How many shoppable procedure prices are published for Uc San Diego Health Hillcrest - Hillcrest Med Ctr?

Uc San Diego Health Hillcrest - Hillcrest Med Ctr in San Diego, CA currently has 114 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Uc San Diego Health Hillcrest - Hillcrest Med Ctr's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Uc San Diego Health Hillcrest - Hillcrest Med Ctr's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

What is Uc San Diego Health Hillcrest - Hillcrest Med Ctr's CMS Care Compare overall star rating?

CMS Care Compare assigns Uc San Diego Health Hillcrest - Hillcrest Med Ctr an overall hospital quality rating of 5 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Other 828 Beds · rural Updated: 2026-04-01

Uc San Diego Health Hillcrest - Hillcrest Med Ctr

200 West Arbor Drive, San Diego, CA 92103 · 114 Priced Procedures · 74% Patient Recommendation

CMS Overall Rating 5 / 5 Stars

Near Fair BaseRate Benchmark

1.02×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.02×) after accounting for local nurse/doctor wages and patient complexity.

78/100 · Corroborated

78/100Self-Pay Cash Beats Insurance 54% of the Time

File Completeness66

Price Logic76

Peer Alignment67

Clean Billing85

Real Cash Discount100

Regional Value Leader

3-Star CMS clinical quality rating paired with 1.02× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Uc San Diego Health Hillcrest - Hillcrest Med Ctr prices routine shoppable procedures near 0.7× Medicare (p50 0.88×) while skewing captive emergency, lab, and upper-quartile codes to 1.2× Medicare (p75 1.08×, +23% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#79 of 240 in CA · 32nd State Percentile#1,364 of 3,385 in U.S. · 40th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.40× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 54% of shoppable procedures (99/100 Cash Honesty)
5-Star CMS clinical rating with 74% patient recommendation (70/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (43.6% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.7× markup over Medicare rates
Captive ER (1.0×) & laboratory (2.8×) services average 1.71× higher multiples than routine shoppable care (0.7×)
Upper-quartile procedures (Q75 1.08×) jump +23% above the median procedure ratio (Q50 0.88×)
Unnegotiated chargemaster list prices average 12.0× Medicare (18¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

0.7× Medicare

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

Back-Door Captive & ER1.71× Divergence

1.2× Medicare

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

Quantile Tail Spread+23% Upper Tail

Q25 0.40× · Q50 0.88× · Q75 1.08×

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

0.7× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.5× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.0× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.8× MedicareFair

