Price AtlasInteractive atlas · All states · techysurgeon.comScripps Mercy Hospital: what a joint replacement costs
San Diego, CA 92103 · CMS Certification Number 050077. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.
Medicare prices at Scripps Mercy Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $21,958 | $165,226 | 7.5× | $15,979 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $27,194 | $191,427 | 7.0× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $22,202 | 1.0× | $20,709–$44,262 | 15 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Ucsd | $44,262 | 2.0× | 1 |
| UnitedHealthcare | $30,587 | 1.4× | 1 |
| Cigna | $27,956 | 1.3× | 1 |
| Elevance/Anthem/Empire | $27,601 | 1.3× | 1 |
| HealthPartners | $27,601 | 1.3× | 1 |
| Centivo | $27,005 | 1.2× | 1 |
| Aetna | $22,430 | 1.0× | 1 |
| Health Net | $22,202 | 1.0× | 1 |
| Mpmg | $22,202 | 1.0× | 1 |
| Prime Healthcare | $22,202 | 1.0× | 1 |
| Prospect Med Group | $22,202 | 1.0× | 1 |
| Blue Shield of California | $20,709 | 0.9× | 1 |
| Mc Alignment | $20,709 | 0.9× | 1 |
| Mc Health Net | $20,709 | 0.9× | 1 |
| Mc Scan | $20,709 | 0.9× | 1 |
From the hospital's price-transparency file (2026-03-30); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-03-30); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 3.4% (no different from the national rate). Readmissions: 5.1%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 700 beds
California has no certificate-of-need law.
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Questions
How much does Medicare pay Scripps Mercy Hospital for a knee or hip replacement?
In 2024 the average total payment to Scripps Mercy Hospital for an inpatient hip or knee replacement stay was $21,958 (MS-DRG 470, 85 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $15,979 per outpatient case (APC 5115, 86 cases).
What is Scripps Mercy Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $165,226, 7.5× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Is a knee replacement cheaper at a surgery center near Scripps Mercy Hospital?
Yes for Medicare facility payments. Scripps Mercy Surgery Pavilion, an orthopedic surgery center same ZIP away, is paid about $10,395 by Medicare for a knee replacement (CPT 27447), $11,563 less than an inpatient stay at Scripps Mercy Hospital. Not every patient is a surgery-center candidate.
How does Scripps Mercy Hospital compare with other California hospitals?
Scripps Mercy Hospital's average total payment per Medicare stay is higher than 75% of the 119 California hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Scripps Mercy Hospital for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $22,202 across 15 insurers, ranging from $20,709 to $44,262.