SCRIPPS GREEN HOSPITAL
LA JOLLA, CA 92037 · Acute Care Hospitals
55 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 27, 2026 · Methodology
Procedures Analyzed
55
With CMS pricing data
Avg Charge-to-Medicare Ratio
7.4x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Voluntary non-profit - Other
Above 90th Percentile
20%
Compared to CA hospitals
Understanding Your Costs
When you receive a bill from SCRIPPS GREEN HOSPITAL, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, SCRIPPS GREEN HOSPITAL lists chargemaster rates that average 7.4x the corresponding Medicare reimbursement amount across 55 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).
The median hospital in CA has a chargemaster-to-Medicare ratio of 6.3x, with ratios across the state ranging from 1.7x to 17.6x. At 7.4x, this facility’s average ratio is above the state median. 273 hospitals in CA report pricing data to CMS (Source: CMS IPPS Provider Summary).
The procedure with the largest gap between the listed price and Medicare reimbursement at SCRIPPS GREEN HOSPITAL is MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC (DRG 331). The listed chargemaster rate is $189,458, while Medicare reimburses $13,659 for the same procedure — a ratio of 13.9x (Source: CMS IPPS Provider Summary, FY2024).
What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.
11 of 55 procedures (20%) at this facility have listed rates above the 90th percentile compared to other CA hospitals reporting the same procedure data to CMS (Source: CMS IPPS Provider Summary).
SCRIPPS GREEN HOSPITAL is a voluntary non-profit - other acute care hospitals facility with a CMS quality rating of 5/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.
Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio
Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Procedure Pricing Lookup
Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.
| Procedure | DRG | Listed Charge | Medicare Reimb. | Ratio | State Position | |
|---|---|---|---|---|---|---|
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $189,458 | $13,659 | 13.9x | 1th | Compare your bill |
| KIDNEY TRANSPLANT | 652 | $401,791 | $29,945 | 13.4x | 1th | Compare your bill |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $119,042 | $9,792 | 12.2x | 1th | Compare your bill |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | 441 | $164,398 | $14,396 | 11.4x | 1th | Compare your bill |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $210,029 | $18,450 | 11.4x | 1th | Compare your bill |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | 027 | $249,722 | $22,616 | 11.0x | 1th | Compare your bill |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $221,007 | $20,146 | 11.0x | 1th | Compare your bill |
| BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | 520 | $129,372 | $12,250 | 10.6x | 1th | Compare your bill |
| BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | 519 | $179,069 | $17,181 | 10.4x | 1th | Compare your bill |
| CERVICAL SPINAL FUSION WITHOUT CC/MCC | 473 | $227,084 | $21,973 | 10.3x | 1th | Compare your bill |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $132,553 | $13,204 | 10.0x | 1th | Compare your bill |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 432 | $217,796 | $22,161 | 9.8x | 1th | Compare your bill |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $188,739 | $21,773 | 8.7x | 1th | Compare your bill |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $522,733 | $60,434 | 8.7x | 1th | Compare your bill |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | 433 | $70,718 | $8,844 | 8.0x | 1th | Compare your bill |
| DISORDERS OF THE BILIARY TRACT WITH MCC | 444 | $101,139 | $12,756 | 7.9x | 1th | Compare your bill |
| DIGESTIVE MALIGNANCY WITH MCC | 374 | $163,388 | $20,633 | 7.9x | 1th | Compare your bill |
| SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE | 457 | $504,151 | $63,767 | 7.9x | 1th | Compare your bill |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $270,460 | $34,455 | 7.8x | 1th | Compare your bill |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $221,556 | $28,344 | 7.8x | 1th | Compare your bill |
| CERVICAL SPINAL FUSION WITH CC | 472 | $209,346 | $26,790 | 7.8x | 1th | Compare your bill |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $123,911 | $16,452 | 7.5x | 1th | Compare your bill |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | 517 | $96,954 | $12,883 | 7.5x | 1th | Compare your bill |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $423,570 | $58,262 | 7.3x | 1th | Compare your bill |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $326,466 | $45,648 | 7.2x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $60,686 | $8,658 | 7.0x | 1th | Compare your bill |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $115,947 | $16,856 | 6.9x | 1th | Compare your bill |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | 442 | $55,590 | $8,116 | 6.8x | 1th | Compare your bill |
