Palomar Health · Poway, CA
4 of 5
CMS star rating
248
Beds
5,104
Inpatient discharges a year
$180.1M
Net patient revenue a year
35
In-network payers
Palomar Medical Center Poway is a 248-bed government - hospital district or authority hospital in Poway, CA, affiliated with Palomar Health. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 269 disclosed rate categories.
The 24 services Palomar Medical Center Poway 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
CPT 74177
$324 - $5,148
from 4 insurers · median $2,320
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$6,266 - $14,529
from 2 insurers · median $10,397
57 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Cardiology and vascular testing
CPT 93306
$385 - $3,229
from 4 insurers · median $2,213
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 49505
$6,069 - $11,417
from 2 insurers · median $8,743
34 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
CT imaging
CPT 74176
$201 - $2,614
from 4 insurers · median $1,832
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$690 - $6,049
from 3 insurers · median $2,614
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$152 - $898
from 4 insurers · median $583
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$6,277 - $17,137
from 2 insurers · median $11,707
57 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 71275
$444 - $2,614
from 3 insurers · median $2,028
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$1,800 - $7,093
from 3 insurers · median $6,494
57 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45378
$785 - $6,044
from 3 insurers · median $3,965
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$6,366 - $15,348
from 2 insurers · median $10,857
13 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 66984
$942 - $6,245
from 3 insurers · median $4,975
73 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
CT imaging
CPT 70450
$206 - $2,030
from 3 insurers · median $246
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$46 - $1,156
from 4 insurers · median $237
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$704 - $3,083
from 4 insurers · median $1,462
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$393 - $2,252
from 4 insurers · median $1,288
Common here, based on CMS Medicare volume
Ultrasound
CPT 76856
$122 - $1,425
from 4 insurers · median $534
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$400 - $4,419
from 4 insurers · median $1,303
Common here, based on CMS Medicare volume
Urology
CPT 50590
$3,500 - $15,975
from 4 insurers · median $7,809
31 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Cardiology and vascular testing
CPT 93970
$228 - $1,946
from 4 insurers · median $1,240
Common here, based on CMS Medicare volume
Ultrasound
CPT 76700
$145 - $1,559
from 4 insurers · median $650
Common here, based on CMS Medicare volume
MRI imaging
CPT 73721
$396 - $2,975
from 4 insurers · median $1,291
Common here, based on CMS Medicare volume
Ultrasound
CPT 76830
$122 - $1,195
from 4 insurers · median $448
Common here, based on CMS Medicare volume
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.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 14 | 964% | 12 | 1 |
| Insurer B* | 24 | 583% | 19 | 4 |
| Insurer C* | 20 | 163% | 7 | 1 |
| Insurer D* | 24 | 151% | 4 | 20 |
How we chose these services: 7 appear in this hospital's own Medicare claims, 17 are common here based on CMS Medicare volume, and 0 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 Poway, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
4 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$180.1M net patient revenue
Ownership and leadership
Owned by Palomar Health
The employer identification numbers (EINs) health plans and networks list for Palomar Medical Center Poway in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 95-6003843Palomar Medical Center | 57Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 52 more | 1376513754 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.
15615 Pomerado Road, Poway, CA 92064
(858) 485-6511
How Palomar Medical Center Poway compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
4 of 5
Higher than 58% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
Better on 1 of 5 measures
1 better, 4 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
No different on 5 measures
0 better, 5 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Better on 1 of 6 measures
1 better, 5 no different, 0 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
2 of 5
Lower than 81% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
61%
Lower than 84% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.94
Lower than 58% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
200 min
Higher than 80% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
71%
Higher than 63% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 4 of 5 | |
| Death rates | Better on 1 of 5 measures | |
| Safety | No different on 5 measures | |
| Readmissions | Better on 1 of 6 measures | |
| Patient survey ratingCMS: Summary star rating | 2 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 61% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 0.94 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 200 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 71% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Palomar Medical Center Poway's inpatient payments for its readmissions, quality and cost results.
