Scripps Green Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Scripps Green Hospital, La Jolla, CA in 2024, from traditional Medicare claims. Back to the Scripps Green Hospital profile, with quality ratings, finances and negotiated rates.
2,338
Medicare inpatient discharges
In 79 published DRGs
2.44
Case mix index
IPPS FY 2027
52%
Surgical stays
49%
Stays with complications
In DRGs with a CC or MCC
4,219
Medicare outpatient services
In 37 service groups
Inpatient stays by major diagnostic category
Musculoskeletal system and connective tissue1,032 discharges in 19 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 475 | $125,805 | $19,129 | $22,142 | 1.88 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 82 | $481,623 | $68,703 | $84,766 | 6.12 |
| Bilateral or multiple major joint procedures of lower extremity without MCCMS-DRG 462, surgical | 71 | $191,396 | $29,662 | $33,686 | 2.85 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 69 | $372,600 | $47,661 | $65,578 | 4.61 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 52 | $281,457 | $31,562 | $49,536 | 2.96 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 41 | $307,422 | $37,576 | $54,106 | 3.66 |
| Other musculoskeletal system and connective tissue o.r. procedures without cc/mccMS-DRG 517, surgical | 31 | $136,363 | $14,843 | $24,000 | 1.49 |
| Cervical spinal fusion without cc/mccMS-DRG 473, surgical | 26 | $272,553 | $25,930 | $47,969 | 2.46 |
| Medical back problems without MCCMS-DRG 552, medical | 24 | $37,229 | $8,972 | $6,552 | 0.97 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 23 | $177,596 | $27,538 | $31,257 | 2.67 |
| Back and neck procedures except spinal fusion without cc/mccMS-DRG 520, surgical | 20 | $170,802 | $12,773 | $30,061 | 1.43 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 19 | $308,218 | $38,726 | $54,246 | 3.49 |
| Spinal fusion except cervical with spinal curvature, malignancy, infection or extensiveMS-DRG 456, surgical | 18 | $884,539 | $116,005 | $155,679 | 8.43 |
| Combined anterior and posterior spinal fusion with MCCMS-DRG 453, surgical | 15 | $645,614 | $93,892 | $113,628 | 8.86 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 14 | $181,357 | $25,807 | $31,919 | 2.48 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 14 | $45,084 | $10,635 | $7,935 | 1.09 |
| Spinal fusion except cervical with spinal curvature, malignancy, infection or extensiveMS-DRG 457, surgical | 13 | $514,956 | $69,236 | $90,632 | 6.08 |
| Major hip and knee joint replacement or reattachment of lower extremity with MCC or totaMS-DRG 469, surgical | 13 | $184,491 | $29,421 | $32,470 | 3.33 |
| Back and neck procedures except spinal fusion with CCMS-DRG 519, surgical | 12 | $182,943 | $20,197 | $32,198 | 1.97 |
Digestive system298 discharges in 13 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 49 | $39,789 | $9,670 | $7,003 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 43 | $35,057 | $7,234 | $6,170 | 0.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 39 | $275,921 | $23,939 | $48,562 | 2.37 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 24 | $204,857 | $16,057 | $36,055 | 1.67 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 22 | $50,461 | $12,502 | $8,881 | 1.28 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 21 | $141,930 | $16,849 | $24,980 | 1.79 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 19 | $38,337 | $9,037 | $6,747 | 0.94 |
| Digestive malignancy with MCCMS-DRG 374, medical | 17 | $131,572 | $22,024 | $23,157 | 2.10 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 15 | $357,068 | $41,208 | $62,844 | 4.52 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 14 | $80,942 | $15,667 | $14,246 | 1.62 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 13 | $68,810 | $10,662 | $12,111 | 1.04 |
| Stomach, esophageal and duodenal procedures without cc/mccMS-DRG 328, surgical | 11 | $99,757 | $15,942 | $17,557 | 1.60 |
| Digestive malignancy with CCMS-DRG 375, medical | 11 | $42,615 | $10,587 | $7,500 | 1.20 |
Infectious and parasitic diseases250 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 141 | $97,745 | $19,558 | $17,203 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 66 | $39,929 | $9,397 | $7,028 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 16 | $329,551 | $51,126 | $58,001 | 5.00 |
