19/100
#2,197 nationally
Scripps Green Hospital
10666 North Torrey Pines Road, La Jolla, CA 92037 · (858) 554-3600
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Scripps Green 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
- 116
- inpatient and outpatient combined
- Rank in CA
- #169
- lower markup ranks higher
- CMS quality stars
- 5/5
- 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 23% of U.S. hospitals.
Better than 24% of U.S. hospitals.
Better than 13% of U.S. hospitals.
Better than 7% 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 |
|---|---|---|---|---|
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
603 | $128,762 | $16,052 | +106% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
475 | $125,805 | $21,624 | +57% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
473 | $30,773 | $1,987 | +205% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
383 | $16,575 | $2,334 | +41% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
319 | $64,697 | $7,024 | +84% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
244 | $102,717 | $8,691 | +158% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
214 | $42,884 | $3,455 | +143% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
184 | $39,997 | $3,902 | +109% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
153 | $64,504 | $6,295 | +135% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
141 | $97,745 | $25,815 | +50% |
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 |
|---|---|---|---|
|
Craniotomy and Endovascular Intracranial Procedures with Complications
MS-DRG 026 · Inpatient stay |
$513,944 | $71,387 | +283% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$29,719 | $1,969 | +247% |
|
Level 3 Extraocular, Repair, and Plastic Eye Procedures
APC 5503 · Hospital outpatient visit |
$45,987 | $2,873 | +218% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$30,773 | $1,987 | +205% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$39,352 | $2,476 | +205% |
|
Cervical Spinal Fusion without Complications/mcc
MS-DRG 473 · Inpatient stay |
$272,553 | $28,884 | +201% |
|
Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical
MS-DRG 402 · Inpatient stay |
$425,160 | $54,220 | +198% |
|
Level 2 Neurostimulator and Related Procedures
APC 5462 · Hospital outpatient visit |
$77,079 | $6,638 | +194% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Acute Leukemia with Major Complications
MS-DRG 834 · Inpatient stay |
$173,721 | $70,390 | -36% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
$34,474 | $17,178 | -28% |
|
Digestive Malignancy with Complications
MS-DRG 375 · Inpatient stay |
$42,615 | $15,671 | -20% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
$30,888 | $11,566 | -17% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$47,835 | $25,287 | -16% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
$34,453 | $14,468 | -15% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$26,679 | $11,013 | -10% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
$27,591 | $10,167 | -10% |
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.