23/100
#2,082 nationally
Grossmont Hospital
5555 Grossmont Center Drive Box 58, La Mesa, CA 91942 · (619) 465-0711
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Grossmont Hospital billed $6.68 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
- 6.7x
- volume-weighted across all its priced work
- Procedures priced
- 165
- inpatient and outpatient combined
- Rank in CA
- #147
- lower markup ranks higher
- CMS quality stars
- 4/5
- 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 17% of U.S. hospitals.
Better than 38% of U.S. hospitals.
Better than 15% of U.S. hospitals.
Better than 26% 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 |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
1,010 | $31,118 | $3,357 | +60% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
564 | $140,503 | $20,057 | +115% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
313 | $85,871 | $13,340 | +98% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
287 | $136,051 | $16,148 | +118% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
229 | $36,649 | $4,001 | +45% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
163 | $112,678 | $16,880 | +105% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
150 | $54,874 | $9,555 | +84% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
143 | $12,250 | $2,339 | +4% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
138 | $22,704 | $2,865 | +93% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
132 | $79,742 | $12,575 | +96% |
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 |
|---|---|---|---|
|
Disorders of Pancreas Except Malignancy with Complications
MS-DRG 439 · Inpatient stay |
$99,767 | $11,553 | +178% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
$119,399 | $14,224 | +152% |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
$446,667 | $56,649 | +149% |
|
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major
MS-DRG 981 · Inpatient stay |
$447,718 | $52,310 | +144% |
|
COPD (uncomplicated)
MS-DRG 192 · Inpatient stay |
$52,940 | $7,077 | +139% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$48,703 | $4,286 | +136% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$113,096 | $13,513 | +134% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$129,372 | $17,517 | +128% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
$8,702 | $2,087 | -24% |
|
Degenerative Nervous System Disorders with Major Complications
MS-DRG 056 · Inpatient stay |
$70,405 | $21,082 | -18% |
|
Other Disorders of Nervous System without Complications/mcc
MS-DRG 093 · Inpatient stay |
$44,474 | $8,339 | -8% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
$21,558 | $4,604 | -5% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
$142,504 | $40,316 | -4% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$12,250 | $2,339 | +4% |
|
Level 4 Pacemaker and Similar Procedures
APC 5224 · Hospital outpatient visit |
$103,542 | $23,891 | +8% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$19,558 | $3,484 | +11% |
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.