| Postoperative or post-traumatic infections with o.r. procedures with CCMS-DRG 857, surgical | 16 | $196,559 | $23,976 | $34,594 | 2.14 |
| Postoperative and post-traumatic infections with MCCMS-DRG 862, medical | 11 | $140,151 | $21,663 | $24,667 | 1.84 |
Kidney and urinary tract124 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 29 | $26,679 | $6,971 | $4,696 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 21 | $39,788 | $8,327 | $7,003 | 0.90 |
| Kidney transplantMS-DRG 652, surgical | 16 | $503,605 | $35,581 | $88,635 | 3.00 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 16 | $34,453 | $11,246 | $6,064 | 1.17 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 16 | $75,598 | $9,795 | $13,305 | 1.02 |
| Renal failure with MCCMS-DRG 682, medical | 15 | $109,892 | $14,650 | $19,341 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 11 | $47,835 | $13,307 | $8,419 | 1.65 |
Respiratory system116 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 34 | $64,229 | $15,686 | $11,304 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 25 | $48,861 | $13,138 | $8,600 | 1.33 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 19 | $34,304 | $7,653 | $6,038 | 0.82 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 15 | $64,096 | $11,528 | $11,281 | 1.23 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 12 | $47,563 | $9,595 | $8,371 | 0.99 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 11 | $102,363 | $18,373 | $18,016 | 1.74 |
Nervous system105 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 25 | $550,765 | $66,817 | $96,935 | 4.42 |
| Craniotomy and endovascular intracranial procedures without cc/mccMS-DRG 027, surgical | 22 | $356,870 | $26,822 | $62,809 | 2.43 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 20 | $34,474 | $12,863 | $6,067 | 1.36 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 14 | $97,185 | $11,557 | $17,104 | 1.03 |
| Craniotomy and endovascular intracranial procedures with CCMS-DRG 026, surgical | 13 | $513,944 | $32,124 | $90,454 | 2.95 |
| Nervous system neoplasms with MCCMS-DRG 054, medical | 11 | $111,323 | $15,217 | $19,593 | 1.47 |
Liver, gallbladder and pancreas94 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 20 | $117,922 | $16,641 | $20,754 | 1.76 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 19 | $153,741 | $19,406 | $27,058 | 1.92 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 19 | $63,812 | $11,152 | $11,231 | 1.09 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 13 | $40,789 | $7,458 | $7,179 | 0.86 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 12 | $178,164 | $16,704 | $31,357 | 1.83 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with CCMS-DRG 442, medical | 11 | $43,573 | $10,124 | $7,669 | 0.95 |
Blood cancers and poorly differentiated neoplasms81 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Chemotherapy without acute leukemia as secondary diagnosis with CCMS-DRG 847, medical | 27 | $77,801 | $13,412 | $13,693 | 1.21 |
| Acute leukemia with MCCMS-DRG 834, medical | 16 | $173,721 | $62,321 | $30,575 | 5.60 |
| Lymphoma and non-acute leukemia with MCCMS-DRG 840, medical | 16 | $159,707 | $33,664 | $28,108 | 3.13 |
| Lymphoma and non-acute leukemia with CCMS-DRG 841, medical | 11 | $99,843 | $16,562 | $17,572 | 1.57 |
| Chemotherapy without acute leukemia as secondary diagnosis with MCCMS-DRG 846, medical | 11 | $134,682 | $27,932 | $23,704 | 2.44 |
Other51 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Single level combined anterior and posterior spinal fusion except cervicalMS-DRG 402 | 24 | $425,160 | $42,652 | $74,828 | |
| Multiple level combined anterior and posterior spinal fusion except cervical with CCMS-DRG 427 | 15 | $642,356 | $80,719 | $113,055 | |
| Multiple level combined anterior and posterior spinal fusion except cervical without CC/MS-DRG 428 | 12 | $537,070 | $53,098 | $94,524 |
Circulatory system43 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 43 | $72,555 | $12,877 | $12,770 | 1.28 |
Blood and immune system40 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Coagulation disordersMS-DRG 813, medical | 14 | $69,086 | $14,982 | $12,159 | 1.56 |
