
38 | $171,492 | $18,424 | +38% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
38 | $114,320 | $11,311 | +116% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
37 | $115,635 | $8,735 | +154% |
|
Combined Anterior and Posterior Spinal Fusion without Complications/mcc
MS-DRG 455 · Inpatient stay |
37 | $186,199 | $25,204 | +5% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
36 | $138,521 | $16,292 | +62% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
35 | $94,195 | $7,752 | +125% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
32 | $109,833 | $10,866 | +132% |
|
Fainting
MS-DRG 312 · Inpatient stay |
32 | $89,093 | $7,734 | +143% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
31 | $137,774 | $9,176 | +185% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
31 | $83,706 | $8,238 | +164% |
|
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications
MS-DRG 493 · Inpatient stay |
30 | $185,184 | $19,128 | +82% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
29 | $145,941 | $11,867 | +105% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
29 | $67,154 | $6,407 | +115% |
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay |
28 | $285,097 | $28,851 | +151% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
27 | $100,169 | $7,908 | +169% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
26 | $87,448 | $10,980 | +70% |
|
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal
MS-DRG 023 · Inpatient stay |
25 | $395,457 | $50,174 | +72% |
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay |
24 | $102,915 | $8,107 | +165% |
|
Hip or Thigh Bone Surgery (uncomplicated)
MS-DRG 482 · Inpatient stay |
23 | $117,198 | $15,996 | +71% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
22 | $108,764 | $7,961 | +188% |
|
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without
MS-DRG 563 · Inpatient stay |
21 | $112,914 | $8,234 | +207% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
21 | $105,611 | $11,802 | +87% |
|
Traumatic Stupor and Coma >1 Hour with Complications
MS-DRG 083 · Inpatient stay |
20 | $163,698 | $12,729 | +173% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
20 | $162,011 | $14,776 | +164% |
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major
MS-DRG 897 · Inpatient stay |
20 | $113,234 | $9,133 | +248% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
19 | $99,998 | $7,795 | +128% |
|
Sepsis
MS-DRG 870 · Inpatient stay |
19 | $474,543 | $60,435 | +77% |
|
Craniotomy and Endovascular Intracranial Procedures with Major Complications
MS-DRG 025 · Inpatient stay |
18 | $352,248 | $27,508 | +83% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
18 | $146,487 | $12,724 | +169% |
|
Hip or Thigh Bone Surgery (severe)
MS-DRG 480 · Inpatient stay |
18 | $205,147 | $20,921 | +75% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
18 | $80,370 | $8,934 | +132% |
|
Traumatic Stupor and Coma <1 Hour with Complications
MS-DRG 086 · Inpatient stay |
17 | $216,593 | $11,297 | +283% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
17 | $203,142 | $17,487 | +152% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
17 | $240,940 | $24,354 | +68% |
|
Skin Infection (severe)
MS-DRG 602 · Inpatient stay |
17 | $93,560 | $10,929 | +82% |
|
Poisoning and Toxic Effects of Drugs with Major Complications
MS-DRG 917 · Inpatient stay |
17 | $140,039 | $15,347 | +106% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
16 | $123,877 | $9,492 | +159% |
|
Chest Pain
MS-DRG 313 · Inpatient stay |
16 | $74,764 | $7,212 | +122% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
16 | $248,756 | $19,655 | +147% |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
15 | $121,781 | $9,350 | +116% |
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with Major Complications
MS-DRG 896 · Inpatient stay |
15 | $119,768 | $16,633 | +83% |
|
Other Disorders of Nervous System with Complications
MS-DRG 092 · Inpatient stay |
14 | $91,229 | $10,501 | +103% |
|
Fractures of Hip and Pelvis without Major Complications
MS-DRG 536 · Inpatient stay |
14 | $75,609 | $6,642 | +131% |
|
Gastrointestinal Obstruction with Major Complications
MS-DRG 388 · Inpatient stay |
13 | $122,754 | $12,300 | +113% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture with Major Complications
MS-DRG 521 · Inpatient stay |
13 | $232,769 | $28,193 | +107% |
|
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major
MS-DRG 981 · Inpatient stay |
13 | $408,127 | $46,369 | +122% |
|
Other Disorders of Nervous System with Major Complications
MS-DRG 091 · Inpatient stay |
12 | $115,980 | $15,537 | +63% |
|
Bronchitis and Asthma with Complications/mcc
MS-DRG 202 · Inpatient stay |
12 | $118,144 | $7,970 | +200% |
|
Permanent Cardiac Pacemaker Implant with Major Complications
MS-DRG 242 · Inpatient stay |
12 | $219,362 | $30,563 | +58% |
|
Heart Failure (with complications)
MS-DRG 292 · Inpatient stay |
12 | $68,443 | $6,202 | +107% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
12 | $161,154 | $17,444 | +106% |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
12 | $312,755 | $37,556 | +74% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
12 | $108,981 | $16,513 | +36% |
|
Back Problems (severe)
MS-DRG 551 · Inpatient stay |
12 | $216,521 | $17,977 | +212% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
12 | $67,161 | $7,767 | +81% |
|
Infection Needing Surgery (with complications)
MS-DRG 854 · Inpatient stay |
12 | $177,119 | $15,766 | +113% |
|
Other Vascular Procedures with Complications
MS-DRG 253 · Inpatient stay |
11 | $223,266 | $27,214 | +99% |
|
Irregular Heartbeat (uncomplicated)
MS-DRG 310 · Inpatient stay |
11 | $62,764 | $4,457 | +149% |
|
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur without
MS-DRG 494 · Inpatient stay |
11 | $144,728 | $19,625 | +63% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
11 | $83,408 | $22,267 | +67% |
These figures are averages across this hospital's Medicare patients in the most recent federal data year. They are not a quote and not your bill. For your own case, ask the hospital for a written good-faith estimate and check its published machine-readable price file.