| RENAL FAILURE WITH CC | 683 | $43,946 | $6,570 | 6.7x | 1th | Compare your bill |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $80,652 | $12,071 | 6.7x | 1th | Compare your bill |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $71,403 | $10,800 | 6.6x | 1th | Compare your bill |
| BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | 462 | $181,003 | $27,527 | 6.6x | 1th | Compare your bill |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $165,621 | $25,404 | 6.5x | 1th | Compare your bill |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | 453 | $623,368 | $98,241 | 6.3x | 1th | Compare your bill |
| LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | 840 | $182,153 | $29,790 | 6.1x | 1th | Compare your bill |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $111,594 | $18,250 | 6.1x | 1th | Compare your bill |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $92,808 | $15,536 | 6.0x | 1th | Compare your bill |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $109,145 | $18,306 | 6.0x | 1th | Compare your bill |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $66,977 | $11,259 | 6.0x | 1th | Compare your bill |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $38,785 | $6,688 | 5.8x | 1th | Compare your bill |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $34,657 | $6,122 | 5.7x | 1th | Compare your bill |
| RENAL FAILURE WITH MCC | 682 | $65,362 | $11,837 | 5.5x | 1th | Compare your bill |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $64,184 | $11,650 | 5.5x | 1th | Compare your bill |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $86,909 | $16,288 | 5.3x | 1th | Compare your bill |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $43,548 | $8,531 | 5.1x | 1th | Compare your bill |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | 056 | $98,681 | $19,432 | 5.1x | 1th | Compare your bill |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $43,975 | $8,746 | 5.0x | 1th | Compare your bill |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $57,283 | $12,010 | 4.8x | 1th | Compare your bill |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $52,825 | $11,375 | 4.6x | 1th | Compare your bill |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $30,217 | $6,592 | 4.6x | 1th | Compare your bill |
Showing 50 of 55 procedures
All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Statewide Context
Charge-to-Medicare ratio range across CA hospitals
273 hospitals in CA report pricing data to CMS. This facility's average ratio of 7.4x places it at the lower-middle range of the state range (Source: CMS IPPS Provider Summary).
What You Can Do
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How it worksData: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).
Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.
Frequently Asked Questions About SCRIPPS GREEN HOSPITAL
How much does SCRIPPS GREEN HOSPITAL charge compared to Medicare?
According to CMS IPPS data, SCRIPPS GREEN HOSPITAL's listed chargemaster rates average 7.4x the Medicare reimbursement amount across 55 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.
What is the most expensive procedure at SCRIPPS GREEN HOSPITAL?
The procedure with the highest chargemaster-to-Medicare ratio at SCRIPPS GREEN HOSPITAL is MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC (DRG 331), with a listed charge of $189,458 compared to Medicare reimbursement of $13,659 — a ratio of 13.9x. Source: CMS IPPS Provider Summary.
Is SCRIPPS GREEN HOSPITAL expensive compared to other CA hospitals?
SCRIPPS GREEN HOSPITAL's average chargemaster-to-Medicare ratio is 7.4x. Ratios vary significantly across CA hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.
Where does the pricing data for SCRIPPS GREEN HOSPITAL come from?
All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.
How can I check if my bill from SCRIPPS GREEN HOSPITAL is correct?
You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.
Does SCRIPPS GREEN HOSPITAL in LA JOLLA, CA accept Medicare?
SCRIPPS GREEN HOSPITAL is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact SCRIPPS GREEN HOSPITAL directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.