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

1.6× MedicareGood

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

54% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

5 CMS · 70/100Fair

Procedure Prices at Uc San Diego Health Hillcrest - Hillcrest Med Ctr

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 114 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Total hip replacement CPT Code: `27130`	$50,861	$50,861	$13,413	3.8×
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	$156,615	$33,272	$30,775	1.1×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$28,559	$28,559	$6,109	4.7×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$60,461	$20,322	$19,087	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$54,399	$20,185	$19,432	unverified
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$57,371	$18,517	$17,936	1.0×
Breast lump removal CPT Code: `19120`	$12,072	$12,072	$3,875	3.1×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$23,383	$8,628	$8,223	1.0×
Total knee replacement CPT Code: `27447`	$46,531	$2,136	$13,523	0.2×
Cataract surgery with lens implant CPT Code: `66984`	$37,599	$1,442	$2,540	0.6×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$17,055	$790	$3,372	0.2×
Blood transfusion CPT Code: `36430`	$2,853	$555	$498	1.1×
Bunion correction surgery CPT Code: `28296`	$27,877	$575	$3,446	0.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$496	$496	$201	2.5×
Colonoscopy with biopsy CPT Code: `45380`	$5,157	$474	$1,256	0.4×
Inguinal hernia repair CPT Code: `49505`	$21,732	$493	$3,629	0.1×
MRI, brain (with and without contrast) CPT Code: `70553`	$4,959	$446	$511	0.9×
Injection procedure for pain management HCPCS Code: `G0260`	$496	$421	$855	0.5×
Colonoscopy (diagnostic) CPT Code: `45378`	$3,275	$423	$981	0.4×
Upper endoscopy with biopsy CPT Code: `43239`	$4,895	$336	$987	0.3×
Rabies immune globulin HCPCS Code: `90375`	$3,670	$284	$322	0.9×
MRI, brain (no contrast) CPT Code: `70551`	$1,774	$277	$343	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$2,232	$267	$338	0.8×
MRI, knee or other leg joint CPT Code: `73721`	$2,605	$282	$369	0.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,798	$282	$448	0.6×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,103	$302	$583	0.5×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,942	$241	$258	0.9×
CT scan, head (with contrast) CPT Code: `70460`	$1,726	$205	$242	0.8×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$2,062	$193	$272	0.7×
Psychotherapy session (60 minutes) CPT Code: `90837`	$213	$213	$181	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,702	$174	$303	0.6×
CT scan, sinuses CPT Code: `70486`	$2,160	$177	$166	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$1,450	$183	$167	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$2,044	$179	$169	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,673	$178	$168	unverified
CT scan, pelvis CPT Code: `72192`	$1,354	$183	$163	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$446	$148	$148	1.0×
CT scan, head (no contrast) CPT Code: `70450`	$1,559	$145	$160	0.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	$169	$169	$166	unverified
Orthotic fitting and training CPT Code: `97760`	$170	$170	$51	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$364	$119	$123	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,225	$119	$134	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	$383	$128	$185	0.7×
Group therapy session CPT Code: `90853`	$126	$126	$100	unverified
Prosthetic fitting and training CPT Code: `97761`	$135	$135	$45	unverified
Ultrasound, pelvis CPT Code: `76856`	$1,327	$97	$130	0.7×
Ultrasound, abdomen (limited) CPT Code: `76705`	$452	$87	$126	0.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$1,120	$86	$132	0.7×
Family therapy session CPT Code: `90847`	$194	$90	$173	0.5×
Occupational therapy (self-care training) CPT Code: `97535`	$95	$95	$38	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$101	$101	$14	unverified
Typhoid vaccine HCPCS Code: `90675`	$1,131	$318	$347	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$544	$196	$203	1.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$259	$135	$111	1.2×
Pneumococcal vaccine HCPCS Code: `90732`	$712	$138	$140	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	$173	$65	$86	0.8×
Care planning with family CPT Code: `90887`	$158	$77	$107	0.7×
Diagnostic procedure preparation HCPCS Code: `G0279`	$1,312	$48	$35	1.4×
Office visit, established patient (20-29 min) CPT Code: `99213`	$175	$34	$87	0.4×
Office visit, established patient (30-39 min) CPT Code: `99214`	$113	$43	$123	0.3×
New patient office visit (30-44 min) CPT Code: `99203`	$235	$34	$110	0.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$62	$8	$6	1.3×
Physical therapy (manual therapy) CPT Code: `97140`	$174	$32	$34	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$68	$32	$39	0.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$118	$44	$56	0.8×
Hospital observation (per hour) HCPCS Code: `G0378`	$179	$58	$86	0.7×
X-ray, lower back CPT Code: `72110`	$660	$63	$112	0.6×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$14	$17	$14	1.2×
Blood test, vitamin D CPT Code: `82306`	$73	$30	$31	1.0×
X-ray, shoulder CPT Code: `73030`	$400	$37	$92	0.4×
X-ray, neck (cervical spine) CPT Code: `72040`	$419	$37	$93	0.4×
X-ray, hip CPT Code: `73502`	$283	$37	$93	0.4×
X-ray, hand CPT Code: `73130`	$591	$36	$93	0.4×
X-ray, ankle CPT Code: `73610`	$398	$36	$93	0.4×
Blood test, calcium CPT Code: `82310`	$90	$6	$5	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$30	$6	$5	1.2×
Blood test, basic metabolic panel CPT Code: `80048`	$124	$10	$9	1.1×
X-ray, foot CPT Code: `73630`	$581	$35	$92	0.4×
Psychological testing evaluation CPT Code: `96136`	$248	$42	$128	0.3×
Blood test, liver function panel CPT Code: `80076`	$123	$9	$9	1.0×
X-ray, chest (two views) CPT Code: `71046`	$425	$27	$93	0.3×
X-ray, pelvis CPT Code: `72170`	$351	$31	$110	0.3×
Neurobehavioral status check CPT Code: `96116`	$533	$45	$231	0.2×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$65	$4	$3	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$18	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$19	$5	$4	1.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$64	$10	$8	1.3×
Blood test, PSA (prostate screen) CPT Code: `84153`	$54	$23	$19	1.2×
Flu vaccine (high dose) HCPCS Code: `90656`	$58	$28	$25	1.1×
Hepatitis B vaccine HCPCS Code: `90744`	$53	$36	$37	1.0×
Physical therapy (functional capacity test) CPT Code: `97750`	$70	$17	$38	0.4×
Psychological testing by technician CPT Code: `96138`	$248	$36	$395	0.1×
Blood test, potassium CPT Code: `84132`	$26	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$26	$5	$5	1.0×
Blood test, hemoglobin CPT Code: `85018`	$19	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$51	$5	$5	1.0×
Hepatitis C antibody test CPT Code: `86803`	$9	$9	$15	0.6×
Physical therapy (gait training) CPT Code: `97116`	$94	$13	$33	0.4×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$166	$13	$35	0.4×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$101	$14	$38	0.4×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$180	$13	$40	0.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$215	$19	$64	0.3×
X-ray, chest (single view) CPT Code: `71045`	$406	$18	$92	0.2×
Blood antibody screen CPT Code: `86850`	$34	$5	$46	0.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$174	$13	$11	unverified
Blood test, amylase CPT Code: `82150`	$47	$8	$7	unverified
Blood test, vitamin B12 CPT Code: `82607`	$87	$19	$16	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$153	$17	$14	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$99	$12	$10	unverified
Blood test, lipase CPT Code: `83690`	$64	$9	$7	unverified
Blood test, magnesium CPT Code: `83735`	$75	$11	$7	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$61	$25	$18	unverified
Culture, blood CPT Code: `87040`	$112	$13	$11	unverified
Culture, bacterial CPT Code: `87070`	$36	$14	$9	unverified

