Scripps Mercy Hospital
Scripps Mercy Hospital in San Diego charges 8.1x the Medicare reimbursement rate across 99 analyzed procedures, with 44% showing significant price variations as a nonprofit facility.
San Diego, CA 92103 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
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Pricing grade
F
Very high
Avg markup vs Medicare
8.14x
Charge / Medicare rate
Max markup
15.04x
Worst procedure
Procedures analyzed
99
With pricing data
Outlier procedures
44.4%
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 |
|---|---|---|---|---|---|
| KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | 657 | $222,740 | $111,370 | — | 15x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $108,725 | $54,363 | — | 12.7x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $175,441 | $87,720 | — | 11.6x |
| ENDOCRINE DISORDERS WITH CC | 644 | $89,946 | $44,973 | — | 11x |
| DYSEQUILIBRIUM | 149 | $99,581 | $49,791 | — | 11x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $94,299 | $47,150 | — | 11x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $241,040 | $120,520 | — | 10.9x |
| PSYCHOSES | 885 | $126,612 | $63,306 | — | 10.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $84,278 | $42,139 | — | 10.7x |
| TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | 605 | $86,272 | $43,136 | — | 10.4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $61,779 | $30,890 | — | 10.1x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $138,162 | $69,081 | — | 9.9x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $250,903 | $125,451 | — | 9.7x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | 085 | $197,418 | $98,709 | — | 9.6x |
| DIABETES WITH CC | 638 | $76,054 | $38,027 | — | 9.6x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $154,685 | $77,342 | — | 9.5x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $92,660 | $46,330 | — | 9.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $60,992 | $30,496 | — | 9.3x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $272,089 | $136,044 | — | 9.3x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $470,163 | $235,081 | — | 9.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $64,257 | $32,128 | — | 9.2x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $155,201 | $77,601 | — | 9.1x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $68,490 | $34,245 | — | 9.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $79,543 | $39,772 | — | 9.1x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $82,615 | $41,307 | — | 9x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $427,890 | $213,945 | — | 8.9x |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | 543 | $81,637 | $40,819 | — | 8.9x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | 091 | $131,538 | $65,769 | — | 8.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $167,027 | $83,513 | — | 8.8x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $357,344 | $178,672 | — | 8.7x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $60,686 | $30,343 | — | 8.7x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $99,059 | $49,530 | — | 8.6x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $69,437 | $34,718 | — | 8.6x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $171,117 | $85,558 | — | 8.6x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $96,992 | $48,496 | — | 8.6x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $157,459 | $78,729 | — | 8.5x |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O | 023 | $473,019 | $236,509 | — | 8.4x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 219 | $632,208 | $316,104 | — | 8.3x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $92,440 | $46,220 | — | 8.3x |
| GASTROINTESTINAL OBSTRUCTION WITH MCC | 388 | $101,685 | $50,842 | — | 8.3x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $65,726 | $32,863 | — | 8.2x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $144,097 | $72,049 | — | 8.1x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $64,170 | $32,085 | — | 8.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $64,744 | $32,372 | — | 8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $214,544 | $107,272 | — | 8x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | 521 | $284,901 | $142,450 | — | 7.9x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | 242 | $277,923 | $138,961 | — | 7.9x |
| RENAL FAILURE WITH CC | 683 | $63,034 | $31,517 | — | 7.8x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $63,196 | $31,598 | — | 7.8x |
| SYNCOPE AND COLLAPSE | 312 | $58,914 | $29,457 | — | 7.8x |
Showing 50 of 99 procedures
How SCRIPPS MERCY 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.
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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.
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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