-0.12% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-1.07% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Palomar Medical Center Poway, beside the US median and the average of CA hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | Palomar Medical Center Poway | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 34 cases | 4 | 4.1 | 4.075 | Better than 52% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 1,392 cases | 3.7 | 3.9 | 3.81 | Better than 62% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.57 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.379 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 63 cases | 9.5 | 8.5 | 8.235 | Worse than 75% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 145 cases | 9.6 | 11 | 10.29 | Better than 76% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 368 cases | 10.9 | 15.2 | 14.49 | Better than 97% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 94 cases | 11.3 | 11.6 | 11.57 | Better than 55% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 2,056 cases | 0.65 | 0.51 | 0.4818 | No Different Than the National Rate | Worse than 75% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 171 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 2,455 cases | 0.25 | 0.2 | 0.21 | No Different Than the National Rate | Worse than 82% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 2,500 cases | 0.25 | 0.27 | 0.261 | No Different Than the National Rate | Better than 71% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 339 cases | 2.18 | 2.29 | 2.308 | No Different Than the National Rate | Better than 69% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 98 cases | 1.64 | 1.63 | 1.668 | No Different Than the National Rate | Worse than 50% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 99 cases | 7.89 | 8.88 | 9.555 | No Different Than the National Rate | Better than 72% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 346 cases | 3.41 | 3.4 | 3.521 | No Different Than the National Rate | Worse than 51% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 76 cases | 4.9 | 5.105 | 5.495 | No Different Than the National Rate | Better than 66% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 113 cases | 1.72 | 1.72 | 1.796 | No Different Than the National Rate | Better than 48% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 412 cases | 0.94 | 1.02 | 1.061 | No Different Than the National Rate | Better than 75% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Palomar Medical Center Poway | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.09 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 168 cases | -55.5 | 1.25 | 7.901 | Better than 98% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 405 cases | -19.7 | 3.85 | 16.67 | Better than 80% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 206 cases | 13.2 | 12.9 | 12.91 | No Different Than the National Rate | Worse than 62% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 11.39 | Number of Cases Too Small | ||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.546 | Number of Cases Too Small | ||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 235 cases | 1 | 1 | 1.001 | No Different than expected | Worse than 32% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.43 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 11.19 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 86 cases | 18.8 | 19.8 | 19.94 | Better than 89% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 232 cases | 20.6 | 21.3 | 21.41 | Better than 73% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 43 cases | 5.9 | 5.8 | 5.612 | Worse than 55% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 438 cases | 17 | 17.2 | 17.7 | Better than 59% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Palomar Medical Center Poway | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2347 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.834 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 1,545 | 1,370 | 5,722 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.95 | 0.9835 | 5.638 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 3.347 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.5696 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2147 | No Different than National Benchmark | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.328 | 1.392 | 1.749 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 4,408 | 1,799 | 5,308 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 2.256 | 1.377 | 6.105 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 3.273 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0 | 0.399 | 0.5366 | No Different than National Benchmark | The best result, shared by 24% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.32 | No Different than National Benchmark | ||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.95 | 2.135 | 2.433 | No Different than National Benchmark | |
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 62 | 61 | 112 | No Different than National Benchmark | |
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 1.536 | 1.591 | 2.999 | No Different than National Benchmark | |
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 2.368 | No Different than National Benchmark | |
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | 0 | 0.7155 | 0.8107 | No Different than National Benchmark | The best result, shared by 19% of US hospitals |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2606 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.273 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 24 | 38 | 73.49 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.179 | 0.328 | 0.6136 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 0.5911 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 0.7863 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3103 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.305 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 20,275 | 14,451 | 52,601 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.884 | 0.567 | 3.111 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.166 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.7784 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.163 | 0.127 | 0.1925 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.238 | 0.747 | 0.9502 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 20,275 | 13,646 | 48,317 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 7.794 | 5.683 | 27.04 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 4 | 2 | 9.99 