Scripps Memorial Hospital La Jolla
La Jolla, California 92037
CCN: 050324 Acute Care Hospitals Emergency Services
5/5
CMS Star Rating
Excellent
143
DRG Categories
5,439
Total Discharges
$170,944
Avg Charges
$21,262
Avg Payment
$18,583
Avg Medicare
8.04x
Charge-to-Payment
Quality Ratings — CMS Hospital Compare
Based on CMS measures of mortality, safety of care, readmissions, patient experience, and timeliness
Mortality
Above Average Safety of Care
Above Average Readmissions
Above Average Patient Experience
Reported California Average Rating
3.01 / 5 This hospital is above average
25 five-star hospitals of rated in California
National Average Rating
3.08 / 5
288 five-star hospitals of 2866 rated nationally
Type: Acute Care Hospitals Ownership: Physician
Compared to California Average
How this hospital compares to the average of 275 hospitals in California
Average Charges
$170,944 +13%
State avg: $151,712
Average Payment
$21,262 -13%
State avg: $24,418
Charge-to-Payment Ratio
8.04x Above avg
State avg: 6.59x
Top 20 DRGs by Volume
Most common diagnosis groups at this hospital, sorted by number of discharges
| DRG | Description | Discharges | Avg Charges | Avg Payment | Markup |
|---|---|---|---|---|---|
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 454 | $130,733 | $18,023 | 7.25x |
| 291 | HEART FAILURE AND SHOCK WITH MCC | 318 | $90,576 | $11,351 | 7.98x |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 277 | $213,602 | $28,921 | 7.39x |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 186 | $337,945 | $43,179 | 7.83x |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 166 | $121,622 | $16,717 | 7.28x |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 92 | $66,681 | $9,132 | 7.3x |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | 90 | $70,778 | $8,637 | 8.19x |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 81 | $154,301 | $17,468 | 8.83x |
| 246 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 79 | $223,136 | $27,360 | 8.16x |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 77 | $137,103 | $16,992 | 8.07x |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 76 | $73,511 | $11,133 | 6.6x |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | 76 | $479,347 | $58,101 | 8.25x |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 74 | $172,468 | $18,213 | 9.47x |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 71 | $358,236 | $49,789 | 7.2x |
| 247 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 69 | $137,597 | $17,104 | 8.04x |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 69 | $50,799 | $7,592 | 6.69x |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 68 | $99,327 | $9,381 | 10.59x |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 67 | $118,400 | $15,486 | 7.65x |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 60 | $238,825 | $27,015 | 8.84x |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | 60 | $71,712 | $8,776 | 8.17x |
Showing top 20 of 143 DRG categories at this hospital.
About This Data
Hospital charges and payment data are from the CMS Medicare Inpatient Prospective Payment System (IPPS) Provider Summary. Quality star ratings (1-5) are from CMS Hospital Compare, based on measures of mortality, safety of care, readmissions, patient experience, and timeliness. Negotiated insurance rates are from hospital Machine-Readable Files (MRFs) required by the CMS Hospital Price Transparency Rule.