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Scripps Memorial Hospital La Jolla: what a joint replacement costs

La Jolla, CA 92037 · CMS Certification Number 050324. 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.

Surgery center nearby
$10,395
Outpatient Surgery Center of La Jolla, same ZIP
Outpatient here
$16,028
121 Medicare cases, APC 5115
Inpatient here
$18,571
63 Medicare stays, MS-DRG 470

Medicare prices at Scripps Memorial Hospital La Jolla

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$18,571$160,3848.6×$16,028
Shoulder replacement———$22,851
Hip replacement after a fracture (DRG 522)$22,533$163,8907.3×—

Quality

Complications after hip or knee replacement: 3.3% (no different from the national rate). Readmissions: 5.2%. Overall Care Compare rating: 5 of 5 stars. Physician-owned · Acute · 332 beds

California has no certificate-of-need law.

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Questions

How much does Medicare pay Scripps Memorial Hospital La Jolla for a knee or hip replacement?

In 2024 Medicare paid Scripps Memorial Hospital La Jolla an average of $18,571 per inpatient hip or knee replacement stay (MS-DRG 470, 63 stays) and $16,028 per outpatient case (APC 5115, 121 cases).

What is Scripps Memorial Hospital La Jolla's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $160,384, 8.6× what Medicare paid. 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 Memorial Hospital La Jolla?

Yes for Medicare facility payments. Outpatient Surgery Center of La Jolla, an orthopedic surgery center same ZIP away, is paid about $10,395 by Medicare for a knee replacement (CPT 27447), $8,176 less than an inpatient stay at Scripps Memorial Hospital La Jolla. Not every patient is a surgery-center candidate.

How does Scripps Memorial Hospital La Jolla compare with other California hospitals?

Medicare paid Scripps Memorial Hospital La Jolla less than 78% of the 119 California hospitals that report inpatient hip or knee replacement.