How many shoppable procedure prices are published for Sharp Memorial Hospital?

Sharp Memorial Hospital in San Diego, CA currently has 103 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

What is Sharp Memorial Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Sharp Memorial Hospital an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 745 Beds · urban Updated: 4/1/2026

Sharp Memorial Hospital

7901 Frost St, San Diego, CA 92123 · 103 Priced Procedures · 81% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Near Fair BaseRate Benchmark

1.00×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.

58/100 · Caution

58/100Self-Pay Cash Beats Insurance 23% of the Time

File Completeness51

Price Logic18

Peer Alignment64

Clean Billing73

Real Cash Discount100

Regional Value Leader

4-Star CMS clinical quality rating paired with 1.00× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Sharp Memorial Hospital prices shoppable and inpatient services (8.4× to 7.4× Medicare, divergence 0.88×) in alignment with regional hospital peers (1.00× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

Regional Benchmark in CAU.S. National Reference Pool

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 23% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 81% patient recommendation (72/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (65.5% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 3.6× markup over Medicare rates
Commercial insurance median sits at 1.00× Fair BaseRate (8.4× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
Unnegotiated chargemaster list prices average 12.9× Medicare (24¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

8.4× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.88× Divergence

7.4× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+28% Upper Tail

Q25 0.78× · Q50 1.00× · Q75 1.28×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

8.4× MedicareWatchout

Outpatient Surgery & ORBack-Door Captive

3.6× MedicareElevated

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

13.6× MedicareWatchout

Back-Door Captive ER VisitsBack-Door Captive

12.2× MedicareWatchout

Inpatient Lab & PathologyBack-Door Captive

12.5× MedicareWatchout

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

2.6× MedicareFair

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

23% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 72/100Fair

Procedure Prices at Sharp Memorial Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 103 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$112,140	$112,140	$17,936	6.3×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$108,334	$108,334	$19,432	5.6×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$105,640	$105,640	$19,087	5.5×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$37,642	$37,642	$8,223	4.6×
Sleep study (overnight, in lab) CPT Code: `95810`	$5,535	$5,535	$1,021	5.4×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$4,994	$4,994	$448	11.1×
MRI, brain (with and without contrast) CPT Code: `70553`	$4,562	$4,562	$511	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$4,309	$4,309	$583	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,480	$3,480	$303	11.5×
Blood transfusion CPT Code: `36430`	$3,493	$3,493	$498	unverified
Rabies immune globulin HCPCS Code: `90375`	$3,498	$3,498	$322	unverified
MRI, knee or other leg joint CPT Code: `73721`	$3,247	$3,247	$369	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$3,171	$3,171	$169	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$3,112	$3,112	$338	9.2×
CT scan, head (with and without contrast) CPT Code: `70470`	$3,091	$3,091	$258	unverified
MRI, brain (no contrast) CPT Code: `70551`	$3,036	$3,036	$343	8.9×
Upper endoscopy with biopsy CPT Code: `43239`	$3,014	$3,014	$987	unverified
CT scan, sinuses CPT Code: `70486`	$2,850	$2,850	$166	17.2×
CT scan, head (with contrast) CPT Code: `70460`	$2,870	$2,870	$242	11.9×
CT scan, head (no contrast) CPT Code: `70450`	$2,786	$2,786	$160	unverified
Colonoscopy with biopsy CPT Code: `45380`	$2,756	$2,756	$1,256	2.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$2,722	$2,722	$272	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$2,537	$2,537	$981	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,412	$2,412	$168	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$2,138	$2,138	$167	unverified
CT scan, pelvis CPT Code: `72192`	$1,961	$1,961	$163	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,400	$1,400	$134	10.4×
Ultrasound, pelvis CPT Code: `76856`	$1,312	$1,312	$130	10.1×
Neurobehavioral status check CPT Code: `96116`	$1,097	$1,097	$231	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	$1,052	$1,052	$151	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$1,016	$1,016	$132	unverified
X-ray, lower back CPT Code: `72110`	$863	$863	$112	7.7×
Ultrasound, abdomen (limited) CPT Code: `76705`	$879	$879	$126	unverified
Psychiatric evaluation (first visit) CPT Code: `90791`	$750	$750	$185	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$629	$629	$64	unverified
X-ray, shoulder CPT Code: `73030`	$565	$565	$92	6.1×
X-ray, neck (cervical spine) CPT Code: `72040`	$576	$576	$93	unverified
X-ray, hand CPT Code: `73130`	$509	$509	$93	5.5×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$526	$526	$148	3.6×
X-ray, chest (two views) CPT Code: `71046`	$533	$533	$93	unverified
X-ray, ankle CPT Code: `73610`	$539	$539	$93	unverified
X-ray, foot CPT Code: `73630`	$530	$530	$92	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$548	$548	$201	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$536	$536	$86	unverified
X-ray, chest (single view) CPT Code: `71045`	$457	$457	$92	5.0×
X-ray, pelvis CPT Code: `72170`	$454	$454	$110	4.1×
Screening mammogram (both breasts) CPT Code: `77067`	$435	$435	$123	unverified
X-ray, hip CPT Code: `73502`	$399	$399	$93	4.3×
Psychological testing evaluation CPT Code: `96136`	$368	$368	$128	unverified
New patient office visit (30-44 min) CPT Code: `99203`	$345	$345	$110	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$362	$362	$123	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$279	$279	$86	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$304	$304	$87	unverified
Residential substance abuse treatment HCPCS Code: `H2035`	$227	$227	$88	2.6×
Physical therapy (manual therapy) CPT Code: `97140`	$167	$167	$34	4.9×
Speech therapy (group session) CPT Code: `92508`	$152	$152	$27	unverified
Psychological testing by technician CPT Code: `96138`	$163	$163	$395	unverified
Physical therapy (therapeutic exercise) CPT Code: `97110`	$164	$164	$35	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$169	$169	$38	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$172	$172	$40	unverified
Physical therapy (gait training) CPT Code: `97116`	$136	$136	$33	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$134	$134	$38	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$135	$135	$38	unverified
Orthotic fitting and training CPT Code: `97760`	$159	$159	$51	unverified
Prosthetic fitting and training CPT Code: `97761`	$132	$132	$45	unverified
Typhoid vaccine HCPCS Code: `90675`	$1,160	$1,160	$347	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$795	$795	$140	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$339	$339	$11	30.8×
Culture, blood CPT Code: `87040`	$317	$317	$11	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$290	$290	$111	unverified
Blood test, basic metabolic panel CPT Code: `80048`	$264	$264	$9	29.3×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$256	$256	$56	unverified
Blood test, liver function panel CPT Code: `80076`	$195	$195	$9	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$148	$148	$8	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$146	$146	$39	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$113	$113	$20	5.7×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$83	$83	$3	27.7×
Blood test, calcium CPT Code: `82310`	$85	$85	$5	17.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$109	$109	$14	unverified
Blood antibody screen CPT Code: `86850`	$117	$117	$46	unverified
Culture, bacterial CPT Code: `87070`	$119	$119	$9	unverified
Hepatitis B vaccine HCPCS Code: `90744`	$124	$124	$37	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$77	$77	$4	19.3×
Blood test, creatinine (kidney) CPT Code: `82565`	$65	$65	$5	13.0×
Blood test, lipase CPT Code: `83690`	$82	$82	$7	11.7×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$78	$78	$14	5.6×
Pneumonia vaccine injection HCPCS Code: `G0009`	$68	$68	$49	1.4×
Colorectal cancer screening HCPCS Code: `G0010`	$68	$68	$49	1.4×
Blood test, amylase CPT Code: `82150`	$80	$80	$7	unverified
Blood test, vitamin B12 CPT Code: `82607`	$92	$92	$16	unverified
Blood test, vitamin D CPT Code: `82306`	$57	$57	$31	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$53	$53	$4	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$65	$65	$10	unverified
Blood test, potassium CPT Code: `84132`	$75	$75	$5	unverified
Blood test, sodium CPT Code: `84295`	$80	$80	$5	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$90	$90	$18	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$53	$53	$6	8.8×
Flu vaccine injection HCPCS Code: `G0008`	$68	$68	$48	unverified
Blood test, magnesium CPT Code: `83735`	$30	$30	$7	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$52	$52	$5	unverified
Hepatitis C antibody test CPT Code: `86803`	$54	$54	$15	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$15	$15	$19	unverified
Blood test, hemoglobin CPT Code: `85018`	$29	$29	$3	unverified

