CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Scripps Memorial Hospital - Encinitas

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$8,451
about 1.5× the $5,676 Medicare rate · typically $6,777–$11,461
modeled estimate · not a bill or quote
What this hospital charges insurers
$7,758
About the fair price
about $693 under the fair price · 1.4× Medicare
Medicare pays $5,676 Fair price $8,451 This hospital $7,758 Cash price $9,395 Hospital's list price $37,579

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 $7,758

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 $8,451 (about 1.5× the $5,676 Medicare rate). Scripps Memorial Hospital - Encinitas charges insurers about $7,758, or about $9,395 in cash — about the fair price. Located in Encinitas, CA.

What each insurance company pays

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

6 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 $7,730 - $26,089 136%
Blue Cross Blue Shieldmajor $6,533 - $21,399 115%
Aetnamajor $7,730 - $28,851 136%
Cignamajor $7,730 - $25,011 136%
Humanamajor $7,730 136%
Kaiser Permanentemajor $7,730 136%
Health Net $7,730 - $17,889 136%
HealthPartners $7,730 - $11,155 136%
+ 35 smaller / regional plans $7,730 - $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.

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Facility Profile & Credentials

  • Address: 354 Santa Fe Drive, Encinitas, CA 92024
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals