Scripps Health · San Diego, CA
4 of 5
CMS star rating
581
Beds
30,375
Inpatient discharges a year
$1.1B
Net patient revenue a year
37
In-network payers
Scripps Mercy Hospital is a 581-bed voluntary non-profit - private hospital in San Diego, CA, affiliated with Scripps Health. Below you'll find publicly disclosed negotiated rates and facility details, including 37 in-network payers and 317 disclosed rate categories.
The 24 services Scripps Mercy 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.
Childbirth · Inpatient
MS-DRG 807
$7,452 - $17,422
from 4 insurers · median $12,565
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$10,557 - $20,253
from 4 insurers · median $17,869
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 470
$27,956 - $49,845
from 4 insurers · median $35,086
58 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 74177
$207 - $5,838
from 4 insurers · median $1,611
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$7,452 - $17,422
from 4 insurers · median $12,565
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 216
$137,361 - $252,797
from 4 insurers · median $186,835
Hospital reports cardiac thoracic surgery services to CMS
Gynecology
CPT 58558
$1,800 - $7,822
from 4 insurers · median $4,830
14 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Medicine & Surgery
CPT 47562
$8,359 - $10,000
from 4 insurers · median $8,533
82 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Gynecology
CPT 58571
$9,050 - $10,420
from 4 insurers · median $9,644
48 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 74176
$207 - $4,186
from 4 insurers · median $1,468
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$207 - $1,600
from 4 insurers · median $395
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$207 - $1,345
from 3 insurers · median $1,265
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$4,618 - $12,499
from 4 insurers · median $8,744
82 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 460
$41,279 - $87,428
from 4 insurers · median $51,176
Hospital reports neurosurgical services to CMS
Medicine & Surgery
CPT 49505
$6,497 - $11,197
from 3 insurers · median $7,121
26 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
X-ray and bone density
CPT 71046
$156 - $479
from 4 insurers · median $283
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$174 - $328
from 4 insurers · median $216
Common here, based on CMS Medicare volume
Ultrasound
CPT 76856
$158 - $894
from 4 insurers · median $643
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$407 - $1,229
from 4 insurers · median $565
Common here, based on CMS Medicare volume
Ultrasound
CPT 76830
$110 - $824
from 4 insurers · median $631
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$488 - $2,102
from 4 insurers · median $710
Common here, based on CMS Medicare volume
Ultrasound
CPT 76705
$104 - $890
from 4 insurers · median $455
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$653 - $1,872
from 4 insurers · median $746
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$1,800 - $9,882
from 4 insurers · median $9,593
Typical for a hospital with this service line
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.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 256% | 8 | 11 |
| Insurer B* | 23 | 160% | 4 | 11 |
| Insurer C* | 24 | 140% | 0 | 7 |
| Insurer D* | 23 | 103% | 2 | 7 |
How we chose these services: 6 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 6 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 Mercy Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
4 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$1.1B net patient revenue
Ownership and leadership
Private (not for profit)
The employer identification numbers (EINs) health plans and networks list for Scripps Mercy Hospital in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 95-1684089Scripps Health | 67Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 62 more | 1841277704 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.
4077 Fifth Avenue, San Diego, CA 92103
(619) 294-8111
How Scripps Mercy Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
4 of 5
Higher than 58% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
Better on 2 of 8 measures
2 better, 5 no different, 1 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Better on 1 of 7 measures
1 better, 6 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 2 of 11 measures
1 better, 8 no different, 2 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
3 of 5
Lower than 40% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
69%
Lower than 57% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.92
Lower than 67% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
194 min
Higher than 78% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
86%
Higher than 93% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 4 of 5 | |
| Death rates | Better on 2 of 8 measures | |
| Safety | Better on 1 of 7 measures | |
| Readmissions | Worse on 2 of 11 measures | |
| Patient survey ratingCMS: Summary star rating | 3 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 69% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 0.92 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 194 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 86% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Scripps Mercy Hospital's inpatient payments for its readmissions, quality and cost results.
-0.34% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-0.21% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Scripps Mercy Hospital, beside the US median and the average of CA hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | Scripps Mercy Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 389 cases | 3.4 | 4.1 | 4.075 | Better than 82% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 5,575 cases | 2.6 | 3.9 | 3.81 | Better than 98% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 100 cases | 11.1 | 11.8 | 11.57 | Better than 72% of US hospitals | |
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.379 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 115 cases | 6.9 | 8.5 | 8.235 | Better than 89% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 400 cases | 10.5 | 11 | 10.29 | Better than 59% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 388 cases | 15.5 | 15.2 | 14.49 | Worse than 54% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 503 cases | 10 | 11.6 | 11.57 | Better than 80% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 6,094 cases | 0.11 | 0.51 | 0.4818 | No Different Than the National Rate | Better than 98% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 · 118 cases | 140 | 173 | 171 | No Different Than the National Rate | Better than 93% of US hospitals |
