All published prices at Scripps Memorial Hospital - Encinitas
138 procedures, each showing what the hospital billed, what that care was actually paid for, and how the charge compares with the national middle for the same coded work.
| 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% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
82 | $153,658 | $16,148 | +146% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
80 | $109,220 | $8,703 | +174% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
76 | $65,704 | $12,794 | +36% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
73 | $79,590 | $7,094 | +127% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
68 | $14,042 | $2,047 | +23% |
|
Level 6 Urology and Related Services
APC 5376 · Hospital outpatient visit |
66 | $116,651 | $11,166 | +162% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
65 | $54,695 | $9,487 | +40% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
65 | $162,843 | $18,476 | +104% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
64 | $67,115 | $15,956 | +18% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
63 | $255,944 | $48,666 | +44% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
63 | $39,473 | $4,254 | +70% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
61 | $58,290 | $12,331 | +25% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
60 | $17,439 | $2,339 | +48% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
55 | $130,284 | $19,572 | +56% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
55 | $39,426 | $7,481 | +32% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
55 | $38,954 | $1,993 | +286% |
|
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with
MS-DRG 543 · Inpatient stay |
51 | $48,798 | $10,031 | +18% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
51 | $20,287 | $1,976 | +81% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
49 | $70,058 | $14,850 | +14% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
49 | $33,173 | $7,990 | +9% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
48 | $51,131 | $8,789 | +55% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
47 | $103,427 | $17,677 | +36% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
46 | $143,947 | $17,650 | +41% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
45 | $58,674 | $12,810 | +23% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
45 | $36,901 | $3,849 | +93% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
44 | $69,260 | $9,090 | +52% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
42 | $95,808 | $15,861 | +35% |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
41 | $83,243 | $8,413 | +116% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
39 | $48,543 | $8,246 | +55% |
|
Other Cerebrovascular Disorders with Complications
MS-DRG 071 · Inpatient stay |
38 | $58,881 | $9,966 | +33% |
|
Other Cerebrovascular Disorders with Major Complications
MS-DRG 070 · Inpatient stay |
37 | $75,658 | $16,073 | +14% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
36 | $43,783 | $7,328 | +43% |
|
Other Disorders of Nervous System with Complications
MS-DRG 092 · Inpatient stay |
34 | $60,838 | $10,363 | +35% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
33 | $65,994 | $12,493 | +29% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
32 | $43,292 | $2,465 | +235% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
31 | $46,376 | $3,493 | +162% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
30 | $182,586 | $20,744 | +113% |
|
Respiratory Infection (with complications)
MS-DRG 178 · Inpatient stay |
29 | $59,151 | $9,501 | +59% |
|
Hip or Thigh Bone Surgery (severe)
MS-DRG 480 · Inpatient stay |
29 | $190,177 | $26,160 | +62% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
29 | $69,452 | $4,013 | +175% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
28 | $210,366 | $36,671 | +46% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
28 | $53,015 | $9,562 | +41% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
28 | $71,822 | $14,199 | +44% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
27 | $187,931 | $22,851 | +126% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
27 | $191,583 | $12,637 | +221% |
|
Degenerative Nervous System Disorders with Major Complications
MS-DRG 056 · Inpatient stay |
26 | $93,993 | $18,554 | +9% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
26 | $67,239 | $9,403 | +54% |
|
Fainting
MS-DRG 312 · Inpatient stay |
26 | $51,065 | $8,533 | +39% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
