Uc San Diego Health Hillcrest - Hillcrest Med Ctr
UC San Diego Health Hillcrest - Hillcrest Med Ctr charges 5.7x the Medicare reimbursement rate across 188 analyzed procedures, with nearly a quarter showing significant price variations.
San Diego, CA 92103 · Acute Care Hospitals · CMS Rating: 5/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
D
High
Avg markup vs Medicare
5.72x
Charge / Medicare rate
Max markup
9.93x
Worst procedure
Procedures analyzed
188
With pricing data
Outlier procedures
23.9%
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 CHEST TRAUMA WITH CC | 184 | $126,903 | $63,452 | — | 9.9x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $158,942 | $79,471 | — | 9.6x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $87,618 | $43,809 | — | 9x |
| MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | 708 | $135,085 | $67,542 | — | 8.5x |
| KIDNEY TRANSPLANT | 652 | $290,744 | $145,372 | — | 8.5x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $86,940 | $43,470 | — | 8.4x |
| PNEUMOTHORAX WITH CC | 200 | $128,792 | $64,396 | — | 8.4x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $73,702 | $36,851 | — | 8.3x |
| KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | 651 | $322,096 | $161,048 | — | 8.2x |
| OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | 580 | $138,131 | $69,065 | — | 8x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | 086 | $112,944 | $56,472 | — | 8x |
| OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | 206 | $104,617 | $52,308 | — | 7.9x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $120,223 | $60,111 | — | 7.8x |
| KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | 657 | $165,083 | $82,541 | — | 7.7x |
| EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | 146 | $311,073 | $155,536 | — | 7.7x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $115,283 | $57,642 | — | 7.6x |
| MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDUR | 827 | $228,921 | $114,461 | — | 7.6x |
| MAJOR BLADDER PROCEDURES WITH CC | 654 | $236,295 | $118,147 | — | 7.6x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $93,106 | $46,553 | — | 7.5x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $219,311 | $109,656 | — | 7.3x |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $136,126 | $68,063 | — | 7.3x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $68,655 | $34,328 | — | 7.3x |
| NERVOUS SYSTEM NEOPLASMS WITH MCC | 054 | $116,536 | $58,268 | — | 7.3x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $78,851 | $39,425 | — | 7.1x |
| SEIZURES WITH MCC | 100 | $129,057 | $64,528 | — | 7x |
| TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | 605 | $74,246 | $37,123 | — | 7x |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | 543 | $83,963 | $41,982 | — | 7x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $172,104 | $86,052 | — | 6.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $42,302 | $21,151 | — | 6.9x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $117,673 | $58,837 | — | 6.9x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | 442 | $77,025 | $38,513 | — | 6.9x |
| KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | 650 | $350,772 | $175,386 | — | 6.9x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $158,732 | $79,366 | — | 6.9x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $158,683 | $79,341 | — | 6.8x |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | 542 | $140,997 | $70,499 | — | 6.8x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | 516 | $159,880 | $79,940 | — | 6.7x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $42,861 | $21,430 | — | 6.7x |
| LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | 841 | $117,359 | $58,680 | — | 6.7x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | 982 | $167,431 | $83,716 | — | 6.7x |
| BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | 519 | $148,219 | $74,109 | — | 6.6x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $63,995 | $31,997 | — | 6.6x |
| INTERSTITIAL LUNG DISEASE WITH MCC | 196 | $122,994 | $61,497 | — | 6.6x |
| CERVICAL SPINAL FUSION WITH CC | 472 | $242,649 | $121,324 | — | 6.5x |
| COMPLICATIONS OF TREATMENT WITH CC | 920 | $75,177 | $37,588 | — | 6.5x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $73,645 | $36,822 | — | 6.5x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | 091 | $241,613 | $120,806 | — | 6.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $73,000 | $36,500 | — | 6.4x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $287,120 | $143,560 | — | 6.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $59,609 | $29,805 | — | 6.3x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $68,736 | $34,368 | — | 6.3x |
Showing 50 of 188 procedures
How UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR 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