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 8,056 cases | 0.31 | 0.2 | 0.21 | No Different Than the National Rate | Worse than 94% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 8,169 cases | 0.3 | 0.27 | 0.261 | No Different Than the National Rate | Worse than 78% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 1,824 cases | 3.52 | 2.29 | 2.308 | No Different Than the National Rate | Worse than 99% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 666 cases | 1.26 | 1.63 | 1.668 | No Different Than the National Rate | Better than 94% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 707 cases | 7.77 | 8.88 | 9.555 | No Different Than the National Rate | Better than 74% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 1,962 cases | 3.77 | 3.4 | 3.521 | No Different Than the National Rate | Worse than 73% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 678 cases | 7.17 | 5.105 | 5.495 | No Different Than the National Rate | Worse than 94% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 345 cases | 1.9 | 1.72 | 1.796 | No Different Than the National Rate | Worse than 80% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 1,395 cases | 1.62 | 1.02 | 1.061 | No Different Than the National Rate | Worse than 97% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Scripps Mercy Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 · 104 cases | -2.7 | 4.2 | 11.09 | Better than 62% of US hospitals | |
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 472 cases | 9.2 | 1.25 | 7.901 | Worse than 61% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 411 cases | 19.3 | 3.85 | 16.67 | Worse than 72% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 480 cases | 15 | 12.9 | 12.91 | No Different Than the National Rate | Worse than 98% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 229 cases | 12.6 | 10.7 | 11.39 | No Different Than the National Rate | Worse than 89% of US hospitals |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 229 cases | 7.2 | 5.3 | 5.546 | No Different Than the National Rate | Worse than 98% of US hospitals |
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 264 cases | 1 | 1 | 1.001 | No Different than expected | Worse than 32% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 291 cases | 14.9 | 14.4 | 14.43 | Worse than 74% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 · 55 cases | 11 | 10.9 | 11.19 | Worse than 51% of US hospitals | |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 350 cases | 19.2 | 19.8 | 19.94 | Better than 77% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 1,123 cases | 21.9 | 21.3 | 21.41 | Worse than 68% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 392 cases | 5.1 | 5.8 | 5.612 | Better than 87% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 851 cases | 17.6 | 17.2 | 17.7 | Worse than 63% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Scripps Mercy Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.3 | 0.172 | 0.2347 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.226 | 1.504 | 1.834 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 12,687 | 1,370 | 5,722 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 12.39 | 0.9835 | 5.638 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 8 | 0 | 3.347 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.646 | 0.484 | 0.5696 | No Different than National Benchmark | Worse than 64% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.187 | 0.138 | 0.2147 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.847 | 1.392 | 1.749 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 12,534 | 1,799 | 5,308 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 16.34 | 1.377 | 6.105 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 7 | 0 | 3.273 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.428 | 0.399 | 0.5366 | Better than the National Benchmark | Worse than 53% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.379 | 0.2345 | 0.32 | No Different than National Benchmark | |
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.292 | 2.135 | 2.433 | No Different than National Benchmark | |
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 186 | 61 | 112 | No Different than National Benchmark | |
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 4.835 | 1.591 | 2.999 | No Different than National Benchmark | |
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 5 | 1 | 2.368 | No Different than National Benchmark | |
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | 1.034 | 0.7155 | 0.8107 | No Different than National Benchmark | Worse than 70% of US hospitals |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2606 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.273 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 62 | 38 | 73.49 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.499 | 0.328 | 0.6136 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 3 | 0 | 0.5911 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 0.7863 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.571 | 0.193 | 0.3103 | No Different than National Benchmark | |
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.888 | 1.855 | 2.305 | No Different than National Benchmark | |
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 152,230 | 14,451 | 52,601 | No Different than National Benchmark | |
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 10.13 | 0.567 | 3.111 | No Different than National Benchmark | |
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 11 | 0 | 2.166 | No Different than National Benchmark | |
| MRSA Bacteremia2024-10-01 to 2025-09-30 | 1.086 | 0.597 | 0.7784 | No Different than National Benchmark | Worse than 82% of US hospitals |
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.102 | 0.127 | 0.1925 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.259 | 0.747 | 0.9502 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 147,923 | 13,646 | 48,317 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 108 | 5.683 | 27.04 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 18 | 2 | 9.99 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.167 | 0.279 | 0.383 | Better than the National Benchmark | Better than 66% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Scripps Mercy Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 3,127 cases | 70 | 73 | 72.2 | Worse than 62% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 3,127 cases | 8 | 8 | 8.78 | Better than 47% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 3,127 cases | 22 | 18 | 19.02 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 3,127 cases | 86 | 87 | 86.82 | Worse than 53% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 3,127 cases | 3 | 4 | 3.514 | Worse than 53% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 3,127 cases | 78 | 80 | 75.76 | Worse than 58% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 3,127 cases | 91 | 91 | 89.84 | Worse than 49% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 3,127 cases | 5 | 4 | 5.713 | Worse than 61% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 3,127 cases | 3 | 3 | 2.855 | Worse than 49% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 3,127 cases | 17 | 16 | 18.53 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 3,127 cases | 79 | 79 | 75.81 | Worse than 47% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 3,127 cases | 91 | 91 | 89.11 | Better than 45% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 3,127 cases | 6 | 5 | 7.043 | Worse than 56% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 3,127 cases | 3 | 3 | 2.688 | Worse than 37% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 3,127 cases | 15 | 16 | 17.15 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 3,127 cases | 60 | 61 | 58.95 | Worse than 53% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 3,127 cases | 77 | 77 | 75.75 | Better than 47% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 3,127 cases | 20 | 19 | 21.56 | Worse than 50% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 3,127 cases | 3 | 3 | 2.449 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 3,127 cases | 20 | 19 | 19.48 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 3,127 cases | 87 | 86 | 84.61 | Better than 55% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 3,127 cases | 13 | 13 | 15.03 | Better than 47% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 3,127 cases | 4 | 3 | 3.08 | Better than 55% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 3,127 cases | 87 | 87 | 84.97 | Better than 47% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 3,127 cases | 14 | 14 | 16.39 | Better than 49% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 3,127 cases | 86 | 86 | 83.61 | Better than 49% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 3,127 cases | 74 | 74 | 70.69 | Better than 48% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 3,127 cases | 7 | 7 | 8.855 | Worse than 47% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 3,127 cases | 19 | 19 | 20.45 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 3,127 cases | 78 | 77 | 73.94 | Better than 51% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 3,127 cases | 6 | 6 | 7.637 | Worse than 47% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 3,127 cases | 16 | 17 | 18.43 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 3,127 cases | 85 | 85 | 81.99 | Worse than 47% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 3,127 cases | 4 | 3 | 4.958 | Worse than 51% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 3,127 cases | 11 | 11 | 13.06 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 3,127 cases | 9 | 8 | 10.01 | Worse than 59% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 3,127 cases | 23 | 20 | 22.36 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 3,127 cases | 68 | 72 | 67.63 | Worse than 64% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 3,127 cases | 87 | 88 | 86.85 | Worse than 58% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 3,127 cases | 3 | 3 | 3.047 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 3,127 cases | 74 | 74 | 72.06 | Worse than 48% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 3,127 cases | 9 | 9 | 10.94 | Better than 48% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 3,127 cases | 17 | 16 | 17 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 3,127 cases | 74 | 75 | 71.11 | Worse than 52% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 3,127 cases | 6 | 5 | 7.488 | Worse than 51% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 3,127 cases | 20 | 20 | 21.4 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 3,127 cases | 75 | 77 | 72.49 | Worse than 58% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 3,127 cases | 5 | 4 | 6.121 | Worse than 55% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 3,127 cases | 20 | 19 | 21.39 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 3,127 cases | 84 | 86 | 82.8 | Worse than 65% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 3,127 cases | 3 | 3 | 3.779 | Worse than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 3,127 cases | 13 | 11 | 13.42 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 3,127 cases | 46 | 59 | 47.5 | Worse than 88% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 3,127 cases | 19 | 9 | 17.79 | Worse than 90% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 3,127 cases | 35 | 31 | 34.71 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 3,127 cases | 74 | 82 | 74.85 | Worse than 88% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 3,127 cases | 2 | 3 | 2.203 | Worse than 76% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 3,127 cases | 7 | 5 | 7.623 | Worse than 67% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 3,127 cases | 69 | 71 | 68.6 | Worse than 57% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 3,127 cases | 86 | 87 | 85.85 | Worse than 58% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 3,127 cases | 24 | 23 | 23.77 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 3,127 cases | 3 | 4 | 3.431 | Worse than 58% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 3,127 cases | 46 | 47 | 45.33 | Worse than 53% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 3,127 cases | 30 | 30 | 32.51 | Better than 49% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 3,127 cases | 24 | 22 | 22.16 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 3,127 cases | 3 | 3 | 2.859 | Worse than 40% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 3,127 cases | 12 | 12 | 13.94 | Better than 48% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 3,127 cases | 88 | 88 | 86.06 | Better than 48% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Scripps Mercy Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | very high | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 8.289 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.008 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.1852 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 6,866 cases | 85 | 79 | 69.96 | Better than 60% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 392 cases | 196 | 154 | 187 | Worse than 75% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 345 cases | 194 | 148 | 182 | Worse than 78% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 42 cases | 208 | 247 | 282 | Better than 65% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 411 | |||
| Left before being seen2024-01-01 to 2024-12-31 · 138,220 cases | 3 | 1 | 2.162 | Worse than 78% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 15 cases | 87 | 74 | 75.06 | Better than 80% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 73 cases | 99 | 97 | 92.55 | Better than 63% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 80 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 48.75 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 7,696 cases | 13 | 15 | 13.67 | Better than 60% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 232 cases | 86 | 65 | 68.8 | Better than 93% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 76 cases | 96 | 73 | 76.38 | Better than 94% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 63 cases | 100 | 88 | 86.64 | The best result, shared by 11% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 232 cases | 90 | 82 | 82.89 | Better than 81% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 159 cases | 97 | 94 | 93.98 | Better than 69% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 461 cases | 98 | 98 | 93.4 | Better than 49% of US hospitals | |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 70.68 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 89.93 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 16,287 cases | 97 | 90 | 86.9 | Better than 79% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 2,346 cases | 100 | 97 | 94.78 | The best result, shared by 14% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Scripps Mercy Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 4 | 5 | 4.959 | Better than 61% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 6.3 | 6.6 | 8.417 | Better than 53% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Scripps Mercy Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 1.04 | 0.99 | 1.024 | Worse than 75% of US hospitals |
Measures CMS reports for the hospital's psychiatric unit or for a psychiatric hospital.
