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Short Term Acute Care HospitalVoluntary Non-Profit - Other

Scripps Green Hospital

Scripps Health · La Jolla, CA

10666 North Torrey Pines Road, La Jolla, CA 92037(858) 455-9100

5 of 5

CMS star rating

150

Beds

6,325

Inpatient discharges a year

$485.4M

Net patient revenue a year

36

In-network payers

About this hospital

Scripps Green Hospital is a 150-bed voluntary non-profit - other hospital in La Jolla, CA, affiliated with Scripps Health. Below you'll find publicly disclosed negotiated rates and facility details, including 36 in-network payers and 300 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • ACO participant
CCN
050424
NPI
1841233780
Health system
Scripps Health
Teaching
Major teaching hospital
County
San Diego County
Metro area
San Diego-Chula Vista-Carlsbad, CA MSA
Medicare contractor
Jurisdiction E, Noridian Healthcare Solutions (01011)
In Medicare since
1977
Last CMS survey
2017

Prices for common services

The 24 services Scripps Green Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$27,956 - $49,845

from 4 insurers · median $33,883

Aetna$49,845
Insurer A*$27,956
Insurer B*$29,898
Insurer C*$37,867
Medicare $15,698Nearby hospitals $24,27240% above nearby hospitals

297 Medicare discharges for this DRG in CMS hospital data

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$49,252 - $87,428

from 4 insurers · median $52,583

Aetna$87,428
Insurer A*$49,252
Insurer B*$52,065
Insurer C*$53,101
Medicare $33,751

67 Medicare discharges for this DRG in CMS hospital data

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$207 - $5,838

from 4 insurers · median $1,611

Cigna$207
Insurer A*$1,512
Insurer B*$1,710
Insurer C*$5,838
Medicare $461Nearby hospitals $1,00460% above nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$8,359 - $10,000

from 4 insurers · median $8,533

Aetna$10,000
Insurer A*$8,359
Insurer B*$8,458
Insurer C*$8,608
Medicare $7,984Nearby hospitals $8,103In line with nearby hospitals

319 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)

How the insurers pay at Scripps Green Hospital

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*24
393%
146
Insurer B*23
219%
137
Insurer C*24
135%
210
Insurer D*23
129%
103

How we chose these services: 9 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 1 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Scripps Green Hospital, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Scripps Green Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
95-1684089Scripps Health57Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 52 more1841277704 Scripps Health1659359446 Scripps Health1700829199 Scripps Healthand 77 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

10666 North Torrey Pines Road, La Jolla, CA 92037

(858) 455-9100

Get directions

Frequently asked questions

About Scripps Green Hospital's rates and hospital price transparency.

How much does an MRI cost at Scripps Green Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Scripps Green Hospital range from $347 to $1,399 across 4 insurers. Aetna's rate is $1,399. The median at nearby comparable hospitals is $792. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Scripps Green Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Scripps Green Hospital range from $207 to $5,838 across 4 insurers. Cigna's rate is $207. The median at nearby comparable hospitals is $1,004. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Scripps Green Hospital?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Scripps Green Hospital range from $653 to $1,872 across 4 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $676. The median at nearby comparable hospitals is $5,048. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Scripps Green Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Scripps Green Hospital range from $174 to $328 across 4 insurers. Cigna's rate is $229. The median at nearby comparable hospitals is $374. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Scripps Green Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Scripps Green Hospital range from $27,956 to $49,845 across 4 insurers. Aetna's rate is $49,845. The median at nearby comparable hospitals is $24,272. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Scripps Green Hospital's CMS star rating?

Scripps Green Hospital has a CMS overall hospital star rating of 5 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is the top rating, shared by 12% of US hospitals.

Is Scripps Green Hospital a teaching hospital?

Yes. CMS counts 0.37 Medicare-funded residents per bed at Scripps Green Hospital for fiscal year 2027, so it is a major teaching hospital.

Does Medicare penalize Scripps Green Hospital for readmissions?

No. Scripps Green Hospital has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.

What are the most common Medicare inpatient stays at Scripps Green Hospital?

In 2024, the most common were major hip and knee joint replacement or reattachment of lower extremity without mcc (475 discharges), septicemia or severe sepsis without mv >96 hours with mcc (141 discharges), combined anterior and posterior spinal fusion with cc (82 discharges).

What is Scripps Green Hospital's case mix index?

Scripps Green Hospital's Medicare case mix index is 2.44 for fiscal year 2027, higher than 93% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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CodingPricingPayer contractsCompliance
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