Price AtlasInteractive atlas · All states · techysurgeon.comScripps Green Hospital: what a joint replacement costs
La Jolla, CA 92037 · CMS Certification Number 050424. 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 Green Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $21,624 | $125,805 | 5.8× | $16,052 |
| Shoulder replacement | $29,182 | $181,357 | 6.2× | $22,673 |
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× | $18,690–$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 |
| Mpmg | $22,202 | 1.0× | 1 |
| Health Net | $21,767 | 1.0× | 1 |
| Prime Healthcare | $21,767 | 1.0× | 1 |
| Prospect Med Group | $21,767 | 1.0× | 1 |
| Blue Shield of California | $18,690 | 0.9× | 1 |
| Mc Alignment | $18,690 | 0.9× | 1 |
| Mc Health Net | $18,690 | 0.9× | 1 |
| Mc Scan | $18,690 | 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: 2.8% (no different from the national rate). Readmissions: 4.4%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 173 beds
California has no certificate-of-need law.
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Questions
How much does Medicare pay Scripps Green Hospital for a knee or hip replacement?
In 2024 the average total payment to Scripps Green Hospital for an inpatient hip or knee replacement stay was $21,624 (MS-DRG 470, 475 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $16,052 per outpatient case (APC 5115, 603 cases).
What is Scripps Green Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $125,805, 5.8× 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 Green Hospital?
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), $11,229 less than an inpatient stay at Scripps Green Hospital. Not every patient is a surgery-center candidate.
How does Scripps Green Hospital compare with other California hospitals?
Scripps Green Hospital's average total payment per Medicare stay is higher than 73% of the 119 California hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Scripps Green 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 $18,690 to $44,262.