CostGrade

All published prices at Scripps Memorial Hospital La Jolla

208 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.

F
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%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

199 $43,354 $10,435 +15%
Level 1 Intraocular Procedures

APC 5491 · Hospital outpatient visit

193 $46,071 $2,865 +292%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

186 $155,517 $21,397 +63%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

168 $85,036 $13,039 +65%
Level 2 Endovascular Procedures

APC 5192 · Hospital outpatient visit

161 $76,051 $6,992 +120%
Respiratory Infection (severe)

MS-DRG 177 · Inpatient stay

139 $95,961 $16,374 +74%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

127 $17,237 $2,310 +47%
Level 5 Musculoskeletal Procedures

APC 5115 · Hospital outpatient visit

121 $156,838 $16,028 +151%
Level 1 Laparoscopy and Related Services

APC 5361 · Hospital outpatient visit

115 $98,375 $7,094 +180%
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications

MS-DRG 266 · Inpatient stay

102 $554,315 $68,220 +130%
Sepsis (without major complications)

MS-DRG 872 · Inpatient stay

100 $59,916 $10,150 +53%
Level 4 Pacemaker and Similar Procedures

APC 5224 · Hospital outpatient visit

98 $138,253 $23,670 +45%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

95 $195,776 $40,316 +32%
Level 2 Laparoscopy and Related Services

APC 5362 · Hospital outpatient visit

94 $204,075 $12,520 +242%
Level 2 Breast/lymphatic Surgery and Related Procedures

APC 5092 · Hospital outpatient visit

93 $53,070 $8,017 +34%
Digestive Disorder (without major complications)

MS-DRG 392 · Inpatient stay

91 $47,875 $8,118 +48%
Heart Catheter Procedure (without major complications)

MS-DRG 322 · Inpatient stay

82 $133,474 $20,286 +31%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

81 $67,854 $12,538 +46%
Hip or Thigh Bone Surgery (with complications)

MS-DRG 481 · Inpatient stay

81 $163,517 $19,548 +96%
Level 4 Gynecologic Procedures

APC 5414 · Hospital outpatient visit

79 $24,030 $3,805 +32%
Stroke (severe)

MS-DRG 064 · Inpatient stay

78 $151,777 $19,780 +99%
Back Problems (without major complications)

MS-DRG 552 · Inpatient stay

77 $73,705 $9,353 +89%
Gastrointestinal Bleeding (with complications)

MS-DRG 378 · Inpatient stay

75 $65,375 $10,370 +58%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

74 $46,441 $3,866 +143%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

73 $388,801 $52,637 +118%
Stroke (with complications)

MS-DRG 065 · Inpatient stay

72 $89,343 $10,043 +96%
Heart Attack (severe)

MS-DRG 280 · Inpatient stay

72 $117,577 $15,487 +92%
Gastrointestinal Bleeding (severe)

MS-DRG 377 · Inpatient stay

69 $118,597 $18,114 +67%
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization

MS-DRG 219 · Inpatient stay

67 $691,069 $84,815 +106%
Level 4 Musculoskeletal Procedures

APC 5114 · Hospital outpatient visit

67 $98,032 $8,344 +146%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major

MS-DRG 286 · Inpatient stay

64 $210,847 $26,140 +140%
Hip or Knee Replacement (without major complications)

MS-DRG 470 · Inpatient stay

63 $160,384 $18,571 +101%
Heart Catheter Procedure (severe)

MS-DRG 321 · Inpatient stay

62 $240,816 $28,446 +68%
Respiratory Failure

MS-DRG 189 · Inpatient stay

59 $80,766 $11,935 +67%
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major

MS-DRG 287 · Inpatient stay

59 $93,103 $10,883 +71%
Kidney or Urinary Disorder (severe)

MS-DRG 698 · Inpatient stay

59 $97,304 $15,649 +71%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

58 $30,973 $3,493 +75%
Skin Infection (without major complications)

MS-DRG 603 · Inpatient stay

57 $44,871 $8,583 +47%
Level 1 Breast/lymphatic Surgery and Related Procedures

APC 5091 · Hospital outpatient visit

57 $27,267 $4,621 +14%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

56 $44,322 $8,045 +42%
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with

MS-DRG 543 · Inpatient stay

56 $66,209 $10,259 +60%
Kidney Failure (with complications)

MS-DRG 683 · Inpatient stay

53 $58,010 $8,703 +76%
Urinary Tract Infection (without major complications)

MS-DRG 690 · Inpatient stay

52 $44,543 $7,655 +50%
Irregular Heartbeat (with complications)

MS-DRG 309 · Inpatient stay

51 $48,484 $7,709 +58%
Fluid and Electrolyte Disorder (without major complications)

MS-DRG 641 · Inpatient stay

50 $46,845 $7,420 +53%
Degenerative Nervous System Disorders without Major Complications

MS-DRG 057 · Inpatient stay

49 $62,399 $13,266 +30%
Other Circulatory System Diagnoses with Major Complications

MS-DRG 314 · Inpatient stay

49 $131,222 $20,724 +68%
Hip or Thigh Bone Surgery (severe)