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.513 | 0.279 | 0.383 | No Different than National Benchmark | Worse than 76% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Palomar Medical Center Poway | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 635 cases | 64 | 73 | 72.2 | Worse than 85% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 635 cases | 17 | 8 | 8.78 | Worse than 94% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 635 cases | 19 | 18 | 19.02 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 635 cases | 81 | 87 | 86.82 | Worse than 87% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 635 cases | 2 | 4 | 3.514 | Worse than 83% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 635 cases | 77 | 80 | 75.76 | Worse than 65% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 635 cases | 90 | 91 | 89.84 | Worse than 66% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 635 cases | 5 | 4 | 5.713 | Worse than 61% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 635 cases | 3 | 3 | 2.855 | Worse than 49% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 635 cases | 18 | 16 | 18.53 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 635 cases | 74 | 79 | 75.81 | Worse than 83% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 635 cases | 88 | 91 | 89.11 | Worse than 83% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 635 cases | 9 | 5 | 7.043 | Worse than 90% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 635 cases | 2 | 3 | 2.688 | Worse than 71% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 635 cases | 17 | 16 | 17.15 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 635 cases | 58 | 61 | 58.95 | Worse than 66% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 635 cases | 74 | 77 | 75.75 | Worse than 72% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 635 cases | 24 | 19 | 21.56 | Worse than 78% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 635 cases | 2 | 3 | 2.449 | Worse than 53% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 635 cases | 18 | 19 | 19.48 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 635 cases | 83 | 86 | 84.61 | Worse than 74% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 635 cases | 17 | 13 | 15.03 | Worse than 79% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 635 cases | 3 | 3 | 3.08 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 635 cases | 83 | 87 | 84.97 | Worse than 79% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 635 cases | 17 | 14 | 16.39 | Worse than 68% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 635 cases | 83 | 86 | 83.61 | Worse than 68% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 635 cases | 69 | 74 | 70.69 | Worse than 81% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 635 cases | 10 | 7 | 8.855 | Worse than 84% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 635 cases | 21 | 19 | 20.45 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 635 cases | 73 | 77 | 73.94 | Worse than 77% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 635 cases | 10 | 6 | 7.637 | Worse than 92% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 635 cases | 17 | 17 | 18.43 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 635 cases | 81 | 85 | 81.99 | Worse than 80% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 635 cases | 6 | 3 | 4.958 | Worse than 86% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 635 cases | 13 | 11 | 13.06 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 635 cases | 11 | 8 | 10.01 | Worse than 75% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 635 cases | 30 | 20 | 22.36 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 635 cases | 59 | 72 | 67.63 | Worse than 91% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 635 cases | 84 | 88 | 86.85 | Worse than 85% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 635 cases | 2 | 3 | 3.047 | Worse than 78% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 635 cases | 74 | 74 | 72.06 | Worse than 48% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 635 cases | 13 | 9 | 10.94 | Worse than 80% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 635 cases | 13 | 16 | 17 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 635 cases | 71 | 75 | 71.11 | Worse than 74% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 635 cases | 8 | 5 | 7.488 | Worse than 78% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 635 cases | 21 | 20 | 21.4 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 635 cases | 74 | 77 | 72.49 | Worse than 64% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 635 cases | 6 | 4 | 6.121 | Worse than 71% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 635 cases | 20 | 19 | 21.39 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 635 cases | 85 | 86 | 82.8 | Worse than 56% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 635 cases | 3 | 3 | 3.779 | Worse than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 635 cases | 12 | 11 | 13.42 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 635 cases | 35 | 59 | 47.5 | Worse than 99% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 635 cases | 25 | 9 | 17.79 | Worse than 97% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 635 cases | 40 | 31 | 34.71 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 635 cases | 68 | 82 | 74.85 | Worse than 98% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 635 cases | 1 | 3 | 2.203 | The lowest rating, shared by 4% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 635 cases | 9 | 5 | 7.623 | Worse than 82% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 635 cases | 61 | 71 | 68.6 | Worse than 84% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 635 cases | 83 | 87 | 85.85 | Worse than 80% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 635 cases | 30 | 23 | 23.77 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 635 cases | 3 | 4 | 3.431 | Worse than 58% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 635 cases | 42 | 47 | 45.33 | Worse than 76% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 635 cases | 36 | 30 | 32.51 | Worse than 79% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 635 cases | 22 | 22 | 22.16 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 635 cases | 2 | 3 | 2.859 | Worse than 81% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 635 cases | 16 | 12 | 13.94 | Worse than 81% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 635 cases | 84 | 88 | 86.06 | Worse than 81% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Palomar Medical Center Poway | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | medium | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 8.289 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.008 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.1852 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 2,299 cases | 68 | 79 | 69.96 | Worse than 67% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 377 cases | 206 | 154 | 187 | Worse than 81% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 351 cases | 200 | 148 | 182 | Worse than 80% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 282 | |||
