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Scripps Memorial Hospital La Jolla

Scripps Memorial Hospital La Jolla charges 9.7x the Medicare reimbursement rate on average, with 32% of procedures showing significant price variations compared to other facilities.

La Jolla, CA 92037 · Acute Care Hospitals · CMS Rating: 5/5

By Elena Vasquez , Medical Billing Research Lead · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
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.

143 procedures analyzed
CMS price transparency data
Updated 2026-04-03
Median 6.8x3.9x15.5x
9.7x
Medicare markup ratio
CA lowestScripps Memorial Hospi...CA highest
9.7x
Avg markup ratio
9.1x
Median markup
143
Procedures
32%
Outlier procedures
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Billing patterns — for-profit

For-profit hospitals in our dataset demonstrate distinct billing patterns, with 628 facilities showing an average markup of 7.8 times Medicare rates. These hospitals typically maintain higher charge structures across most service categories compared to non-profit and government facilities. Common patterns include substantial charges above benchmark rates for emergency services, surgical procedures, and diagnostic imaging. Patients should be aware that initial bills from for-profit hospitals often reflect chargemaster rates rather than negotiated insurance amounts. The billing structure frequently includes separate charges for facility fees, physician services, and ancillary services that may appear as multiple line items. Before receiving care, patients can request cost estimates and inquire about financial assistance programs, which are federally required at all hospital types. Understanding that insurance negotiations typically result in significantly lower actual payments than initial charges can help patients navigate the billing process more effectively when receiving care at for-profit facilities.

Pricing grade

F

Very high

Avg markup vs Medicare

9.67x

Charge / Medicare rate

Max markup

18.29x

Worst procedure

Procedures analyzed

143

With pricing data

Outlier procedures

32.2%

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.

ProcedureCodeGross chargeCash priceMedicareMarkup
UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC743$159,730$79,86518.3x
TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC083$172,627$86,31316.9x
TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC087$106,656$53,32816.5x
MAJOR CHEST TRAUMA WITH MCC183$200,451$100,22516.3x
PNEUMOTHORAX WITH CC200$125,030$62,51516x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC066$74,020$37,01015.9x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC310$52,044$26,02215.1x
PULMONARY EMBOLISM WITHOUT MCC176$67,241$33,62114.3x
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC236$472,376$236,18813.7x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC282$55,646$27,82313.1x
TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC086$125,134$62,56713x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$99,327$49,66312.9x
OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC964$144,681$72,34112.8x
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC235$528,568$264,28412.3x
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC418$135,413$67,70612.1x
MAJOR CHEST TRAUMA WITH CC184$91,182$45,59112x
COMPLICATIONS OF TREATMENT WITH CC920$90,719$45,36011.4x
OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC315$77,378$38,68911.4x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$94,737$47,36811.4x
MAJOR CHEST PROCEDURES WITH CC164$229,603$114,80211.4x
OTHER VASCULAR PROCEDURES WITH MCC252$367,067$183,53411.3x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC331$147,266$73,63311.3x
GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC390$36,585$18,29311.2x
LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC494$164,670$82,33511.2x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC309$54,359$27,17911.2x
RED BLOOD CELL DISORDERS WITH MCC811$142,993$71,49611.2x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$72,482$36,24111.2x
FRACTURES OF HIP AND PELVIS WITHOUT MCC536$62,638$31,31911x
HEART FAILURE AND SHOCK WITH CC292$66,332$33,16611x
TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC069$60,349$30,17511x
COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC455$421,961$210,98010.9x
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION220$472,816$236,40810.8x
ENDOCRINE DISORDERS WITH MCC643$130,783$65,39210.8x
TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC605$66,556$33,27810.8x
TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC082$228,625$114,31310.8x
TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC085$198,918$99,45910.7x
MEDICAL BACK PROBLEMS WITHOUT MCC552$71,712$35,85610.6x
DIABETES WITH MCC637$107,203$53,60110.6x
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC470$154,301$77,15010.5x
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC394$67,682$33,84110.5x
INTERSTITIAL LUNG DISEASE WITH MCC196$149,133$74,56710.5x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$137,597$68,79910.5x
CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC233$615,533$307,76610.5x
RED BLOOD CELL DISORDERS WITHOUT MCC812$60,268$30,13410.4x
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC025$342,261$171,13110.4x
DISORDERS OF THE BILIARY TRACT WITH CC445$87,604$43,80210.4x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$172,468$86,23410.3x
DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC441$165,817$82,90910.3x
RENAL FAILURE WITH CC683$66,308$33,15410x
GASTROINTESTINAL HEMORRHAGE WITH CC378$70,778$35,38910x

Showing 50 of 143 procedures

How SCRIPPS MEMORIAL HOSPITAL LA JOLLA 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.

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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

FAQ — for-profit hospital billing

How much do for-profit hospitals typically charge compared to Medicare rates?
Based on data from 628 for-profit hospitals, the average markup is 7.8 times Medicare rates. This means charges are typically set at nearly 8 times what Medicare would pay for the same services.
Why do for-profit hospitals charge more than Medicare rates?
For-profit hospitals operate as businesses with shareholders and must generate revenue to cover operational costs and profit margins. Their pricing structure differs from Medicare's standardized payment rates, which are set by government formula rather than market conditions.
Does insurance typically pay the full hospital charge amount?
Most insurance companies negotiate contracted rates with hospitals that are lower than the posted charges. However, patients may still face significant out-of-pocket costs depending on their insurance coverage and deductible amounts.
What should I know about billing differences between hospital types?
For-profit hospitals generally have different pricing structures than non-profit or government-owned facilities due to their business model. Understanding your hospital's ownership type can provide context for potential billing differences when reviewing medical bills.

Related pricing data

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

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