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Scripps Memorial Hospital - Encinitas: what a joint replacement costs

Encinitas, CA 92024 · CMS Certification Number 050503. 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
Ucsd Center for Surgery of Encinitas, same ZIP
Outpatient here
$16,148
82 Medicare cases, APC 5115
Inpatient here
$18,476
65 Medicare stays, MS-DRG 470

Medicare prices at Scripps Memorial Hospital - Encinitas

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$18,476$162,8438.8×$16,148
Shoulder replacement$24,257$241,55910.0×$22,851
Hip replacement after a fracture (DRG 522)$20,744$182,5868.8×—

Quality

Complications after hip or knee replacement: 5.6% (no different from the national rate). Readmissions: 6.1%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 158 beds

California has no certificate-of-need law.

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Questions

How much does Medicare pay Scripps Memorial Hospital - Encinitas for a knee or hip replacement?

In 2024 Medicare paid Scripps Memorial Hospital - Encinitas an average of $18,476 per inpatient hip or knee replacement stay (MS-DRG 470, 65 stays) and $16,148 per outpatient case (APC 5115, 82 cases).

What is Scripps Memorial Hospital - Encinitas's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $162,843, 8.8× 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 - Encinitas?

Yes for Medicare facility payments. Ucsd Center for Surgery of Encinitas, an orthopedic surgery center same ZIP away, is paid about $10,395 by Medicare for a knee replacement (CPT 27447), $8,081 less than an inpatient stay at Scripps Memorial Hospital - Encinitas. Not every patient is a surgery-center candidate.

How does Scripps Memorial Hospital - Encinitas compare with other California hospitals?

Medicare paid Scripps Memorial Hospital - Encinitas less than 81% of the 119 California hospitals that report inpatient hip or knee replacement.