16/100
#2,277 nationally
Scripps Mercy Hospital
4077 5Th Ave, San Diego, CA 92103 · (619) 294-8111
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Scripps Mercy Hospital billed $6.61 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
- 6.6x
- volume-weighted across all its priced work
- Procedures priced
- 136
- inpatient and outpatient combined
- Rank in CA
- #187
- 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 20% of U.S. hospitals.
Better than 16% of U.S. hospitals.
Better than 11% 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 |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
516 | $124,784 | $22,741 | +91% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
266 | $38,858 | $3,355 | +100% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
197 | $79,073 | $15,218 | +82% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
122 | $34,159 | $1,980 | +239% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
117 | $48,107 | $4,013 | +91% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
106 | $69,090 | $12,328 | +76% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
86 | $90,705 | $14,192 | +87% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
86 | $159,638 | $15,979 | +156% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
85 | $165,226 | $21,958 | +107% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
83 | $328,226 | $57,001 | +84% |
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 |
$45,347 | $2,865 | +286% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$34,159 | $1,980 | +239% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$40,995 | $2,504 | +217% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$108,895 | $7,025 | +210% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$26,178 | $1,969 | +205% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$179,645 | $12,637 | +201% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$60,305 | $3,980 | +196% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$32,153 | $1,976 | +186% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Major
MS-DRG 542 · Inpatient stay |
$57,526 | $16,698 | -16% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
$52,449 | $15,011 | about average |
|
Back Problems (severe)
MS-DRG 551 · Inpatient stay |
$75,709 | $17,244 | +9% |
|
Other Circulatory System Operating Room Procedures
MS-DRG 264 · Inpatient stay |
$148,250 | $37,319 | +9% |
|
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with
MS-DRG 543 · Inpatient stay |
$49,665 | $11,504 | +20% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
$125,247 | $23,847 | +23% |
|
Permanent Cardiac Pacemaker Implant with Major Complications
MS-DRG 242 · Inpatient stay |
$172,381 | $36,991 | +24% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
$70,551 | $17,102 | +25% |
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.