CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Scripps Memorial Hospital La Jolla

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$8,163

about 1.4× the $5,676 Medicare rate · typically $6,482–$11,242

modeled estimate · not a bill or quote

What this hospital charges insurers

$7,711

About the fair price

about $452 under the fair price · 1.4× Medicare

Medicare pays $5,676 Fair price $8,163 This hospital $7,711 Cash price $9,543 Hospital's list price $38,173

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $5,150 Priciest $7,711

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a Digestive disorders treatment (inpatient stay) is about $8,163 (about 1.4× the $5,676 Medicare rate). Scripps Memorial Hospital La Jolla charges insurers about $7,711, or about $9,543 in cash — about the fair price. Located in La Jolla, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$7,711 - $26,089	136%
Blue Cross Blue Shieldmajor	$6,533 - $21,399	115%
Aetnamajor	$7,711 - $28,851	136%
Cignamajor	$7,711 - $25,011	136%
Humanamajor	$7,711	136%
Health Net	$7,711 - $17,889	136%
HealthPartners	$7,711 - $11,155	136%
+ 36 smaller / regional plans	$7,711 - $25,011

Government programs also on file: Medicare, Medicaid.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 9,543), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 392.

Insurance Before you use insurance

Call your insurance company to confirm Scripps Memorial Hospital La Jolla is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 392.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Scripps Memorial Hospital La Jolla

Compare: Digestive disorders treatment (inpatient stay) at other CA hospitals

College Medical Center · Long Beach $5,150
Salinas Valley Memorial Hospital · Salinas $6,988
Shriners Hospitals for Children Northern Calif · Sacramento $7,300
Good Samaritan Hospital, LP · Bakersfield $7,405
Casa Colina Hospital · Pomona $7,407
French Hospital Medical Center · San Luis Obispo $7,451
Oak Valley Hospital District · Oakdale $7,456
Adventist Health and Rideout · Marysville $7,527

Insurance negotiated median for the same procedure, sorted lowest first.