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 16 cases | 318 | 293 | 411 | Worse than 60% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 33,595 cases | 2 | 1 | 2.162 | Worse than 58% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 18 cases | 83 | 74 | 75.06 | Better than 71% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 12 cases | 100 | 97 | 92.55 | The best result, shared by 27% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 80 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 48.75 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 1,088 cases | 15 | 15 | 13.67 | Worse than 48% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 105 cases | 71 | 65 | 68.8 | Better than 63% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 36 cases | 94 | 73 | 76.38 | Better than 92% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 24 cases | 88 | 88 | 86.64 | Worse than 50% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 105 cases | 81 | 82 | 82.89 | Worse than 52% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 67 cases | 97 | 94 | 93.98 | Better than 69% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 93.4 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 70.68 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 · 75 cases | 93 | 94 | 89.93 | Worse than 54% of US hospitals | |
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 2,517 cases | 86 | 90 | 86.9 | Worse than 59% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 647 cases | 97 | 97 | 94.78 | Better than 45% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Palomar Medical Center Poway | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 0.5 | 5 | 4.959 | Better than 96% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 5.4 | 6.6 | 8.417 | Better than 65% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Palomar Medical Center Poway | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 1.06 | 0.99 | 1.024 | Worse than 82% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Palomar Medical Center Poway | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 10 | 20 | 30.07 | Worse than 70% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 2.5 | 5 | 7.571 | Worse than 70% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 0 | 10 | 16.48 | The worst result, shared by 43% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 0 | 2.5 | 4.567 | The worst result, shared by 43% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 6 | 34 | 28.67 | Worse than 99% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 1.5 | 8.75 | 7.519 | Worse than 99% of US hospitals | |
| VBP safety domain scoreFY 2026 | 38 | 40 | 45.16 | Worse than 54% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 9.5 | 10 | 11.79 | Worse than 54% of US hospitals | |
| VBP total performance scoreFY 2026 | 13.5 | 29.5 | 30.43 | Worse than 97% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 40 | 48 | 56.67 | 6.667 | 6.667 | 10 |
| VBP clinical outcomes weighted domain score | 10 | 12 | 14.17 | 1.667 | 1.667 | 2.5 |
| VBP efficiency and cost reduction domain score | 0 | Not Available | 0 | 10 | 0 | 0 |
| VBP efficiency and cost reduction weighted domain score | 0 | Not Available | 0 | 2.5 | 0 | 0 |
| VBP person and community engagement domain score | 16 | Not Available | Not Available | 4 | 4 | 6 |
| VBP person and community engagement weighted domain score | 4 | Not Available | Not Available | 1 | 1 | 1.5 |
| VBP safety domain score | 44 | Not Available | Not Available | 25 | 70 | 38 |
| VBP safety weighted domain score | 11 | Not Available | Not Available | 6.25 | 17.5 | 9.5 |
| VBP total performance score | 25 | Not Available | Not Available | 11.42 | 20.17 | 13.5 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Palomar Medical Center Poway | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 1.015 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.005 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | 0.9726 | 0.9969 | 1.002 | Better than 73% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 150 cases | 0.9138 | 0.9983 | 1.017 | Better than 92% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9788 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 308 cases | 1.01 | 0.9955 | 1.026 | Worse than 59% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 0.9606 | N/A | N/A | N/A | N/A | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 1.011 | 1.042 | 0.9905 | 0.9635 | 0.9665 | 0.9726 |
| READM-30-HF-HRRP | 0.9094 | 1.001 | 1.02 | 0.9761 | 0.9218 | 0.9138 |
| READM-30-HIP-KNEE-HRRP | 0.933 | 0.9978 | 1.095 | 1.103 | N/A | N/A |
| READM-30-PN-HRRP | 0.9558 | 0.9805 | 0.9748 | 0.9807 | 0.9981 | 1.01 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Palomar Medical Center Poway | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.191 | 0.489 | 0.6114 | Better than 80% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.321 | 0.346 | 0.449 | Better than 54% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.67 | 0.559 | 0.679 | Worse than 60% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 1.788 | 0.6405 | 0.7204 | Worse than 95% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.9443 | 0.9628 | 0.9656 | Better than 58% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 1 | 0.7945 | 0.8116 | Worse than 64% of US hospitals | |
| Total HAC scoreFY 2026 | 0.2072 | -0.0453 | 0.02733 | Worse than 65% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | No | No | No |
| Total HAC score | 0.0912 | -0.2596 | 0 | 0.0455 | -0.0841 | 0.2072 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 2019)
Accreditation
None
Medical school affiliation
Hospital district or authority
Ownership type
95
Medicare-certified beds
290
Registered nurses (full-time equivalent)
1977
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Palomar Medical Center Poway reported to Medicare in its latest cost report, covering Jul 1, 2024 to Jun 30, 2025.
5,104
Inpatient discharges
Medicare 30%, Medicaid n/a
19,435
Inpatient days
45% of available bed days used