Showing top 25 high-impact procedures of 103 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 65.5%

Audit a Bill or Quote at Sharp Memorial Hospital (Zero PHI Required)

CMS CCN: 050100

CPT 322

Select Procedure to Audit:

Fair BaseRate™ $17,936

Medicare Rate $12,807

Self-Pay Cash $112,140

Insurer Median $112,140

1. Amount on Your Bill or Quote ($) Pre-filled with Sharp Memorial Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $97,936 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $97,936

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (65.5% of gross = $97,936).

Step 2 · Cash vs. Insurance Arbitrage Save $37,380 Paying Cash

Self-Pay Cash Rate ($112,140) Beats Your Bill

Sharp Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $112,140 (vs. $112,140 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$131,584 Above Fair BaseRate

Negotiate Toward $17,936 Fair BaseRate ($12,807 Medicare)

Your bill ($149,520) is $131,584 above the denoised Fair BaseRate ($17,936) and 11.7× the $12,807 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 953782169

Filing Period: 198401

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (65.5% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall4/5 Stars (4/5)

Safety Composite72/100

Would Recommend81%

Rated 9 or 10 (HCAHPS)78%

Median ER Wait197 min

Left ER Before Seen2%

30-Day Mortality vs U.S.better

Unplanned Readmissionsame

Hip/Knee Complication Rate4.4%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Sharp Memorial Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-09-16·administrative_or_closure
Closure Notice
Recorded
2025-06-17·cap_corrective_action
CAP Request
Recorded
2025-03-11·warning_notice
Warning Notice
Recorded
2022-03-03·administrative_or_closure
Closure Notice
Recorded
2021-12-01·cap_corrective_action
CAP Request
Recorded
2021-06-23·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (4,983 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Sharp Memorial Hospital.

Price Index: 1.91× regional baseline

Quality: 82/100 CMS composite

Median Household Income$102,285U.S. Census ACS

Local Uninsured Share6.8%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 58/100 · Caution CMS CCN 050100 EIN 953782169

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 050100) ↗ Verify IRS Form 990 (EIN 953782169) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage4/1/2026

Validated Rate Rows491 (CMS vV3.0.0)

File Integrity DigestVerified · CCN 050100

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy