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.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
25 | $78,428 | $14,216 | +44% |
|
Permanent Cardiac Pacemaker Implant with Major Complications
MS-DRG 242 · Inpatient stay |
25 | $276,245 | $35,241 | +99% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
25 | $57,385 | $15,315 | +15% |
|
Coronary Bypass without Cardiac Catheterization with Major Complications
MS-DRG 235 · Inpatient stay |
25 | $615,557 | $60,700 | +156% |
|
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without
MS-DRG 563 · Inpatient stay |
25 | $52,487 | $8,616 | +43% |
|
Coronary Intravascular Lithotripsy with Intraluminal Device without Major Complications
MS-DRG 324 · Inpatient stay |
25 | $230,116 | $28,950 | +45% |
|
Stroke (uncomplicated)
MS-DRG 066 · Inpatient stay |
24 | $63,274 | $6,744 | +77% |
|
Irregular Heartbeat (uncomplicated)
MS-DRG 310 · Inpatient stay |
24 | $40,585 | $5,483 | +61% |
|
Infection Needing Surgery (with complications)
MS-DRG 854 · Inpatient stay |
24 | $198,404 | $21,719 | +139% |
|
Sepsis
MS-DRG 870 · Inpatient stay |
24 | $544,513 | $69,397 | +103% |
|
Traumatic Stupor and Coma >1 Hour with Major Complications
MS-DRG 082 · Inpatient stay |
24 | $168,022 | $22,634 | +74% |
|
Major Gastrointestinal Disorders and Peritoneal Infections with Complications
MS-DRG 372 · Inpatient stay |
24 | $69,853 | $11,155 | +76% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
24 | $65,352 | $4,253 | +181% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
24 | $39,796 | $2,504 | +208% |
|
Level 3 Intraocular Procedures
APC 5493 · Hospital outpatient visit |
24 | $85,697 | $6,227 | +253% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
23 | $63,114 | $11,243 | +55% |
|
Other Circulatory System Diagnoses with Complications
MS-DRG 315 · Inpatient stay |
23 | $70,700 | $9,405 | +71% |
|
Endocrine Disorders with Complications
MS-DRG 644 · Inpatient stay |
23 | $64,289 | $10,279 | +67% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
23 | $25,030 | $1,969 | +192% |
|
Level 6 Gynecologic Procedures
APC 5416 · Hospital outpatient visit |
23 | $99,265 | $9,285 | +143% |
|
Level 4 Breast/lymphatic Surgery and Related Procedures
APC 5094 · Hospital outpatient visit |
22 | $198,575 | $21,610 | +107% |
|
Permanent Cardiac Pacemaker Implant without Complications/mcc
MS-DRG 244 · Inpatient stay |
21 | $140,705 | $17,529 | +85% |
|
Hypertension without Major Complications
MS-DRG 305 · Inpatient stay |
21 | $53,305 | $7,355 | +59% |
|
Major Small and Large Bowel Procedures without Complications/mcc
MS-DRG 331 · Inpatient stay |
21 | $191,601 | $16,060 | +157% |
|
Trauma to the Skin, Subcutaneous Tissue and Breast without Major Complications
MS-DRG 605 · Inpatient stay |
21 | $52,406 | $8,890 | +28% |
|
Coronary Intravascular Lithotripsy with Intraluminal Device with Major Complications
MS-DRG 323 · Inpatient stay |
21 | $267,087 | $39,795 | +25% |
|
Coronary Bypass without Cardiac Catheterization without Major Complications
MS-DRG 236 · Inpatient stay |
20 | $549,991 | $42,166 | +200% |
|
Peripheral Vascular Disorders with Complications
MS-DRG 300 · Inpatient stay |
20 | $51,858 | $10,116 | +21% |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
20 | $92,034 | $17,574 | +43% |
|
Traumatic Stupor and Coma <1 Hour with Major Complications
MS-DRG 085 · Inpatient stay |
20 | $191,001 | $22,789 | +96% |
|
Endocrine Disorders with Major Complications
MS-DRG 643 · Inpatient stay |
20 | $122,658 | $17,046 | +86% |
|
Complications of Treatment with Major Complications
MS-DRG 919 · Inpatient stay |
20 | $142,073 | $19,984 | +90% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
20 | $62,425 | $6,756 | +73% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
20 | $86,178 | $7,200 | +151% |
|
ECMO or Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except
