PayerPrice
Data Platform
More
Check Local Rates
Short Term Acute Care HospitalGovernment - Hospital District Or Authority

Palomar Medical Center Escondido

Palomar Health · Escondido, CA

2185 West Citracado Parkway, Escondido, CA 92029(760) 739-3000

3 of 5

CMS star rating

292

Beds

29,984

Inpatient discharges a year

$628.8M

Net patient revenue a year

30

In-network payers

Photo 1: Worldbruce, CC BY-SA 4.0, via Wikimedia Commons · Photo 2: Public domain (USGS NAIP, CONUS), via USGS National Map / USDA NAIP

About this hospital

Palomar Medical Center Escondido is a 292-bed government - hospital district or authority hospital in Escondido, CA, affiliated with Palomar Health. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 274 disclosed rate categories.

  • Disproportionate share hospital
  • 340B participant
  • Helipad
CCN
050115
NPI
1457321317
Health system
Palomar Health
Teaching
Teaching hospital
County
San Diego County
Metro area
San Diego-Chula Vista-Carlsbad, CA MSA
Medicare contractor
Jurisdiction E, Noridian Healthcare Solutions (01011)
In Medicare since
1966
Last CMS survey
2019

Prices for common services

The 24 services Palomar Medical Center Escondido most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$324 - $2,614

from 3 insurers · median $2,025

Anthem / Blue Shield$324
Insurer A*$2,025
Insurer B*$2,614
Medicare $309Nearby hospitals $1,71018% above nearby hospitals

Common here, based on CMS Medicare volume

CT imaging

CT of the abdomen and pelvis, without contrast

CPT 74176

$216 - $2,614

from 3 insurers · median $2,025

Anthem / Blue Shield$216
Insurer A*$2,025
Insurer B*$2,614
Medicare $211Nearby hospitals $1,82911% above nearby hospitals

Common here, based on CMS Medicare volume

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$690 - $7,063

from 3 insurers · median $2,614

Aetna$2,614
Insurer A*$690
Insurer B*$7,063
Medicare $803Nearby hospitals $830215% above nearby hospitals

Common here, based on CMS Medicare volume

Gynecology

Laparoscopic hysterectomy with tube or ovary removal, uterus up to 250 g

CPT 58571

$7,517 - $15,348

from 2 insurers · median $11,433

Anthem / Blue Shield$7,517
Insurer A*$15,348
Medicare $9,417Nearby hospitals $10,10313% above nearby hospitals

30 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)

How the insurers pay at Palomar Medical Center Escondido

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*24
299%
157
Insurer B*24
184%
913
Insurer C*11
83%
41

How we chose these services: 5 appear in this hospital's own Medicare claims, 15 are common here based on CMS Medicare volume, and 4 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Palomar Medical Center Escondido, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    3 of 5 stars

    • 231 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.34%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Teaching hospital
    • 34 services, including trauma care
    • 541 affiliated clinicians
    See doctors and services
  • Finances

    $628.8M net patient revenue

    • Operating margin on patient care -7.1%
    • $22M unreimbursed and uncompensated care
    • -$22.1M net income
    See finances
  • Ownership and leadership

    Owned by Palomar Health

    • Hospital district or authority
    • Diane Hansen, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Palomar Medical Center Escondido in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
95-6003843Palomar Medical Center58Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 53 more1376513754 Palomar Health1457321317 Palomar Health1619947090 Palomar Healthand 13 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

2185 West Citracado Parkway, Escondido, CA 92029

(760) 739-3000

Get directions

Frequently asked questions

About Palomar Medical Center Escondido's rates and hospital price transparency.

How much does an MRI cost at Palomar Medical Center Escondido?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Palomar Medical Center Escondido range from $663 to $2,131 across 3 insurers. UnitedHealthcare's rate is $792. The median at nearby comparable hospitals is $992. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Palomar Medical Center Escondido?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Palomar Medical Center Escondido range from $324 to $2,614 across 3 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $324. The median at nearby comparable hospitals is $1,710. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Palomar Medical Center Escondido?

For Diagnostic colonoscopy (CPT 45378), published negotiated rates at Palomar Medical Center Escondido range from $785 to $7,078 across 3 insurers. Aetna's rate is $3,965. The median at nearby comparable hospitals is $820. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Palomar Medical Center Escondido?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Palomar Medical Center Escondido range from $151 to $591 across 2 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $151. The median at nearby comparable hospitals is $249. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Palomar Medical Center Escondido's CMS star rating?

Palomar Medical Center Escondido has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is Palomar Medical Center Escondido a teaching hospital?

Yes. CMS counts 0.00 Medicare-funded residents per bed at Palomar Medical Center Escondido for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Palomar Medical Center Escondido for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Palomar Medical Center Escondido's base inpatient payments by an estimated 0.34% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Palomar Medical Center Escondido?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (342 discharges), heart failure and shock with mcc (153 discharges), simple pneumonia and pleurisy with mcc (122 discharges).

What is Palomar Medical Center Escondido's case mix index?

Palomar Medical Center Escondido's Medicare case mix index is 1.75 for fiscal year 2027, higher than 57% of hospitals paid under the inpatient prospective payment system.

How many patients does Palomar Medical Center Escondido admit?

Palomar Medical Center Escondido reported 29,984 inpatient discharges and 97,123 inpatient days from Jul 1, 2024 to Jun 30, 2025.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
Talk to us about your MRF
Chargemaster analysis

Get your chargemaster right for billing and payer contracts

Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
Talk to us about your chargemaster