| Measure | Scripps Mercy Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Follow-up care within 30 days after psychiatric hospitalization2023-07-01 to 2024-06-30 | Not Available | 53.27 | |||
| Follow-up care within 7 days after psychiatric hospitalization2023-07-01 to 2024-06-30 | Not Available | 33.73 | |||
| Hours of physical-restraint use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 17,057 cases | 0.01 | 0.05 | 0.9227 | Worse than 70% of US hospitals | |
| Hours of seclusion use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 17,057 cases | 0 | 0.03 | 0.8326 | The worst result, shared by 39% of US hospitals | |
| Psychiatric patients screened for and given the flu vaccine2024-10-01 to 2025-03-31 · 315 cases | 97 | 87 | 75.59 | Better than 78% of US hospitals | |
| Medication continuation after psychiatric discharge2022-07-01 to 2024-06-30 · 78 cases | 85.9 | 78.1 | 77 | Better than 84% of US hospitals | |
| Readmitted to any hospital within 30 days of psychiatric discharge2022-07-01 to 2024-06-30 · 95 cases | 17.1 | 19.1 | 19.17 | No Different Than the National Rate | Better than 82% of US hospitals |
| Psychiatric patients screened for metabolic disorders2024-01-01 to 2024-12-31 · 406 cases | 99 | 92 | 83.77 | Better than 80% of US hospitals | |
| Alcohol use brief intervention provided or offered2024-01-01 to 2024-12-31 · 135 cases | 96 | 74 | 65.57 | Better than 84% of US hospitals | |
| Alcohol use brief intervention provided2024-01-01 to 2024-12-31 · 132 cases | 97 | 81 | 70.11 | Better than 81% of US hospitals | |
| Alcohol and other drug use disorder treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 197 cases | 99 | 77 | 64.72 | Better than 87% of US hospitals | |
| Alcohol and other drug use disorder treatment provided at discharge2024-01-01 to 2024-12-31 · 197 cases | 99 | 56 | 54.45 | Better than 92% of US hospitals | |
| Tobacco use treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 153 cases | 96 | 64 | 50.58 | Better than 88% of US hospitals | |
| Tobacco use treatment provided at discharge2024-01-01 to 2024-12-31 · 153 cases | 93 | 4 | 23.57 | Better than 96% of US hospitals | |
| Discharged patients who received a transition record with the specified elements2024-01-01 to 2024-12-31 · 632 cases | 94 | 77 | 55.11 | Better than 73% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Scripps Mercy Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 31.67 | 20 | 30.07 | Better than 71% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 7.917 | 5 | 7.571 | Better than 71% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 0 | 10 | 16.48 | The worst result, shared by 43% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 0 | 2.5 | 4.567 | The worst result, shared by 43% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 29 | 34 | 28.67 | Worse than 60% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 7.25 | 8.75 | 7.519 | Worse than 60% of US hospitals | |
| VBP safety domain scoreFY 2026 | 43.33 | 40 | 45.16 | Better than 54% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 10.83 | 10 | 11.79 | Better than 54% of US hospitals | |
| VBP total performance scoreFY 2026 | 26 | 29.5 | 30.43 | Worse than 62% of US hospitals |
| By fiscal year | FY 2021 | FY 2025 | FY 2026 |
|---|---|---|---|
| VBP clinical outcomes domain score | 60 | 26.67 | 31.67 |
| VBP clinical outcomes weighted domain score | 15 | 6.667 | 7.917 |
| VBP efficiency and cost reduction domain score | 0 | 0 | 0 |
| VBP efficiency and cost reduction weighted domain score | 0 | 0 | 0 |
| VBP person and community engagement domain score | 19 | 11 | 29 |
| VBP person and community engagement weighted domain score | 4.75 | 2.75 | 7.25 |
| VBP safety domain score | 22 | 32 | 43.33 |
| VBP safety weighted domain score | 5.5 | 8 | 10.83 |
| VBP total performance score | 25.25 | 17.42 | 26 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Scripps Mercy Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 · 81 cases | 1.047 | 0.9995 | 1.015 | Worse than 77% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | 1.014 | 1 | 1.005 | Worse than 56% of US hospitals | |
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 129 cases | 1.011 | 0.9969 | 1.002 | Worse than 62% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 413 cases | 1.019 | 0.9983 | 1.017 | Worse than 63% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 0.8804 | 0.9916 | 0.9788 | Better than 81% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 319 cases | 1.117 | 0.9955 | 1.026 | Worse than 95% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 0.9886 | 0.9658 | 0.9815 | 1.004 | 1.001 | 1.047 |
| READM-30-CABG-HRRP | 1.112 | 0.9442 | 0.8956 | 0.9472 | 0.9867 | 1.014 |
| READM-30-COPD-HRRP | 0.993 | 0.9671 | 0.9779 | 0.9958 | 1.064 | 1.011 |
| READM-30-HF-HRRP | 1.099 | 1.112 | 1.09 | 0.9762 | 0.9678 | 1.019 |
| READM-30-HIP-KNEE-HRRP | 1.135 | 1.067 | 0.987 | 0.9338 | 0.9426 | 0.8804 |
| READM-30-PN-HRRP | 1.018 | 1.027 | 0.9221 | 0.9545 | 1.03 | 1.117 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Scripps Mercy Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.611 | 0.489 | 0.6114 | Worse than 62% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.119 | 0.346 | 0.449 | Better than 83% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.838 | 0.559 | 0.679 | Worse than 74% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0.571 | 0.6405 | 0.7204 | Better than 57% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.9217 | 0.9628 | 0.9656 | Better than 67% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 1.197 | 0.7945 | 0.8116 | Worse than 74% of US hospitals | |
| Total HAC scoreFY 2026 | -0.0743 | -0.0453 | 0.02733 | Better than 52% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | No | No | No |
| Total HAC score | 0.2759 | 0.1515 | 0 | 0.0572 | -0.0343 | -0.0743 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 2021)
Accreditation
Major
Medical school affiliation
Private (not for profit)
Ownership type
700
Medicare-certified beds
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Scripps Mercy Hospital reported to Medicare in its latest cost report, covering Oct 1, 2024 to Sep 30, 2025.
30,375
Inpatient discharges
Medicare 17%, Medicaid 6%
146,810
Inpatient days
74% of available bed days used
4,078
Employees (full-time equivalent)
109
Interns and residents (full-time equivalent)
Source: CMS cost report (HCRIS) (report 829696). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Scripps Mercy Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 26,633 | 11,233 | 108,944 | 146,810 |
| Discharges | 5,013 | 1,967 | 23,395 | 30,375 |
| Average length of stay | 5.3 days | 5.7 days | 4.7 days | 4.8 days |
| Average daily census | 73.0 | 30.8 | 298.5 | 402.2 |
41,681
Medicare Advantage days
7,884 discharges
46,812
Medicaid managed care days
9,318 discharges
690
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 489 | 131,846 | 24,540 | 74% |
| Intensive care unit | 56 | 10,486 | 2,093 | 51% |
| Nursery | 4,478 | |||
| Subprovider - ipf | 36 | 12,081 | 1,059 | 92% |
Source: CMS cost report (HCRIS, Form 2552-10), report 829696, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Scripps Mercy Hospital treats Medicare patients for most often, in 2024. 3,387 Medicare discharges in 107 published DRGs; 20% surgical; 73% in DRGs with complications (CC or MCC).