554
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 842841). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Palomar Medical Center Poway reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 6,344 | 0 | 13,091 | 19,435 |
| Discharges | 1,556 | 0 | 3,548 | 5,104 |
| Average length of stay | 4.1 days | 3.7 days | 3.8 days | |
| Average daily census | 17.4 | 0.0 | 35.9 | 53.2 |
4,491
Medicare Advantage days
1,156 discharges
4,133
Medicaid managed care days
1,130 discharges
1,030
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 107 | 16,445 | 5,368 | 42% |
| Intensive care unit | 12 | 2,990 | 976 | 68% |
| Skilled nursing facility | 129 | 31,798 | 2,638 | 68% |
Source: CMS cost report (HCRIS, Form 2552-10), report 842841, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Palomar Medical Center Poway treats Medicare patients for most often, in 2024. 847 Medicare discharges in 30 published DRGs; 2% surgical; 76% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 189 | $160,548 | $15,347 | $23,922 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 76 | $90,702 | $7,797 | $13,515 | 1.28 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 60 | $134,013 | $11,333 | $19,968 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 57 | $119,269 | $8,768 | $17,771 | 1.33 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 34 | $142,897 | $12,367 | $21,292 | 1.65 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 32 | $72,902 | $4,672 | $10,862 | 0.81 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 27 | $102,816 | $7,021 | $15,320 | 1.03 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 25 | $74,237 | $4,316 | $11,061 | 0.79 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 25 | $92,580 | $9,180 | $13,794 | 1.17 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 24 | $101,727 | $7,179 | $15,157 | 0.98 |
| Renal failure with CCMS-DRG 683, medical | 22 | $73,376 | $6,373 | $10,933 | 0.90 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 18 | $122,778 | $7,016 | $18,294 | 1.02 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 18 | $88,895 | $5,060 | $13,245 | 0.82 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 18 | $81,180 | $4,708 | $12,096 | 0.78 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 17 | $133,375 | $15,279 | $19,873 | 2.00 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 16 | $82,296 | $5,371 | $12,262 | 0.80 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 16 | $104,859 | $9,701 | $15,624 | 1.88 |
| Medical back problems without MCCMS-DRG 552, medical | 16 | $84,014 | $7,316 | $12,518 | 0.97 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 16 | $117,809 | $8,986 | $17,554 | 1.32 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 16 | $368,028 | $40,995 | $54,836 | 6.96 |
See all 30 Medicare inpatient DRGs at Palomar Medical Center Poway
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Palomar Medical Center Poway billed Medicare for most in 2024: 870 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 249 | 239 | $45,957 | $2,202 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 133 | 127 | $68,451 | $9,710 | $10,772 |
| Level 1 Intraocular ProceduresAPC 5491 | 73 | 53 | $22,660 | $1,814 | $1,752 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 57 | 56 | $51,605 | $3,963 | $4,358 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 42 | 42 | $87,516 | $14,146 | $15,763 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 40 | 38 | $13,744 | $831 | $1,220 |
| Level 5 Urology and Related ServicesAPC 5375 | 40 | 39 | $38,854 | $2,904 | $3,918 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 34 | 28 | $34,089 | $2,390 | $2,636 |
| Level 4 Urology and Related ServicesAPC 5374 | 31 | 28 | $31,798 | $1,873 | $2,629 |
| Level 3 Urology and Related ServicesAPC 5373 | 28 | 21 | $14,565 | $1,419 | $1,516 |
See all 20 Medicare outpatient services at Palomar Medical Center Poway
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at Palomar Medical Center Poway in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 1,684 in 2020 to 2,643 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 92064 | 616 | 23% | 2,185 | $64.7M | 33% | 27% |
| 92128 | 521 | 20% | 1,868 | $54.6M | 24% | 21% |
| 92065 | 444 | 17% | 1,752 | $50.6M | 29% | 30% |
| 92129 | 234 | 9% | 969 | $29.6M | 17% | 12% |
| 92127 | 189 | 7% | 755 | $22.1M | 19% | 16% |
| 92131 | 89 | 3% | 351 | $10.6M | 8% | 7% |
| 92126 | 82 | 3% | 363 | $9.5M | 4% | 3% |
| 92025 | 69 | 3% | 207 | $6.2M | 4% | 4% |
| 92027 | 64 | 2% | 207 | $6.1M | 4% | 4% |
| 92026 | 60 | 2% | 192 | $5.6M | 3% | 3% |
| 92036 | 42 | 2% | 158 | $4.5M | 21% | 27% |
| 92029 | 39 | 1% | 117 | $3.6M | 4% | 6% |
| 92082 | 37 | 1% | 126 | $3.9M | 4% | 4% |
| 92069 | 34 | 1% | 130 | $3.7M | 2% | 2% |
| 92084 | 20 | 1% | 77 | $2.3M | 1% | |
| 92150 | 18 | 1% | 69 | $1.8M | 42% | |
| 92070 | 17 | 1% | 77 | $2.1M | 33% | 52% |
| 92028 | 16 | 1% | 73 | $2.1M | 1% | 2% |
| 92078 | 16 | 1% | 52 | $1.8M | 1% | 1% |
| 92071 | 14 | 1% | 72 | $2.2M | 1% | |
| 92021 | 11 | 0% | 55 | $1.6M | 0% | 0% |
| 92056 | 11 | 0% | 51 | $1.2M | 0% | 1% |
Source: CMS Hospital Service Area file. Shares are of the 2,643 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Palomar Medical Center Poway reported at its latest Medicare certification survey (2019). Counts are people, not full-time equivalents.
12
Psychiatric unit beds
290
Registered nurses
1
Licensed practical nurses
11
Pharmacists
5
Respiratory therapists
7
Physical therapists
1
Occupational therapists
4
Speech pathologists and audiologists
18
Radiology technicians
2
Nuclear medicine technicians
19
Laboratory technicians
5
Dietitians
6
Social workers
351
Other personnel
Source: CMS Provider of Services file.
374 clinicians who bill Medicare list Palomar Medical Center Poway as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Joel Lamon, MD
Hematology & Oncology Physician
NPI 1699721035
See commercial rates for Joel Lamon, MDIrene Oh, M.D.
Neurology Physician
NPI 1306089008
See commercial rates for Irene Oh, M.D.Steven Eisenberg, D.O.
Hematology & Oncology Physician
NPI 1831162627
See commercial rates for Steven Eisenberg, D.O.Philip Marjon, M.D.
Hematology & Oncology Physician
NPI 1912234121
See commercial rates for Philip Marjon, M.D.Omar Kallas, M.D.
Diagnostic Radiology Physician
NPI 1003201336
See commercial rates for Omar Kallas, M.D.Jeffrey Miller, M.D.
Diagnostic Radiology Physician
NPI 1255418448
See commercial rates for Jeffrey Miller, M.D.Shanoe Cutts, MD
Diagnostic Ultrasound Physician
NPI 1417994252
See commercial rates for Shanoe Cutts, MDKevin Owsley, M.D.
