42/100
#1,539 nationally
Tri-City Medical Center
4002 Vista Way, Oceanside, CA 92056 · (760) 724-8411
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Tri-City Medical Center billed $5.10 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 5.1x
- volume-weighted across all its priced work
- Procedures priced
- 69
- inpatient and outpatient combined
- Rank in CA
- #62
- lower markup ranks higher
- CMS quality stars
- 1/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 27% of U.S. hospitals.
Better than 75% of U.S. hospitals.
Better than 33% of U.S. hospitals.
Better than 32% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
228 | $99,655 | $18,023 | +53% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
198 | $23,816 | $3,365 | +23% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
87 | $39,145 | $13,266 | -42% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
83 | $33,953 | $6,278 | +24% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
82 | $71,957 | $12,122 | +49% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
74 | $84,573 | $15,420 | +35% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
65 | $14,725 | $4,013 | -42% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
63 | $55,756 | $10,233 | +42% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
62 | $62,091 | $12,323 | +43% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
60 | $8,645 | $1,960 | -14% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$118,435 | $15,519 | +108% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
$333,879 | $47,352 | +76% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$51,788 | $7,763 | +74% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
$52,742 | $7,534 | +72% |
|
Stroke (uncomplicated)
MS-DRG 066 · Inpatient stay |
$60,199 | $7,026 | +68% |
|
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major
MS-DRG 981 · Inpatient stay |
$297,469 | $51,922 | +62% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$87,866 | $14,940 | +60% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
$71,321 | $9,886 | +57% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
$14,688 | $7,027 | -58% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$4,789 | $1,969 | -44% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
$39,145 | $13,266 | -42% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$14,725 | $4,013 | -42% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
$90,369 | $28,403 | -32% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
$74,808 | $17,859 | -26% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$9,793 | $2,295 | -24% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
$72,492 | $21,504 | -24% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.