| 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 | 516 | $124,784 | $20,133 | $22,960 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 197 | $79,073 | $13,059 | $14,549 | 1.28 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 106 | $69,090 | $10,266 | $12,713 | 1.03 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 86 | $90,705 | $12,828 | $16,690 | 1.23 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 85 | $165,226 | $19,250 | $30,402 | 1.88 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 83 | $328,226 | $50,254 | $60,394 | 5.00 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 72 | $87,602 | $17,153 | $16,119 | 1.70 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 65 | $87,872 | $16,553 | $16,169 | 1.59 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 51 | $54,333 | $7,421 | $9,997 | 0.79 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 50 | $83,042 | $10,159 | $15,280 | 1.02 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 49 | $67,178 | $9,589 | $12,361 | 0.98 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 47 | $154,458 | $20,635 | $28,420 | 2.00 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 47 | $356,458 | $52,379 | $65,588 | 4.88 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 47 | $82,452 | $17,248 | $15,171 | 1.65 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 46 | $78,554 | $13,056 | $14,454 | 1.32 |
| Cellulitis without MCCMS-DRG 603, medical | 44 | $43,864 | $7,744 | $8,071 | 0.88 |
| Renal failure with CCMS-DRG 683, medical | 44 | $62,584 | $9,075 | $11,515 | 0.90 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 41 | $94,253 | $16,997 | $17,343 | 1.79 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 41 | $194,664 | $21,362 | $35,818 | 2.07 |
| Renal failure with MCCMS-DRG 682, medical | 41 | $74,453 | $14,444 | $13,699 | 1.50 |
See all 107 Medicare inpatient DRGs at Scripps Mercy Hospital
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.
The comprehensive outpatient service groups (APCs) Scripps Mercy Hospital billed Medicare for most in 2024: 1,596 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 266 | 264 | $38,858 | $2,671 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 122 | 120 | $34,159 | $1,574 | $1,220 |
| Level 1 Endovascular ProceduresAPC 5191 | 117 | 117 | $48,107 | $2,877 | $2,208 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 86 | 85 | $159,638 | $14,347 | $10,772 |
| Level 3 Vascular ProceduresAPC 5183 | 83 | 82 | $47,275 | $3,122 | $2,405 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 82 | 82 | $108,895 | $5,583 | $4,358 |
| Level 2 Upper GI ProceduresAPC 5302 | 61 | 55 | $15,859 | $1,845 | $1,445 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 59 | 59 | $286,345 | $27,482 | $21,117 |
| Level 1 Intraocular ProceduresAPC 5491 | 55 | 43 | $45,347 | $2,275 | $1,752 |
| Level 4 Vascular ProceduresAPC 5184 | 54 | 51 | $75,555 | $5,333 | $3,946 |
See all 29 Medicare outpatient services at Scripps Mercy Hospital
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.
ZIP codes with the most Medicare inpatient stays at Scripps Mercy Hospital in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 10,193 in 2020 to 12,431 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 91910 | 1,027 | 8% | 4,463 | $115.8M | 32% | 32% |
| 91911 | 972 | 8% | 4,422 | $117.3M | 26% | 26% |
| 92101 | 814 | 7% | 4,375 | $103.7M | 35% | 34% |
| 92154 | 754 | 6% | 3,374 | $85M | 25% | 26% |
| 91950 | 679 | 5% | 3,083 | $73.1M | 29% | 30% |
| 92103 | 561 | 5% | 2,963 | $78.9M | 40% | 43% |
| 92173 | 498 | 4% | 2,474 | $62.3M | 30% | 37% |
| 92114 | 446 | 4% | 2,303 | $62.2M | 17% | 18% |
| 92105 | 442 | 4% | 2,590 | $68.8M | 23% | 25% |
| 92113 | 414 | 3% | 2,086 | $48.2M | 30% | 33% |
| 92104 | 372 | 3% | 2,146 | $58.2M | 36% | 33% |
| 92115 | 281 | 2% | 1,565 | $38.3M | 18% | 18% |
| 92102 | 278 | 2% | 1,457 | $37.5M | 26% | 28% |
| 91977 | 263 | 2% | 1,320 | $34.9M | 12% | 14% |
| 92139 | 246 | 2% | 1,199 | $31M | 19% | 23% |
| 91932 | 242 | 2% | 1,186 | $30.2M | 27% | 27% |
| 92116 | 216 | 2% | 1,296 | $34.9M | 31% | 34% |
| 91902 | 187 | 2% | 871 | $24.8M | 22% | 22% |
| 92021 | 187 | 2% | 1,087 | $27.9M | 6% | 4% |
| 92110 | 178 | 1% | 969 | $21.5M | 16% | 17% |
| 91913 | 169 | 1% | 762 | $19.8M | 14% | 18% |
| 92106 | 163 | 1% | 750 | $26.6M | 21% | 21% |
| 92020 | 150 | 1% | 748 | $21.1M | 5% | 5% |
| 92120 | 134 | 1% | 695 | $17.6M | 12% | 11% |
| 92111 | 130 | 1% | 647 | $19.5M | 9% | 7% |
Source: CMS Hospital Service Area file. Shares are of the 12,431 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Scripps Mercy Hospital reported at its latest Medicare certification survey (2021). Counts are people, not full-time equivalents.
5
Off-site locations
Source: CMS Provider of Services file.
1,042 clinicians who bill Medicare list Scripps Mercy Hospital as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Darren Sigal, MD
Medical Oncology Physician
NPI 1417120080
See commercial rates for Darren Sigal, MDMunveer Bhangoo, MD
Medical Oncology Physician
NPI 1235499518
See commercial rates for Munveer Bhangoo, MDFarah Nasraty
Hematology & Oncology Physician
NPI 1104244813
See commercial rates for Farah NasratyMarilyn Norton, MD
Hematology & Oncology Physician
NPI 1417060054
See commercial rates for Marilyn Norton, MDMegan Lynch, D.O.
Rheumatology Physician
NPI 1316213705
See commercial rates for Megan Lynch, D.O.Alan Saven, M.D.