MS-DRG 480 · Inpatient stay

48 $196,269 $27,430 +67%
Permanent Cardiac Pacemaker Implant with Complications

MS-DRG 243 · Inpatient stay

47 $179,721 $22,793 +92%
Level 3 Lower GI Procedures

APC 5313 · Hospital outpatient visit

47 $22,964 $3,451 +39%
Kidney Failure (severe)

MS-DRG 682 · Inpatient stay

44 $78,723 $14,222 +49%
Level 3 Musculoskeletal Procedures

APC 5113 · Hospital outpatient visit

41 $21,383 $3,907 +5%
Level 5 Gynecologic Procedures

APC 5415 · Hospital outpatient visit

40 $61,080 $6,115 +103%
Respiratory Infection (with complications)

MS-DRG 178 · Inpatient stay

39 $53,983 $10,297 +45%
Other Cerebrovascular Disorders with Major Complications

MS-DRG 070 · Inpatient stay

38 $93,801 $15,785 +42%
Irregular Heartbeat (severe)

MS-DRG 308 · Inpatient stay

37 $64,841 $12,966 +37%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications

MS-DRG 522 · Inpatient stay

36 $163,890 $22,533 +91%
Traumatic Stupor and Coma <1 Hour with Complications

MS-DRG 086 · Inpatient stay

35 $165,930 $12,808 +193%
Major Small and Large Bowel Procedures with Complications

MS-DRG 330 · Inpatient stay

35 $235,576 $24,309 +134%
Other Digestive System Diagnoses with Complications

MS-DRG 394 · Inpatient stay

35 $61,401 $10,293 +58%
Other Cerebrovascular Disorders with Complications

MS-DRG 071 · Inpatient stay

35 $61,421 $10,217 +38%
Degenerative Nervous System Disorders with Major Complications

MS-DRG 056 · Inpatient stay

34 $87,769 $20,485 about average
Concomitant Left Atrial Appendage Closure and Cardiac Ablation

MS-DRG 317 · Inpatient stay

34 $344,336 $58,833 about average
Major Small and Large Bowel Procedures with Major Complications

MS-DRG 329 · Inpatient stay

33 $337,185 $44,582 +88%
Digestive Disorder (severe)

MS-DRG 391 · Inpatient stay

33 $82,851 $12,588 +61%
Laparoscopic Cholecystectomy without C.d.e. with Complications

MS-DRG 418 · Inpatient stay

33 $185,268 $15,927 +125%
Level 2 Musculoskeletal Procedures

APC 5112 · Hospital outpatient visit

33 $21,117 $1,976 +88%
Fluid and Electrolyte Disorder (severe)

MS-DRG 640 · Inpatient stay

32 $70,012 $13,146 +44%
Percutaneous and Other Intracardiac Procedures with Major Complications

MS-DRG 273 · Inpatient stay

31 $284,483 $40,134 +53%
Major Chest Trauma with Complications

MS-DRG 184 · Inpatient stay

31 $120,104 $12,233 +146%
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications

MS-DRG 493 · Inpatient stay

31 $182,608 $22,623 +79%
Pneumonia (with complications)

MS-DRG 194 · Inpatient stay

30 $48,814 $9,143 +54%
Fainting

MS-DRG 312 · Inpatient stay

30 $45,350 $9,555 +24%
Major Chest Trauma with Major Complications

MS-DRG 183 · Inpatient stay

30 $134,261 $15,226 +92%
Seizures without Major Complications

MS-DRG 101 · Inpatient stay

29 $53,409 $9,926 +31%
Other Cardiothoracic Procedures without Major Complications

MS-DRG 229 · Inpatient stay

29 $243,262 $30,498 +61%
Complex GI Procedures

APC 5331 · Hospital outpatient visit

29 $53,891 $6,572 +80%
Level 3 Breast/lymphatic Surgery and Related Procedures

APC 5093 · Hospital outpatient visit

29 $134,017 $11,575 +99%
Heart Attack (with complications)

MS-DRG 281 · Inpatient stay

28 $76,638 $8,952 +75%
Fractures of Hip and Pelvis without Major Complications

MS-DRG 536 · Inpatient stay

28 $58,440 $8,160 +78%
Laparoscopic Cholecystectomy without C.d.e. with Major Complications

MS-DRG 417 · Inpatient stay

28 $234,125 $23,756 +123%
Kidney or Urinary Disorder (with complications)

MS-DRG 699 · Inpatient stay

27 $73,872 $9,687 +96%
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major

MS-DRG 981 · Inpatient stay

27 $325,727 $44,069 +77%
Other Disorders of Nervous System with Complications

MS-DRG 092 · Inpatient stay

27 $96,800 $11,519 +115%
Traumatic Stupor and Coma >1 Hour with Complications

MS-DRG 083 · Inpatient stay

27 $111,828 $17,821 +87%
Back Problems (severe)

MS-DRG 551 · Inpatient stay

27 $124,269 $36,532 +79%
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Major

MS-DRG 542 · Inpatient stay

27 $90,216 $15,997 +32%
Level 3 Upper GI Procedures

APC 5303 · Hospital outpatient visit

27 $35,912 $4,708 +64%
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization

MS-DRG 220 · Inpatient stay

26 $580,170 $54,228 +149%
Level 4 Urology and Related Services

APC 5374 · Hospital outpatient visit

26 $40,048 $4,286 +94%

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.