18/100
#2,231 nationally
Scripps Memorial Hospital - Encinitas
354 Santa Fe Drive, Encinitas, CA 92024 · (760) 753-6501
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Scripps Memorial Hospital - Encinitas billed $6.71 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
- 138
- inpatient and outpatient combined
- Rank in CA
- #176
- 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 22% of U.S. hospitals.
Better than 16% of U.S. hospitals.
Better than 17% of U.S. hospitals.
Better than 10% 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 |
1,408 | $35,729 | $3,352 | +84% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
575 | $94,929 | $18,603 | +45% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
207 | $66,617 | $12,379 | +53% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
173 | $53,678 | $6,362 | +95% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
167 | $53,210 | $10,685 | +36% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
131 | $81,429 | $15,700 | +48% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
127 | $46,374 | $4,242 | +125% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
112 | $59,984 | $4,539 | +164% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
100 | $55,846 | $10,141 | +35% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
88 | $44,422 | $7,852 | +38% |
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 |
|---|---|---|---|
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$38,954 | $1,993 | +286% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$30,462 | $1,969 | +255% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$43,292 | $2,465 | +235% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$191,583 | $12,637 | +221% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$61,698 | $3,980 | +203% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
$286,710 | $29,119 | +185% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$69,452 | $4,013 | +175% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
$108,519 | $8,017 | +175% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Skin Ulcers with Complications
MS-DRG 593 · Inpatient stay |
$41,734 | $11,248 | -51% |
|
Disorders of the Biliary Tract with Major Complications
MS-DRG 444 · Inpatient stay |
$48,839 | $15,253 | -32% |
|
Disorders of the Biliary Tract with Complications
MS-DRG 445 · Inpatient stay |
$43,783 | $10,049 | -15% |
|
Peripheral Vascular Disorders with Major Complications
MS-DRG 299 · Inpatient stay |
$58,169 | $14,454 | -14% |
|
Back Problems (severe)
MS-DRG 551 · Inpatient stay |
$61,309 | $14,575 | -12% |
|
Cranial and Peripheral Nerve Disorders with Major Complications
MS-DRG 073 · Inpatient stay |
$57,348 | $14,818 | -11% |
|
Other Respiratory System Diagnoses with Major Complications
MS-DRG 205 · Inpatient stay |
$72,174 | $15,880 | -6% |
|
Trauma to the Skin, Subcutaneous Tissue and Breast without Major Complications
MS-DRG 605 · Inpatient stay |
$40,970 | $8,885 | about average |
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.