Hematology & Oncology Physician
NPI 1184680399
See commercial rates for Alan Saven, M.D.Manisha Kumar, D.O.
Rheumatology Physician
NPI 1164524088
See commercial rates for Manisha Kumar, D.O.David Hermel, MD
Hematology & Oncology Physician
NPI 1043673734
See commercial rates for David Hermel, MDRobin Quazi, M.D.
Diagnostic Radiology Physician
NPI 1316109341
See commercial rates for Robin Quazi, M.D.Wesleigh Edwards, MD, PHD
Hematology & Oncology Physician
NPI 1205362258
See commercial rates for Wesleigh Edwards, MD, PHDKathryn Fowler, MD
Body Imaging Physician
NPI 1255457941
See commercial rates for Kathryn Fowler, MDPushpendu Banerjee, M.D.
Medical Oncology Physician
NPI 1164497855
See commercial rates for Pushpendu Banerjee, M.D.Aditya Sarvaria, MD
Hematology & Oncology Physician
NPI 1407116627
See commercial rates for Aditya Sarvaria, MDJames Coggan, D.O.
Hematology & Oncology Physician
NPI 1508246042
See commercial rates for James Coggan, D.O.Sonia Ali, M.D.
Hematology & Oncology Physician
NPI 1730451089
See commercial rates for Sonia Ali, M.D.Edward Skol, M.D.
Rheumatology Physician
NPI 1255304630
See commercial rates for Edward Skol, M.D.James Mccallum, M.D.
Endocrinology, Diabetes & Metabolism Physician
NPI 1609838994
See commercial rates for James Mccallum, M.D.Jack Zyroff, M.D.
Vascular & Interventional Radiology Physician
NPI 1639186232
See commercial rates for Jack Zyroff, M.D.Marie Shieh, MD
Hematology & Oncology Physician
NPI 1245475474
See commercial rates for Marie Shieh, MDAnnalice Chang, M.D.
Neuroradiology Physician
NPI 1447679410
See commercial rates for Annalice Chang, M.D.Maurice Zissen, M.D.
Diagnostic Radiology Physician
NPI 1194049965
See commercial rates for Maurice Zissen, M.D.Peter Weis, M.D.
Rheumatology Physician
NPI 1639140296
See commercial rates for Peter Weis, M.D.George Wesbey, M.D.
Diagnostic Radiology Physician
NPI 1609827930
See commercial rates for George Wesbey, M.D.Ramesh Moolani, M.D.
Hematology & Oncology Physician
NPI 1437272010
See commercial rates for Ramesh Moolani, M.D.Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Scripps Mercy Hospital reported to Medicare for Oct 1, 2024 to Sep 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $6.5B | 570.1% |
| Inpatient | $3.8B | 331.2% |
| Outpatient | $2.7B | 238.9% |
| Contractual allowances and discounts | -$5.4B | -470.1% |
| Net patient revenue | $1.1B | 100.0% |
| Operating expenses | -$1.3B | -115.8% |
| Operating income from patient care | -$179.9M | -15.8% |
| Other income | $69.3M | 6.1% |
| Net income | -$110.6M | -9.7% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $995.9M | 15.9% |
| Medicaid (including managed care) | $1.9B | 30.5% |
| Other payers and self-pay | $3.4B | 53.6% |
| Total charges | $6.3B | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 829696, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Scripps Mercy Hospital's latest cost report.
-15.8%
Operating margin
Operating income from patient care / net patient revenue
-9.1%
Total margin
Net income / net patient revenue plus other income
-3.7%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
45% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$56.59
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-22.6%
Return on assets
Net income for a year / total assets
-38.8%
Return on equity
Net income for a year / fund balance
0.84
Current ratio
Current assets / current liabilities
0.71
Quick ratio
Cash, temporary investments and net receivables / current liabilities
1 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
46 days
Days in patient receivables
Net patient receivables / daily net patient revenue
59 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
2.47
Asset turnover
Total revenue for a year / total assets
5.7 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 829696, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Scripps Mercy Hospital owned and owed at the end of its reporting period (Sep 2025), across all fund types: $489.8M in total assets and a $284.8M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $1.8M | 0.4% |
| Patient receivables, net | $143.5M | 29.3% |
| Inventory | $19.3M | 3.9% |
| Total current assets | $172.2M | 35.2% |
| Property and equipment, net of depreciation | $314.3M | 64.2% |
| Investments and other assets | $3.3M | 0.7% |
| Total assets | $489.8M | 100.0% |
| Current liabilities | $205M | 41.9% |
| Total liabilities | $205M | 41.9% |
| Fund balance (net assets) | $284.8M | 58.1% |
Source: CMS cost report (HCRIS, Form 2552-10), report 829696, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Scripps Mercy Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$17.6M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$19.2M
Bad debt
Patient bills written off as uncollectible, at charges
$191.9M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$213.1M
Total unreimbursed and uncompensated care
16.1% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
$2.5M