Sports Medicine (Orthopaedic Surgery) Physician
NPI 1992714406
See commercial rates for Kevin Owsley, M.D.Jackson Penry, MD
Diagnostic Radiology Physician
NPI 1003055401
See commercial rates for Jackson Penry, MDPhilip Balikian, M.D.
Orthopaedic Surgery Physician
NPI 1407803687
See commercial rates for Philip Balikian, M.D.Daniel Barba, M.D.
Orthopaedic Surgery of the Spine Physician
NPI 1407128580
See commercial rates for Daniel Barba, M.D.Amol Patil, MD, MBBS
Diagnostic Radiology Physician
NPI 1225355720
See commercial rates for Amol Patil, MD, MBBSAmar Amin, MD
Diagnostic Radiology Physician
NPI 1316181225
See commercial rates for Amar Amin, MDAlexander Urioste, MD
Diagnostic Radiology Physician
NPI 1528011020
See commercial rates for Alexander Urioste, MDVijay Venkatesh, MD
Diagnostic Radiology Physician
NPI 1689627085
See commercial rates for Vijay Venkatesh, MDPhilip Eaton, D.O.
Diagnostic Radiology Physician
NPI 1376803288
See commercial rates for Philip Eaton, D.O.Brad Cohen, M.D.
Orthopaedic Surgery Physician
NPI 1164536538
See commercial rates for Brad Cohen, M.D.James Bried, M.D.
Orthopaedic Surgery Physician
NPI 1891809257
See commercial rates for James Bried, M.D.William Farnsworth, M.D.
Neurology Physician
NPI 1669827028
See commercial rates for William Farnsworth, M.D.Jenna Liu, MD
Diagnostic Radiology Physician
NPI 1952514978
See commercial rates for Jenna Liu, MDRiya Luhar, D.O.
Neurology Physician
NPI 1235665662
See commercial rates for Riya Luhar, D.O.Kathy Clewell, M.D.
Internal Medicine Physician
NPI 1326100835
See commercial rates for Kathy Clewell, M.D.Anas Kayal, MD
Nephrology Physician
NPI 1851376917
See commercial rates for Anas Kayal, MDStephen Unterberg, MD
Urology Physician
NPI 1215374210
See commercial rates for Stephen Unterberg, MDSource: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Palomar Medical Center Poway reported to Medicare for Jul 1, 2024 to Jun 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $1.2B | 655.7% |
| Inpatient | $661.7M | 367.4% |
| Outpatient | $519.1M | 288.3% |
| Contractual allowances and discounts | -$1B | -555.7% |
| Net patient revenue | $180.1M | 100.0% |
| Operating expenses | -$203.3M | -112.9% |
| Operating income from patient care | -$23.2M | -12.9% |
| Other income | $13.3M | 7.4% |
| Investment income | -$300,341 | -0.2% |
| Government appropriations | $8.5M | 4.7% |
| Other | $5M | 2.8% |
| Net income | -$10M | -5.5% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $192.1M | 16.3% |
| Medicaid (including managed care) | $262.3M | 22.2% |
| Other payers and self-pay | $726.4M | 61.5% |
| Total charges | $1.2B | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 842841, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Palomar Medical Center Poway's latest cost report.
-12.9%
Operating margin
Operating income from patient care / net patient revenue
-5.1%
Total margin
Net income / net patient revenue plus other income
8.3%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
46% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$55.28
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-0.3%
Return on assets
Net income for a year / total assets
-9.7%
Return on equity
Net income for a year / fund balance
1.01
Current ratio
Current assets / current liabilities
0.16
Quick ratio
Cash, temporary investments and net receivables / current liabilities
890 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
106 days
Days in patient receivables
Net patient receivables / daily net patient revenue
6145 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.06
Asset turnover
Total revenue for a year / total assets
6.4 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 842841, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Palomar Medical Center Poway owned and owed at the end of its reporting period (Jun 2025), across all fund types: $3.2B in total assets and a $103M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $446.6M | 14.0% |
| Patient receivables, net | $52.4M | 1.6% |
| Inventory | $2.8M | 0.1% |
| Total current assets | $3.1B | 97.9% |
| Property and equipment, net of depreciation | $58.7M | 1.8% |
| Investments and other assets | $7M | 0.2% |
| Total assets | $3.2B | 100.0% |
| Current liabilities | $3.1B | 96.5% |
| Total liabilities | $3.1B | 96.8% |
| Fund balance (net assets) | $103M | 3.2% |
Source: CMS cost report (HCRIS, Form 2552-10), report 842841, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Palomar Medical Center Poway provided without full payment, as reported on Worksheet S-10 of its cost report.