| Major hematological and immunological diagnoses except sickle cell crisis and coagulatioMS-DRG 809, medical | 13 | $92,633 | $14,722 | $16,303 | 1.20 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 13 | $30,888 | $8,976 | $5,436 | 0.90 |
Skin, subcutaneous tissue and breast36 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 36 | $28,813 | $8,032 | $5,071 | 0.88 |
Endocrine, nutritional and metabolic36 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 21 | $27,591 | $7,037 | $4,856 | 0.78 |
| Endocrine disorders with MCCMS-DRG 643, medical | 15 | $81,284 | $15,777 | $14,306 | 1.65 |
Injuries, poisonings and toxic effects of drugs32 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Complications of treatment with MCCMS-DRG 919, medical | 18 | $95,643 | $20,683 | $16,833 | 1.82 |
| Complications of treatment with CCMS-DRG 920, medical | 14 | $63,212 | $10,836 | $11,125 | 1.03 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
Outpatient services
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 5 Musculoskeletal ProceduresAPC 5115 | 603 | 589 | $128,762 | $14,420 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 473 | 444 | $30,773 | $1,581 | $1,220 |
| Level 2 Upper GI ProceduresAPC 5302 | 383 | 350 | $16,575 | $1,871 | $1,445 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 319 | 317 | $64,697 | $5,582 | $4,358 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 244 | 239 | $102,717 | $7,072 | $5,339 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 214 | 204 | $42,884 | $2,745 | $2,141 |
| Level 3 Vascular ProceduresAPC 5183 | 184 | 179 | $39,997 | $3,105 | $2,405 |
| Level 5 Urology and Related ServicesAPC 5375 | 153 | 152 | $64,504 | $5,002 | $3,918 |
| Level 4 Urology and Related ServicesAPC 5374 | 132 | 112 | $43,435 | $3,337 | $2,629 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 119 | 115 | $147,109 | $21,041 | $15,763 |
| Level 4 Airway EndoscopyAPC 5154 | 118 | 105 | $34,031 | $3,637 | $2,833 |
| Comprehensive Observation ServicesAPC 8011 | 111 | 111 | $18,959 | $2,657 | $2,090 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 108 | 93 | $41,706 | $3,734 | $2,930 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 95 | 94 | $47,334 | $3,282 | $2,636 |
| Level 5 ENT ProceduresAPC 5165 | 80 | 79 | $70,584 | $5,736 | $4,436 |
| Level 3 Endovascular ProceduresAPC 5193 | 77 | 68 | $95,201 | $11,871 | $8,874 |
| Level 3 Upper GI ProceduresAPC 5303 | 75 | 71 | $34,734 | $3,761 | $2,888 |
| Level 2 Vascular ProceduresAPC 5182 | 74 | 73 | $29,719 | $1,569 | $1,204 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 72 | 71 | $77,611 | $6,388 | $4,982 |
| Level 3 Urology and Related ServicesAPC 5373 | 71 | 47 | $39,352 | $1,965 | $1,516 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 61 | 60 | $153,100 | $11,005 | $8,164 |
| Complex GI ProceduresAPC 5331 | 56 | 44 | $44,585 | $5,489 | $4,263 |
| Level 3 Airway EndoscopyAPC 5153 | 55 | 51 | $12,038 | $1,663 | $1,264 |
| Level 3 Lower GI ProceduresAPC 5313 | 54 | 52 | $24,775 | $2,795 | $2,176 |
| Level 4 Vascular ProceduresAPC 5184 | 52 | 49 | $64,059 | $5,383 | $3,946 |
| Level 5 Airway EndoscopyAPC 5155 | 36 | 35 | $72,509 | $6,781 | $5,183 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 33 | 33 | $50,480 | $3,075 | $2,373 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 27 | 27 | $230,053 | $36,422 | $26,719 |
| Level 4 Endovascular ProceduresAPC 5194 | 24 | 23 | $119,690 | $19,871 | $14,606 |
| Level 2 Endovascular ProceduresAPC 5192 | 23 | 23 | $63,946 | $5,599 | $4,338 |
| Level 4 ENT ProceduresAPC 5164 | 15 | 15 | $47,455 | $3,154 | $2,217 |
| Level 8 Urology and Related ServicesAPC 5378 | 14 | 14 | $151,248 | $23,100 | $17,428 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 14 | 14 | $178,470 | $25,186 | $18,465 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 14 | 14 | $45,987 | $2,289 | $1,780 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 13 | $77,079 | $5,348 | $4,524 | |
| Level 6 Urology and Related ServicesAPC 5376 | 12 | 12 | $98,636 | $9,681 | $7,291 |
| Level 5 Gynecologic ProceduresAPC 5415 | 11 | 11 | $54,966 | $4,872 | $3,792 |
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.