Government grants and appropriations
Government grants or transfers supporting hospital operations
Source: CMS cost report (HCRIS, Form 2552-10), report 829696, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Scripps Mercy Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Sep 2020 | Sep 2021 | Sep 2022 | Sep 2023 | Sep 2024 | Sep 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $835.7M | $708.5M | $819.8M | $913.5M | $1.1B | $1.1B |
| Operating expenses | $868.9M | $929M | $1B | $1.1B | $1.3B | $1.3B |
| Operating margin | -4.0% | -31.1% | -25.3% | -17.2% | -18.7% | -15.8% |
| Net income | $49.9M | $655,613 | -$48.7M | -$62.5M | $47.8M | -$110.6M |
| Total assets | $616.9M | $558.4M | $466.9M | $170.1M | $552.2M | $489.8M |
| Discharges | 26,939 | 28,681 | 28,709 | 28,936 | 29,041 | 30,375 |
| Inpatient days | 129,722 | 137,576 | 151,120 | 155,494 | 155,701 | 146,810 |
| Medicare Advantage days | 30,533 | 34,530 | 38,680 | 42,675 | 40,486 | 41,681 |
| Beds | 523 | 523 | 523 | 523 | 575 | 581 |
| Employees (FTE) | 3,438 | 3,841 | 3,882 | 3,918 | 4,148 | 4,078 |
Source: CMS cost report (HCRIS, Form 2552-10), report 829696, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Scripps Mercy Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Drugs charged to patients | $216.8M | $426M | 0.51 | ||
| Medical supplies charged to patient | $99.5M | $196M | 0.51 | ||
| Emergency | $47.2M | $96.1M | $1B | 0.09 | 25,031 |
| Operating room | $29.3M | $70.4M | $1.4B | 0.05 | 39,742 |
| Radiology-diagnostic | $22.9M | $67.7M | $906.7M | 0.07 | 80,971 |
| Impl. dev. charged to patients | $48.3M | $208.4M | 0.23 | ||
| Laboratory | $13.1M | $31.8M | $289.3M | 0.11 | 14,002 |
| Delivery room & labor room | $9.8M | $23.3M | $23.7M | 0.99 | 15,475 |
| Respiratory therapy | $12.8M | $22.8M | $105.7M | 0.22 | 1,751 |
| Clinic | $8.1M | $17.9M | $29.6M | 0.61 | 7,734 |
| Physical therapy | $8.1M | $16.4M | $21M | 0.78 | 7,792 |
| Cardiac catheterization | $6.4M | $14.8M | $201.1M | 0.07 | 8,650 |
| Electrocardiology | $5.3M | $10.7M | $59.6M | 0.18 | 5,146 |
| Radiology-therapeutic | $3.1M | $9.9M | $104M | 0.09 | 10,000 |
| Occupational therapy | $5M | $8.9M | $13.1M | 0.68 | 576 |
| Endoscopy | $3.8M | $8M | $38.5M | 0.21 | 3,448 |
| Renal dialysis | $512,982 | $6.4M | $7.1M | 0.90 | |
| Whole blood & packed red blood cell | $4.7M | $8.7M | 0.54 | ||
| Laboratory - pathological | $621,706 | $3.2M | $16.2M | 0.20 | 3,335 |
| Radioisotope | $823,724 | $2.5M | $33M | 0.08 | 2,036 |
| Observation beds (non-distinct part | $1.7M | $75.5M | 0.02 | ||
| Cardiac rehab | $487,493 | $1.2M | $1.5M | 0.79 | 993 |
| Electroencephalography | $260,198 | $980,410 | $666,755 | 1.47 | 1,397 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $141.3M | $317.7M | $819.5M | 0.39 | 176,974 |
| Intensive care unit | $23.7M | $50.7M | $207.2M | 0.24 | 21,596 |
| Subprovider - ipf | $10.5M | $25.6M | $26.9M | 0.95 | 17,500 |
| Nursery | $10.9M | $14.6M | 0.75 | 999 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $33.9M | $294.6M | 719,281 | $47.55 | 50,694 |
| Employee benefits department | $6.9M | $125.6M | 48,985 | $55.61 | 4,168 |
| Pharmacy | $19.4M | $47.7M | 312,539 | $62.54 | 4,231 |
| Cap rel costs-bldg & fixt | $39.4M | 607,240 | |||
| Maintenance & repairs | $4.7M | $28.4M | 104,478 | $45.06 | 34,338 |
| Cap rel costs-mvble equip | $25.8M | ||||
| Housekeeping | $11.1M | $15.6M | 360,065 | $31.09 | 6,538 |
| Nursing administration | $14.2M | $14.4M | 221,880 | $64.42 | 4,172 |
| I&r services-salary & fringes apprv | $10.2M | ||||
| I&r services-other prgm costs apprv | $15M | $6.7M | 5,250 | ||
| Cafeteria | $5.5M | 163,266 | $32.30 | 3,772 | |
| Operation of plant | $4.6M | $5.3M | 150,147 | $30.67 | 466 |
| Dietary | $8.5M | $5M | 103,189 | $32.30 | 13,878 |
| Laundry & linen service | $4.3M | ||||
| Central services & supply | $2.5M | $3.8M | 66,985 | $37.75 | 7,267 |
| Medical records & library | $1.3M | 6,277 |
Source: CMS cost report (HCRIS, Form 2552-10), report 829696, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Scripps Mercy Hospital for an inpatient stay.
1.93
Case mix index
Higher than 73% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
Teaching hospital
Teaching status
0.17 residents per bed
Medicare-funded interns and residents per bed (FY 2027).
59.1%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
4,995
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.80 | 1.80 | 1.92 | 1.94 | 1.92 | 1.95 | 1.93 |
| Wage index | 1.275 | 1.269 | 1.274 | 1.519 | 1.451 | 1.431 | 1.399 |
| Readmissions adjustment | -0.81% | -0.68% | -0.47% | -0.19% | 0.00% | -0.09% | -0.34% |
| Value-based purchasing adjustment | -0.34% | -0.38% | -0.38% | 0.00% | 0.00% | -0.44% | -0.21% |
| Medicare inpatient stays | 5,685 | 5,685 | 4,151 | 4,231 | 4,352 | 4,365 | 4,995 |
Source: CMS IPPS final rule Impact File (FY 2027).
The officers and board members on Scripps Mercy Hospital's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment.