MS-DRG 003 · Inpatient stay |
19 | $1,501,010 | $244,169 | +71% |
|
Craniotomy and Endovascular Intracranial Procedures with Major Complications
MS-DRG 025 · Inpatient stay |
19 | $607,975 | $60,692 | +216% |
|
Transient Ischemia without Thrombolytic
MS-DRG 069 · Inpatient stay |
19 | $57,713 | $8,491 | +40% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture with Major Complications
MS-DRG 521 · Inpatient stay |
19 | $197,262 | $27,166 | +75% |
|
Other Major Cardiovascular Procedures with Major Complications
MS-DRG 270 · Inpatient stay |
19 | $425,608 | $52,134 | +90% |
|
Pulmonary Embolism without Major Complications
MS-DRG 176 · Inpatient stay |
19 | $61,902 | $8,954 | +77% |
|
Other Disorders of Nervous System with Major Complications
MS-DRG 091 · Inpatient stay |
18 | $102,322 | $16,546 | +44% |
|
Digestive Malignancy with Major Complications
MS-DRG 374 · Inpatient stay |
18 | $121,946 | $20,092 | +41% |
|
Disorders of the Biliary Tract with Complications
MS-DRG 445 · Inpatient stay |
18 | $71,366 | $11,463 | +39% |
|
Other Cardiothoracic Procedures with Major Complications
MS-DRG 228 · Inpatient stay |
18 | $345,267 | $49,515 | +53% |
|
Level 1 Icd and Similar Procedures
APC 5231 · Hospital outpatient visit |
18 | $127,604 | $28,895 | +35% |
|
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal
MS-DRG 023 · Inpatient stay |
17 | $459,378 | $63,024 | +100% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
17 | $54,268 | $10,955 | +30% |
|
Hip or Thigh Bone Surgery (uncomplicated)
MS-DRG 482 · Inpatient stay |
17 | $109,898 | $15,192 | +60% |
|
Respiratory Neoplasms with Major Complications
MS-DRG 180 · Inpatient stay |
17 | $93,838 | $15,784 | +26% |
|
Peripheral Vascular Disorders with Major Complications
MS-DRG 299 · Inpatient stay |
17 | $88,991 | $16,454 | +32% |
|
Combined Anterior and Posterior Spinal Fusion with Complications
MS-DRG 454 · Inpatient stay |
17 | $580,315 | $61,424 | +161% |
|
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy without
MS-DRG 544 · Inpatient stay |
17 | $50,638 | $7,510 | +63% |
|
Other Vascular Procedures with Major Complications
MS-DRG 252 · Inpatient stay |
16 | $355,424 | $42,608 | +145% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
16 | $100,880 | $13,572 | +79% |
|
Skin Infection (severe)
MS-DRG 602 · Inpatient stay |
16 | $51,967 | $13,412 | about average |
|
Laparoscopic Cholecystectomy without C.d.e. without Complications/mcc
MS-DRG 419 · Inpatient stay |
16 | $143,151 | $14,017 | +105% |
|
Cardiac Defibrillator Implant without Major Complications
MS-DRG 277 · Inpatient stay |
16 | $252,464 | $41,938 | +22% |
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with Major Complications
MS-DRG 896 · Inpatient stay |
16 | $97,570 | $19,251 | +49% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
15 | $110,683 | $18,981 | +37% |
|
Gastrointestinal Obstruction with Major Complications
MS-DRG 388 · Inpatient stay |
15 | $81,541 | $13,636 | +42% |
|
Major Chest Procedures with Complications
MS-DRG 164 · Inpatient stay |
15 | $282,269 | $24,477 | +160% |
|
Heart Failure (with complications)
MS-DRG 292 · Inpatient stay |
15 | $47,284 | $8,363 | +43% |
|
Stomach, Esophageal and Duodenal Procedures with Major Complications
MS-DRG 326 · Inpatient stay |
15 | $368,929 | $47,288 | +65% |
|
Malignancy of Hepatobiliary System or Pancreas with Major Complications
MS-DRG 435 · Inpatient stay |
15 | $89,874 | $17,038 | +10% |
|
Cervical Spinal Fusion with Complications
MS-DRG 472 · Inpatient stay |
15 | $251,115 | $28,214 | +110% |
|
Other Digestive System Operating Room Procedures with Major Complications
MS-DRG 356 · Inpatient stay |
15 | $358,218 | $49,118 | +95% |
|
Gastrointestinal Obstruction without Complications/mcc
MS-DRG 390 · Inpatient stay |
15 | $33,783 | $5,478 | +41% |
|
Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit
MS-DRG 216 · Inpatient stay |
14 | $767,250 | $96,020 | +72% |
|
Digestive Malignancy with Complications
MS-DRG 375 · Inpatient stay |
14 | $77,357 | $15,737 | +45% |
|
Complications of Treatment with Complications
MS-DRG 920 · Inpatient stay |
14 | $80,159 | $10,017 | +81% |
|
Percutaneous Cardiovascular Procedures without Intraluminal Device with Major
MS-DRG 250 · Inpatient stay |
14 | $175,818 | $21,449 | +63% |
|
Inflammatory Bowel Disease with Complications
MS-DRG 386 · Inpatient stay |
14 | $62,660 | $9,482 | +58% |
|
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur without
MS-DRG 494 · Inpatient stay |
14 | $146,942 | $18,007 | +66% |
|
Uterine and Adnexa Procedures for Non-malignancy without Complications/mcc
MS-DRG 743 · Inpatient stay |
14 | $153,635 | $12,535 | +139% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
14 | $252,999 | $22,851 | +205% |
|
Heart Attack (uncomplicated)
MS-DRG 282 · Inpatient stay |
13 | $53,999 | $7,047 | +40% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
13 | $48,271 | $9,906 | +40% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
13 | $52,207 | $10,093 | +40% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
13 | $90,688 | $13,305 | +151% |
|
Signs and Symptoms without Major Complications
MS-DRG 948 · Inpatient stay |
13 | $38,796 | $7,656 | +20% |
|
Nervous System Neoplasms with Major Complications
MS-DRG 054 · Inpatient stay |
13 | $78,738 | $14,263 | +19% |
|
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Major
MS-DRG 441 · Inpatient stay |
13 | $93,856 | $19,116 | +23% |
|
Other Musculoskeletal System and Connective Tissue Operating Room Procedures with
MS-DRG 516 · Inpatient stay |
13 | $174,925 | $21,670 | +98% |
|
Combined Anterior and Posterior Spinal Fusion without Complications/mcc
MS-DRG 455 · Inpatient stay |
13 | $448,368 | $44,141 | +153% |
|
Coagulation Disorders
MS-DRG 813 · Inpatient stay |
13 | $90,052 | $14,444 | +34% |
|
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Major Complications
MS-DRG 492 · Inpatient stay |
13 | $346,318 | $37,721 | +131% |
|
Pneumothorax with Major Complications
MS-DRG 199 · Inpatient stay |
13 | $230,898 | $16,494 | +190% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
13 | $33,633 | $4,604 | +48% |
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay |
12 | $266,896 | $28,378 | +135% |
|
Postoperative and Post-traumatic Infections with Major Complications
MS-DRG 862 · Inpatient stay |
12 | $110,449 | $20,312 | +49% |
|
Spinal Fusion Except Cervical without Major Complications
MS-DRG 460 · Inpatient stay |
12 | $322,122 | $38,307 | +122% |
|
Revision of Hip or Knee Replacement with Complications
MS-DRG 467 · Inpatient stay |
12 | $251,094 | $33,253 | +93% |
|
Postoperative or Post-traumatic Infections with Operating Room Procedures with Major
MS-DRG 856 · Inpatient stay |
12 | $383,462 | $44,943 | +102% |
|
Pneumothorax with Complications
MS-DRG 200 · Inpatient stay |
12 | $111,377 | $10,515 | +133% |
|
Back and Neck Procedures Except Spinal Fusion without Complications/mcc
MS-DRG 520 · Inpatient stay |
12 | $131,603 | $13,822 | +101% |
|
Level 2 Electrophysiologic Procedures
APC 5212 · Hospital outpatient visit |
12 | $82,062 | $9,177 | +84% |
|
Other Respiratory System Diagnoses with Major Complications
MS-DRG 205 · Inpatient stay |
11 | $121,100 | $17,395 | +59% |
|
Coronary Bypass with Cardiac Catheterization or Open Ablation with Major Complications
MS-DRG 233 · Inpatient stay |
11 | $684,875 | $157,941 | +123% |
|
Kidney and Ureter Procedures for Non-neoplasm with Complications
MS-DRG 660 · Inpatient stay |
11 | $97,568 | $13,002 | +76% |
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major
MS-DRG 897 · Inpatient stay |
11 | $68,535 | $7,971 | +111% |
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.