26 | $55,946 | $11,575 | +37% |
|
Endocrine Disorders with Major Complications
MS-DRG 643 · Inpatient stay |
26 | $76,363 | $15,144 | +16% |
|
Endocrine Disorders with Complications
MS-DRG 644 · Inpatient stay |
26 | $56,599 | $10,239 | +47% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
25 | $61,698 | $3,980 | +203% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
25 | $36,914 | $3,844 | +103% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
24 | $56,187 | $11,292 | +19% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
24 | $84,242 | $13,621 | +74% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
24 | $61,358 | $14,210 | +16% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
24 | $90,133 | $13,108 | +75% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
23 | $30,462 | $1,969 | +255% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
22 | $286,710 | $29,119 | +185% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
22 | $47,450 | $8,126 | +55% |
|
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without
MS-DRG 563 · Inpatient stay |
22 | $41,963 | $8,592 | +14% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
21 | $97,145 | $13,572 | +78% |
|
Infection Needing Surgery (with complications)
MS-DRG 854 · Inpatient stay |
21 | $137,167 | $22,240 | +65% |
|
Cranial and Peripheral Nerve Disorders without Major Complications
MS-DRG 074 · Inpatient stay |
21 | $50,236 | $10,115 | +6% |
|
Other Musculoskeletal System and Connective Tissue Operating Room Procedures with
MS-DRG 516 · Inpatient stay |
21 | $148,479 | $19,751 | +68% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
20 | $40,676 | $8,963 | +28% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major
MS-DRG 287 · Inpatient stay |
20 | $108,821 | $11,925 | +100% |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
20 | $259,613 | $41,105 | +45% |
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay |
20 | $57,705 | $9,260 | +49% |
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major
MS-DRG 897 · Inpatient stay |
20 | $60,169 | $8,017 | +85% |
|
Interstitial Lung Disease with Major Complications
MS-DRG 196 · Inpatient stay |
20 | $97,031 | $17,814 | +21% |
|
Trauma to the Skin, Subcutaneous Tissue and Breast without Major Complications
MS-DRG 605 · Inpatient stay |
20 | $40,970 | $8,885 | about average |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
19 | $132,228 | $19,439 | +69% |
|
Other Circulatory System Diagnoses with Complications
MS-DRG 315 · Inpatient stay |
19 | $49,454 | $9,252 | +19% |
|
Complications of Treatment with Major Complications
MS-DRG 919 · Inpatient stay |
19 | $125,457 | $21,652 | +68% |
|
Coagulation Disorders
MS-DRG 813 · Inpatient stay |
19 | $91,121 | $14,942 | +36% |
|
Level 5 Gynecologic Procedures
APC 5415 · Hospital outpatient visit |
19 | $82,289 | $6,115 | +174% |
|
Peripheral Vascular Disorders with Complications
MS-DRG 300 · Inpatient stay |
18 | $46,945 | $11,488 | +9% |
|
Hypertension without Major Complications
MS-DRG 305 · Inpatient stay |
18 | $45,664 | $8,423 | +36% |
|
Major Chest Procedures with Major Complications
MS-DRG 163 · Inpatient stay |
17 | $301,186 | $48,666 | +71% |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
17 | $78,133 | $15,875 | +22% |
|
Respiratory Neoplasms with Major Complications
MS-DRG 180 · Inpatient stay |
17 | $92,211 | $16,965 | +24% |
|
Other Disorders of Nervous System with Major Complications
MS-DRG 091 · Inpatient stay |
16 | $72,007 | $16,313 | about average |
|
Permanent Cardiac Pacemaker Implant with Major Complications
MS-DRG 242 · Inpatient stay |
16 | $214,783 | $30,662 | +55% |
|
Irregular Heartbeat (uncomplicated)
MS-DRG 310 · Inpatient stay |
16 | $44,359 | $5,523 | +76% |
|
Laparoscopic Cholecystectomy without C.d.e. with Complications
MS-DRG 418 · Inpatient stay |
16 | $131,028 | $15,996 | +59% |
|
Major Joint or Limb Reattachment Procedures of Upper Extremities
MS-DRG 483 · Inpatient stay |
16 | $241,559 | $24,257 | +135% |
|
Bronchitis and Asthma with Complications/mcc
MS-DRG 202 · Inpatient stay |
16 | $55,234 | $9,428 | +40% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
16 | $108,519 | $8,017 | +175% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
15 | $157,697 | $19,582 | +79% |
These figures are averages across this hospital's Medicare patients in the most recent federal data year. They are not a quote and not your bill. For your own case, ask the hospital for a written good-faith estimate and check its published machine-readable price file.