Price AtlasInteractive atlas · All states · techysurgeon.comScripps 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.
Medicare prices at Scripps Memorial Hospital - Encinitas
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $18,476 | $162,843 | 8.8× | $16,148 |
| Shoulder replacement | $24,257 | $241,559 | 10.0× | $22,851 |
| Hip replacement after a fracture (DRG 522) | $20,744 | $182,586 | 8.8× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $22,316 | 1.2× | $18,801–$44,262 | 14 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Ucsd | $44,262 | 2.4× | 1 |
| UnitedHealthcare | $30,587 | 1.7× | 1 |
| Cigna | $27,956 | 1.5× | 1 |
| Elevance/Anthem/Empire | $27,601 | 1.5× | 1 |
| HealthPartners | $27,601 | 1.5× | 1 |
| Centivo | $27,005 | 1.5× | 1 |
| Aetna | $22,430 | 1.2× | 1 |
| Mpmg | $22,202 | 1.2× | 1 |
| Health Net | $18,942 | 1.0× | 1 |
| Prime Healthcare | $18,942 | 1.0× | 1 |
| Blue Shield of California | $18,801 | 1.0× | 1 |
| Mc Alignment | $18,801 | 1.0× | 1 |
| Mc Health Net | $18,801 | 1.0× | 1 |
| Mc Scan | $18,801 | 1.0× | 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: 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.
Open the interactive price tagBuild a reportAll California hospitals
Questions
How much does Medicare pay Scripps Memorial Hospital - Encinitas for a knee or hip replacement?
In 2024 the average total payment to Scripps Memorial Hospital - Encinitas for an inpatient hip or knee replacement stay was $18,476 (MS-DRG 470, 65 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× 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 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?
Scripps Memorial Hospital - Encinitas's average total payment per Medicare stay is lower than 81% of the 119 California hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Scripps Memorial Hospital - Encinitas 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 $22,316 across 14 insurers, ranging from $18,801 to $44,262.