17/100
#2,255 nationally
Scripps Memorial Hospital La Jolla
9888 Genesee Avenue, La Jolla, CA 92037 · (858) 626-4123
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Scripps Memorial Hospital La Jolla billed $7.56 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
- 7.6x
- volume-weighted across all its priced work
- Procedures priced
- 208
- inpatient and outpatient combined
- Rank in CA
- #184
- 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 14% of U.S. hospitals.
Better than 28% of U.S. hospitals.
Better than 12% of U.S. hospitals.
Better than 15% 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 |
788 | $34,779 | $3,358 | +79% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
660 | $48,189 | $4,004 | +91% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
558 | $118,276 | $19,071 | +81% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
528 | $203,871 | $29,016 | +54% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
421 | $118,665 | $13,475 | +75% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
365 | $226,830 | $31,919 | +82% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
338 | $82,114 | $12,695 | +89% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
301 | $17,087 | $1,993 | +70% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
292 | $56,665 | $4,999 | +174% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
208 | $380,051 | $47,660 | +101% |
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 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$46,071 | $2,865 | +292% |
|
Level 3 Intraocular Procedures
APC 5493 · Hospital outpatient visit |
$85,697 | $6,227 | +253% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$204,075 | $12,520 | +242% |
|
Craniotomy and Endovascular Intracranial Procedures with Major Complications
MS-DRG 025 · Inpatient stay |
$607,975 | $60,692 | +216% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$39,796 | $2,504 | +208% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$252,999 | $22,851 | +205% |
|
Coronary Bypass without Cardiac Catheterization without Major Complications
MS-DRG 236 · Inpatient stay |
$549,991 | $42,166 | +200% |
|
Traumatic Stupor and Coma <1 Hour with Complications
MS-DRG 086 · Inpatient stay |
$165,930 | $12,808 | +193% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Concomitant Left Atrial Appendage Closure and Cardiac Ablation
MS-DRG 317 · Inpatient stay |
$344,336 | $58,833 | about average |
|
Skin Infection (severe)
MS-DRG 602 · Inpatient stay |
$51,967 | $13,412 | about average |
|
Degenerative Nervous System Disorders with Major Complications
MS-DRG 056 · Inpatient stay |
$87,769 | $20,485 | about average |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$21,383 | $3,907 | +5% |
|
Back and Neck Procedures Except Spinal Fusion with Major Complications or Disc Device or
MS-DRG 518 · Inpatient stay |
$220,245 | $37,466 | +7% |
|
Malignancy of Hepatobiliary System or Pancreas with Major Complications
MS-DRG 435 · Inpatient stay |
$89,874 | $17,038 | +10% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
$27,267 | $4,621 | +14% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
$43,354 | $10,435 | +15% |
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.