$2.5M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$14.2M
Bad debt
Patient bills written off as uncollectible, at charges
$20.1M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$24.9M
Total unreimbursed and uncompensated care
12.2% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
$3.8M
Government grants and appropriations
Government grants or transfers supporting hospital operations
Source: CMS cost report (HCRIS, Form 2552-10), report 842841, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Palomar Medical Center Poway's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Jun 2020 | Jun 2021 | Jun 2022 | Jun 2023 | Jun 2024 | Jun 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $153.1M | $183M | $202.5M | $203.9M | $175.7M | $180.1M |
| Operating expenses | $177.5M | $186.6M | $192.7M | $211.3M | $194.8M | $203.3M |
| Operating margin | -16.0% | -2.0% | 4.8% | -3.6% | -10.9% | -12.9% |
| Net income | -$17.4M | $3.6M | $19.4M | $1.9M | -$4.1M | -$10M |
| Total assets | $1.2B | $1.6B | $2B | $2.4B | $2.7B | $3.2B |
| Discharges | 5,282 | 5,753 | 5,856 | 5,652 | 5,133 | 5,104 |
| Inpatient days | 19,646 | 20,182 | 23,115 | 21,839 | 21,226 | 19,435 |
| Medicare Advantage days | 2,181 | 2,656 | 3,939 | 3,787 | 4,491 | |
| Beds | 236 | 236 | 236 | 236 | 248 | 248 |
| Employees (FTE) | 657 | 945 | 980 | 991 | 996 | 554 |
Source: CMS cost report (HCRIS, Form 2552-10), report 842841, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Palomar Medical Center Poway reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Operating room | $6.1M | $22.9M | $138.6M | 0.17 | 7,631 |
| Emergency | $7.9M | $18.2M | $223.9M | 0.08 | 8,655 |
| Medical supplies charged to patient | $12.3M | $12.8M | 0.96 | ||
| Drugs charged to patients | $10.9M | $70.5M | 0.15 | ||
| Laboratory | $3.2M | $9.6M | $77.2M | 0.12 | 4,934 |
| Impl. dev. charged to patients | $8.2M | $9.6M | 0.86 | ||
| Physical therapy | $3.5M | $7.8M | $39.3M | 0.20 | 6,201 |
| Radiology-diagnostic | $2.6M | $7.3M | $31.6M | 0.23 | 5,401 |
| Clinic | $1M | $4.3M | $19.5M | 0.22 | 4,716 |
| Respiratory therapy | $1.2M | $2.8M | $53.8M | 0.05 | 1,144 |
| Ct scan | $1.2M | $2.7M | $142.3M | 0.02 | 622 |
| Observation beds (non-distinct part | $2.1M | $12M | 0.18 | ||
| Ultra sound | $676,462 | $2M | $10.5M | 0.19 | 2,469 |
| Occupational therapy | $973,427 | $1.9M | $12.9M | 0.15 | 566 |
| Sart/child abuse program | $2.9M | $1.1M | $989,710 | 1.15 | 1,019 |
| Recovery center | $1M | 3,937 | |||
| Laboratory-pathology | $114,038 | $814,054 | $1.4M | 0.57 | 799 |
| Radioisotope | $262,201 | $781,398 | $1.6M | 0.48 | 448 |
| Speech pathology | $357,892 | $650,052 | $3.8M | 0.17 | |
| Electrocardiology | $292,342 | $604,742 | $18.8M | 0.03 | 281 |
| Mri | $112,214 | $309,305 | $8.2M | 0.04 | |
| Radiology-therapeutic | $200,451 | 787 | |||
| Blood storing processing & trans. | $82,288 | $1M | 0.08 | 230 | |
| Electroencephalography | $24,006 | $55,622 | $259,924 | 0.21 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Skilled nursing facility | $12.2M | $36M | $45.6M | 0.79 | 25,945 |
| Adults & pediatrics | $15.4M | $35.5M | $188.3M | 0.19 | 17,832 |
| Intensive care unit | $5.6M | $12.1M | $56.3M | 0.22 | 3,962 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $2.6M | $49.1M | 80,510 | $32.01 | 117,264 |
| Cap rel costs-bldg & fixt | $18.5M | 279,115 | |||
| Cap rel costs-mvble equip | $7.5M | ||||
| Employee benefits department | $149,175 | $5.6M | 4,044 | $36.89 | 110 |
| Operation of plant | $289,242 | $5.1M | 7,062 | $40.96 | 9,852 |
| Maintenance & repairs | $587,625 | $4.2M | 13,983 | $42.02 | 1,325 |
| Pharmacy | $2M | $3.3M | 29,399 | $68.77 | 3,570 |
| Nursing administration | $2.3M | $2.8M | 37,451 | $60.96 | 3,088 |
| Cafeteria | $2.1M | $2.5M | 50,847 | $27.27 | 4,089 |
| Housekeeping | $1.3M | $2.3M | 55,380 | $23.26 | 1,049 |
| Dietary | $212,171 | $1.8M | 35,336 | $27.27 | 4,512 |
| Central services & supply | $367,784 | $1.7M | 11,193 | $32.86 | 2,142 |
| Laundry & linen service | $56,948 | $1.1M | 2,793 | $20.39 | 822 |
| Social service | $124,782 | $146,584 | 4,400 | $28.36 | |
| Medical records & library | $92,315 | $106,043 | 2,993 | $30.84 | 511 |
Source: CMS cost report (HCRIS, Form 2552-10), report 842841, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Palomar Medical Center Poway for an inpatient stay.