Showing top 25 high-impact procedures of 114 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 43.6%

Audit a Bill or Quote at Uc San Diego Health Hillcrest - Hillcrest Med Ctr (Zero PHI Required)

CMS CCN: 050025

CPT 27130

Select Procedure to Audit:

Fair BaseRate™ $13,413

Medicare Rate $13,117

Self-Pay Cash $50,861

Insurer Median $50,861

1. Amount on Your Bill or Quote ($) Pre-filled with Uc San Diego Health Hillcrest - Hillcrest Med Ctr’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: $40,319 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $40,319

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (43.6% of gross = $40,319).

Step 2 · Cash vs. Insurance Arbitrage Save $41,614 Paying Cash

Self-Pay Cash Rate ($50,861) Beats Your Bill

Uc San Diego Health Hillcrest - Hillcrest Med Ctr's published 45 CFR § 180 self-pay cash rate is $50,861 (vs. $50,861 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$79,062 Above Fair BaseRate

Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)

Your bill ($92,475) is $79,062 above the denoised Fair BaseRate ($13,413) and 7.1× the $13,117 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)

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 (43.6% 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 Overall3/5 Stars (3/5)

Safety Composite70/100

Would Recommend74%

Rated 9 or 10 (HCAHPS)73%

Median ER Wait258 min

Left ER Before Seen4%

30-Day Mortality vs U.S.better

Unplanned Readmissionsame

Hip/Knee Complication Rate2.6%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (3,650 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 Uc San Diego Health Hillcrest - Hillcrest Med Ctr.

Price Index: 1.53× regional baseline

Quality: 74/100 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 78/100 · Corroborated CMS CCN 050025

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 050025) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-01

Validated Rate Rows21,888 (CMS v3.0)

File Integrity DigestVerified · CCN 050025

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