Scripps Green Hospital
SCRIPPS GREEN HOSPITAL in La Jolla, CA charges 7.4x the Medicare reimbursement rate on average, with 20% of analyzed procedures showing significantly higher pricing variations.
La Jolla, CA 92037 · Acute Care Hospitals · CMS Rating: 5/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
No credit card required. Results in 60 seconds.
Pricing grade
D
High
Avg markup vs Medicare
7.39x
Charge / Medicare rate
Max markup
13.87x
Worst procedure
Procedures analyzed
55
With pricing data
Outlier procedures
20%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $189,458 | $94,729 | — | 13.9x |
| KIDNEY TRANSPLANT | 652 | $401,791 | $200,896 | — | 13.4x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $119,042 | $59,521 | — | 12.2x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | 441 | $164,398 | $82,199 | — | 11.4x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $210,029 | $105,015 | — | 11.4x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | 027 | $249,722 | $124,861 | — | 11x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $221,007 | $110,504 | — | 11x |
| BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | 520 | $129,372 | $64,686 | — | 10.6x |
| BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | 519 | $179,069 | $89,535 | — | 10.4x |
| CERVICAL SPINAL FUSION WITHOUT CC/MCC | 473 | $227,084 | $113,542 | — | 10.3x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $132,553 | $66,277 | — | 10x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 432 | $217,796 | $108,898 | — | 9.8x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $188,739 | $94,369 | — | 8.7x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $522,733 | $261,366 | — | 8.7x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | 433 | $70,718 | $35,359 | — | 8x |
| DISORDERS OF THE BILIARY TRACT WITH MCC | 444 | $101,139 | $50,570 | — | 7.9x |
| DIGESTIVE MALIGNANCY WITH MCC | 374 | $163,388 | $81,694 | — | 7.9x |
| SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE | 457 | $504,151 | $252,075 | — | 7.9x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $270,460 | $135,230 | — | 7.9x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $221,556 | $110,778 | — | 7.8x |
| CERVICAL SPINAL FUSION WITH CC | 472 | $209,346 | $104,673 | — | 7.8x |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $123,911 | $61,955 | — | 7.5x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | 517 | $96,954 | $48,477 | — | 7.5x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $423,570 | $211,785 | — | 7.3x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $326,466 | $163,233 | — | 7.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $60,686 | $30,343 | — | 7x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $115,947 | $57,974 | — | 6.9x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | 442 | $55,590 | $27,795 | — | 6.9x |
| RENAL FAILURE WITH CC | 683 | $43,946 | $21,973 | — | 6.7x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $80,652 | $40,326 | — | 6.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $71,403 | $35,701 | — | 6.6x |
| BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | 462 | $181,003 | $90,501 | — | 6.6x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $165,621 | $82,811 | — | 6.5x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | 453 | $623,368 | $311,684 | — | 6.4x |
| LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | 840 | $182,153 | $91,077 | — | 6.1x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $111,594 | $55,797 | — | 6.1x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $92,808 | $46,404 | — | 6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $109,145 | $54,572 | — | 6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $66,977 | $33,488 | — | 6x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $38,785 | $19,392 | — | 5.8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $34,657 | $17,329 | — | 5.7x |
| RENAL FAILURE WITH MCC | 682 | $65,362 | $32,681 | — | 5.5x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $64,184 | $32,092 | — | 5.5x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $86,909 | $43,454 | — | 5.3x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $43,548 | $21,774 | — | 5.1x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | 056 | $98,681 | $49,341 | — | 5.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $43,975 | $21,988 | — | 5x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $57,283 | $28,642 | — | 4.8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $52,825 | $26,412 | — | 4.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $30,217 | $15,108 | — | 4.6x |
Showing 50 of 55 procedures
How SCRIPPS GREEN HOSPITAL compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
Got a bill from SCRIPPS GREEN HOSPITAL?
Upload your bill and our AI compares every line item against these benchmark prices. Free analysis in 60 seconds. You only pay if we find savings.
Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
Related pricing data
Got a bill from Scripps Green Hospital?
Free guides to help you take action
Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use