1.49
Case mix index
Higher than 27% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
28.4%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
1,654
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.63 | 1.63 | 1.74 | 1.70 | 1.71 | 1.58 | 1.49 |
| Wage index | 1.275 | 1.269 | 1.274 | 1.519 | 1.451 | 1.431 | 1.399 |
| Readmissions adjustment | -0.01% | -0.02% | -0.06% | -0.29% | -0.12% | 0.00% | -0.12% |
| Value-based purchasing adjustment | +0.04% | -0.40% | -0.40% | +0.48% | -0.92% | -0.20% | -1.07% |
| Medicare inpatient stays | 1,692 | 1,692 | 1,056 | 1,221 | 1,302 | 1,388 | 1,654 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Palomar Medical Center Poway reports to Medicare as owners or with operational control.
Palomar Health
Operational/managerial control, 100%, since 1966
Sources: CMS Hospital All Owners.
The officers and board members on Palomar Medical Center Poway's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 3 of 8 are shown.
340B drug pricing program
Participating since 2015
340B ID DSH050636, registered as a disproportionate share hospital; 2 registered outpatient sites. Authorizing official: Andrew Tokar, Chief Financial Officer.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Helipad
Pomerado Hospital
FAA location ID 1CL5, a medical-use heliport at the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
The villas
CCN 555301, certified 1988, Medicare prospective payment
The villas
CCN 555301, certified 1988
Source: Worksheet S-2 Part I of Palomar Medical Center Poway's latest Medicare cost report (HCRIS).
About Palomar Medical Center Poway's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Palomar Medical Center Poway range from $704 to $3,083 across 4 insurers. UnitedHealthcare's rate is $792. The median at nearby comparable hospitals is $2,045. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Palomar Medical Center Poway range from $324 to $5,148 across 4 insurers. Aetna's rate is $2,025. The median at nearby comparable hospitals is $1,304. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Diagnostic colonoscopy (CPT 45378), published negotiated rates at Palomar Medical Center Poway range from $785 to $6,044 across 3 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $6,044. The median at nearby comparable hospitals is $2,777. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Palomar Medical Center Poway range from $152 to $898 across 4 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $152. The median at nearby comparable hospitals is $322. What a patient pays depends on their plan's deductible, coinsurance and network status.
Palomar Medical Center Poway has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.
CMS reports no Medicare-funded interns or residents at Palomar Medical Center Poway for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Palomar Medical Center Poway's base inpatient payments by an estimated 0.12% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (189 discharges), heart failure and shock with mcc (76 discharges), respiratory infections and inflammations with mcc (60 discharges).
Palomar Medical Center Poway's Medicare case mix index is 1.49 for fiscal year 2027, higher than 27% of hospitals paid under the inpatient prospective payment system.
Palomar Medical Center Poway reported 5,104 inpatient discharges and 19,435 inpatient days from Jul 1, 2024 to Jun 30, 2025.
Palomar Medical Center Poway reported 554 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.
Palomar Medical Center Poway reported $180.1M in net patient revenue on $1.2B of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of -12.9%, and net income of -$10M.
Palomar Medical Center Poway reported $24.9M of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025, including $2.5M of charity care at cost.
Palomar Medical Center Poway's Medicare enrollment lists Diane Hansen as President & CEO since 2017.
Insurers' price transparency files list Palomar Medical Center Poway under employer identification number 95-6003843 (Palomar Medical Center). 57 health plans and networks list 95-6003843 for it.
Yes. HRSA's 340B database lists Palomar Medical Center Poway (340B ID DSH050636) as a participating disproportionate share hospital since 2015.
374 clinicians who bill Medicare list Palomar Medical Center Poway as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are emergency medicine physician (63), internal medicine physician (44), anesthesiology physician (32).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Palomar Medical Center Poway, effective 2019.
In its Medicare enrollment, Palomar Medical Center Poway reports Palomar Health as Operational/managerial control (100%).
CMS lists 33 services at Palomar Medical Center Poway, including Acute Renal Dialysis, Anesthesia, Audiology, Chemotherapy, Clinical Laboratory, Coronary Care Unit.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Palomar Medical Center Poway came from ZIP codes 92064 (616), 92128 (521), 92065 (444).
Palomar Medical Center Poway has 248 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 95 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Palomar Medical Center Poway is located at 15615 Pomerado Road, Poway, CA 92064. Its main phone number is (858) 485-6511.
Palomar Medical Center Poway's CMS Certification Number (CCN), also called its Medicare provider number, is 050636.
The National Provider Identifier (NPI) on file for Palomar Medical Center Poway is 1376513754.
Palomar Medical Center Poway is affiliated with Palomar Health.
Palomar Medical Center Poway lists 35 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
269 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
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.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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
}
]
}]
}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