Scripps Health files the Form 990 for the tax ID insurers list for Scripps Mercy Hospital, so these people may lead the wider organization rather than Scripps Mercy Hospital alone.
| Name | Title |
|---|---|
| Christopher Van Gorder | President / CEO |
| Carl Etter | Corp Sr VP, Region Chief Exec |
| Ghazala Sharieff | Corp EVP, Chf Med&ops Off-acute |
| Brett Tande | Treasurer / Corp Exec VP, CFO |
| Thomas Buchholz | Corp Sr VP, Oncology Services |
| Anil Keswani | Corp EVP, Chf Med&ops Off-amb |
| Bradley Ellis | Corp Sr VP, Chief Legal Counsel |
| Richard Neale | Corp Exec VP, Chief Growth Officer |
| June Komar | Corp Exec VP, Strategy & Admin (part Year) |
| Barbara Price | Corp Sr VP, Planning/strategy |
| Eric Cole | Corp Sr VP, Human Resources |
| Thomas Gammiere | Corp Sr VP, Region Chief Exec |
| Shane Thielman | Corp Sr VP, Cido |
| John Engle | Corp Sr VP, Chief Development Officer |
| Monique Gonzalez | Executive Assistant To The CEO |
| Mielle Schwartz | Executive Assistant Sr |
| Don Goldman | Trustee, Vice Chair |
| Kevin T Hamilton | Trustee, Chair |
Board members: Dan Feldman, Elliot A Scott, Gene H Barduson, Honorable Irma Gonzalez, Jan Caldwell, Jeff Bowman, John Boyer PhD, Nicole A Clay, Richard C Bigelow, Richard Vortmann, Robert Buell Esq, Shireen Matthews Esq, Theodore Thomas MD, William D Gore.
Source: IRS Form 990 Part VII filed by Scripps Health (EIN 95-1684089), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Participating since 2005
340B ID DSH050077, registered as a disproportionate share hospital; 23 registered outpatient sites; 2 active contract pharmacies. Authorizing official: Tom Gammiere, CEO.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Accountable care organization (Medicare Shared Savings Program)
Aledade 244 Scripps MSSP Enhanced
ACO A5778, current agreement since 2026. Public reporting page
Source: CMS Shared Savings Program participants, 2026, matched on Scripps Mercy Hospital's legal name.
Helipad
Scripps Mercy Hospital
FAA location ID CL97, a medical-use heliport at the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
Behavioral health ip unit
CCN 05S077, certified 1984, Medicare prospective payment
Source: Worksheet S-2 Part I of Scripps Mercy Hospital's latest Medicare cost report (HCRIS).
About Scripps Mercy Hospital's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Scripps Mercy Hospital range from $207 to $5,838 across 4 insurers. Cigna's rate is $207. The median at nearby comparable hospitals is $3,119. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Scripps Mercy Hospital range from $653 to $1,872 across 4 insurers. Aetna's rate is $1,872. The median at nearby comparable hospitals is $1,742. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Scripps Mercy Hospital range from $7,452 to $17,422 across 4 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $7,452. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Scripps Mercy Hospital range from $174 to $328 across 4 insurers. UnitedHealthcare's rate is $203. The median at nearby comparable hospitals is $267. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Scripps Mercy Hospital range from $27,956 to $49,845 across 4 insurers. Aetna's rate is $49,845. The median at nearby comparable hospitals is $53,776. What a patient pays depends on their plan's deductible, coinsurance and network status.
Scripps Mercy Hospital has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.
Yes. CMS counts 0.17 Medicare-funded residents per bed at Scripps Mercy Hospital for fiscal year 2027, so it is a teaching hospital.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Scripps Mercy Hospital's base inpatient payments by an estimated 0.34% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (516 discharges), heart failure and shock with mcc (197 discharges), septicemia or severe sepsis without mv >96 hours without mcc (106 discharges).
Scripps Mercy Hospital's Medicare case mix index is 1.93 for fiscal year 2027, higher than 73% of hospitals paid under the inpatient prospective payment system.
Scripps Mercy Hospital reported 30,375 inpatient discharges and 146,810 inpatient days from Oct 1, 2024 to Sep 30, 2025.
Scripps Mercy Hospital reported 4,078 full-time-equivalent employees on payroll from Oct 1, 2024 to Sep 30, 2025.
Scripps Mercy Hospital reported $1.1B in net patient revenue on $6.5B of gross charges for Oct 1, 2024 to Sep 30, 2025, an operating margin of -15.8%, and net income of -$110.6M.
Scripps Mercy Hospital reported $213.1M of unreimbursed and uncompensated care for Oct 1, 2024 to Sep 30, 2025, including $17.6M of charity care at cost.
Scripps Mercy Hospital's Medicare enrollment lists Brett Tande as Corporate Sr Vice President & CFO since 2022.
Insurers' price transparency files list Scripps Mercy Hospital under employer identification number 95-1684089 (Scripps Health). 67 health plans and networks list 95-1684089 for it.
Yes. HRSA's 340B database lists Scripps Mercy Hospital (340B ID DSH050077) as a participating disproportionate share hospital since 2005, with 2 active contract pharmacies.
1,042 clinicians who bill Medicare list Scripps Mercy Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are internal medicine physician (149), family medicine physician (77), diagnostic radiology physician (76).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Scripps Mercy Hospital, effective 2021.
CMS lists 43 services at Scripps Mercy Hospital, including Acute Renal Dialysis, Adult Inpatient Psychiatric Care, Anesthesia, Audiology, Cardiac Catheterization Lab, Cardiac Thoracic Surgery.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Scripps Mercy Hospital came from ZIP codes 91910 (1,027), 91911 (972), 92101 (814).
Scripps Mercy Hospital has 581 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 700 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Scripps Mercy Hospital is located at 4077 Fifth Avenue, San Diego, CA 92103. Its main phone number is (619) 294-8111.
Scripps Mercy Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 050077.
The National Provider Identifier (NPI) on file for Scripps Mercy Hospital is 1659359446.
Scripps Mercy Hospital is affiliated with Scripps Health.
Scripps Mercy Hospital lists 37 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
317 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
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.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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
}
]
}]
}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.
What a review covers