CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Tri-City Medical Center

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$8,757
about 1.5× the $5,676 Medicare rate · typically $7,205–$11,324
modeled estimate · not a bill or quote
What this hospital charges insurers
$8,132
About the fair price
about $625 under the fair price · 1.4× Medicare
Medicare pays $5,676 Fair price $8,757 This hospital $8,132

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $5,150 Priciest $8,132

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a Digestive disorders treatment (inpatient stay) is about $8,757 (about 1.5× the $5,676 Medicare rate). Tri-City Medical Center charges insurers about $8,132 — about the fair price. Located in Oceanside, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana✓ Kaiser Permanente Cigna

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $8,132 143%
Blue Cross Blue Shieldmajor $8,132 143%
Aetnamajor $8,132 143%
Humanamajor $8,132 143%
Kaiser Permanentemajor $8,132 - $13,824 143%
Health Net $8,132 - $12,442 143%
Molina $8,132 - $10,978 143%
Providence Health Plan $11,384 201%
+ 7 smaller / regional plans $8,132 - $12,198
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 4002 Vista Way, Oceanside, CA 92056
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals