Healthcare Pricing Data: SAN DIEGO, CA
4 hospitals with public pricing data · 30 procedures reported to CMS
Hospitals
4
With CMS data
Procedures
30
DRG categories
Avg Charge-to-Medicare Ratio
7.7x
Across all procedures
vs National Average
+51%
Chargemaster rates
About This Data
SAN DIEGO, CA has 4 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 7.7x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)
The procedure with the highest average listed charges in SAN DIEGO is CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION (DRG 219), with an average chargemaster rate of $565,554 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 |
|---|---|---|---|---|
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $310,963 | 4 | 6.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $244,264 | 4 | 15.7x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $132,471 | 4 | 7.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $130,717 | 4 | 6.8x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $114,807 | 4 | 6.8x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $104,399 | 4 | 6.0x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $98,648 | 4 | 6.8x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $93,934 | 4 | 8.0x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $78,228 | 4 | 6.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $77,734 | 4 | 9.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $74,109 | 4 | 7.1x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $65,022 | 4 | 7.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $59,763 | 4 | 7.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $59,426 | 4 | 7.5x |
| RENAL FAILURE WITH CC | 683 | $55,810 | 4 | 7.0x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $48,684 | 4 | 8.3x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 219 | $565,554 | 3 | 7.0x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $486,994 | 3 | 6.9x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $360,836 | 3 | 7.7x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $338,307 | 3 | 7.5x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $243,968 | 3 | 5.1x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $218,704 | 3 | 8.2x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $216,284 | 3 | 7.0x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $215,030 | 3 | 6.8x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $210,647 | 3 | 7.3x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | 085 | $207,588 | 3 | 9.2x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $206,497 | 3 | 7.0x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $202,101 | 3 | 7.8x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $201,847 | 3 | 8.9x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $165,945 | 3 | 8.1x |
Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.
Hospitals in SAN DIEGO 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).
Listed chargemaster rates are not what most insured patients pay. This information is for educational purposes only. Read our methodology·Report a data error