Healthcare Pricing Data: LA JOLLA, CA
2 hospitals with public pricing data · 30 procedures reported to CMS
Hospitals
2
With CMS data
Procedures
30
DRG categories
Avg Charge-to-Medicare Ratio
8.1x
Across all procedures
vs National Average
+57%
Chargemaster rates
About This Data
LA JOLLA, CA has 2 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 8.1x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)
The procedure with the highest average listed charges in LA JOLLA is COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC (DRG 454), with an average chargemaster rate of $444,700 across reporting hospitals.
Important: Chargemaster rates are hospital list prices and are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage. Use this data as a starting point for understanding pricing in your area.
Procedure Pricing Data
| Procedure | DRG | Avg Listed Charge | Hospitals Reporting | Charge-to-Medicare Ratio |
|---|---|---|---|---|
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $444,700 | 2 | 8.2x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $432,497 | 2 | 9.5x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $374,213 | 2 | 9.0x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $251,648 | 2 | 8.2x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $230,084 | 2 | 8.3x |
| CERVICAL SPINAL FUSION WITH CC | 472 | $210,815 | 2 | 8.2x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $189,551 | 2 | 10.1x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $179,941 | 2 | 10.1x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $168,362 | 2 | 12.6x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | 441 | $165,108 | 2 | 10.8x |
| DIGESTIVE MALIGNANCY WITH MCC | 374 | $137,593 | 2 | 8.0x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $135,124 | 2 | 8.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $119,939 | 2 | 7.0x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $118,097 | 2 | 9.2x |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $118,027 | 2 | 7.7x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $116,411 | 2 | 7.2x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $115,767 | 2 | 7.5x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $107,215 | 2 | 6.9x |
| DISORDERS OF THE BILIARY TRACT WITH MCC | 444 | $97,785 | 2 | 7.5x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $97,175 | 2 | 7.7x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | 056 | $88,569 | 2 | 4.7x |
| RENAL FAILURE WITH MCC | 682 | $83,509 | 2 | 7.0x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $80,007 | 2 | 10.0x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $77,380 | 2 | 7.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $72,457 | 2 | 7.1x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $71,087 | 2 | 6.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $62,798 | 2 | 6.0x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $61,027 | 2 | 5.9x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $57,163 | 2 | 7.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $55,328 | 2 | 6.9x |
Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.
Hospitals in LA JOLLA With Pricing Data
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Upload your bill — free comparisonData from CMS Inpatient Prospective Payment System (IPPS) Provider Summary. All data publicly available under federal law (45 CFR Part 180).
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