Every commercial insurer rate these hospitals posted, as a dollar amount and as a multiple of the hospital's own Medicare base rate.
Open in the explorerAll markets
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Tri-City Medical Center median $6,942 · local Medicare $4,959 · file 2026-05-29 | |||
| Aetna | $6,640 | 1.3× | 1 |
| Blue Shield of California | $3,169 | 0.6× | 1 |
| Bright Health | $7,934 | 1.6× | 1 |
| Elevance/Anthem/Empire | $7,835 | 1.6× | 1 |
| Health Net | $7,091 | 1.4× | 1 |
| Kaiser Permanente | $4,959 | 1.0× | 1 |
| Providence Health Plan | $6,942 | 1.4× | 1 |
| Scripps Mercy Hospital median $8,430 · local Medicare $4,959 · file 2026-03-30 | |||
| Health Net | $12,397 | 2.5× | 1 |
| Mpmg | $4,959 | 1.0× | 1 |
| Prime Healthcare | $8,430 | 1.7× | 1 |
| Prospect Med Group | $8,678 | 1.7× | 1 |
| UnitedHealthcare | $4,959 | 1.0× | 1 |
| Scripps Memorial Hospital La Jolla median $8,430 · local Medicare $4,959 · file 2026-03-30 | |||
| Health Net | $12,397 | 2.5× | 1 |
| Mpmg | $4,959 | 1.0× | 1 |
| Prime Healthcare | $8,430 | 1.7× | 1 |
| Prospect Med Group | $8,678 | 1.7× | 1 |
| UnitedHealthcare | $4,959 | 1.0× | 1 |
| Scripps Green Hospital median $8,430 · local Medicare $4,959 · file 2026-03-30 | |||
| Health Net | $12,397 | 2.5× | 1 |
| Mpmg | $4,959 | 1.0× | 1 |
| Prime Healthcare | $8,430 | 1.7× | 1 |
| Prospect Med Group | $8,678 | 1.7× | 1 |
| UnitedHealthcare | $4,959 | 1.0× | 1 |
| Scripps Memorial Hospital - Encinitas median $8,430 · local Medicare $4,959 · file 2026-03-30 | |||
| Health Net | $12,397 | 2.5× | 1 |
| Mpmg | $4,959 | 1.0× | 1 |
| Prime Healthcare | $8,430 | 1.7× | 1 |
| Prospect Med Group | $8,678 | 1.7× | 1 |
| UnitedHealthcare | $4,959 | 1.0× | 1 |
| Palomar Health Downtown Campus median $8,539 · local Medicare $4,959 · file 2026-04-01 | |||
| Health Net | $9,144 | 1.8× | 1 |
| Scripps | $7,934 | 1.6× | 1 |
| Palomar Medical Center Poway median $9,144 · local Medicare $4,959 · file 2026-04-01 | |||
| Health Net | $9,144 | 1.8× | 1 |
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Tri-City Medical Center median $6,942 · local Medicare $4,959 · file 2026-05-29 | |||
| Aetna | $6,640 | 1.3× | 1 |
| Blue Shield of California | $3,169 | 0.6× | 1 |
| Bright Health | $7,934 | 1.6× | 1 |
| Elevance/Anthem/Empire | $7,835 | 1.6× | 1 |
| Health Net | $7,091 | 1.4× | 1 |
| Kaiser Permanente | $4,959 | 1.0× | 1 |
| Providence Health Plan | $6,942 | 1.4× | 1 |
| Scripps Mercy Hospital median $8,430 · local Medicare $4,959 · file 2026-03-30 | |||
| Health Net | $12,397 | 2.5× | 1 |
| Mpmg | $4,959 | 1.0× | 1 |
| Prime Healthcare | $8,430 | 1.7× | 1 |
| Prospect Med Group | $8,678 | 1.7× | 1 |
| UnitedHealthcare | $4,959 | 1.0× | 1 |
| Scripps Memorial Hospital La Jolla median $8,430 · local Medicare $4,959 · file 2026-03-30 | |||
| Health Net | $12,397 | 2.5× | 1 |
| Mpmg | $4,959 | 1.0× | 1 |
| Prime Healthcare | $8,430 | 1.7× | 1 |
| Prospect Med Group | $8,678 | 1.7× | 1 |
| UnitedHealthcare | $4,959 | 1.0× | 1 |
| Scripps Green Hospital median $8,430 · local Medicare $4,959 · file 2026-03-30 | |||
| Health Net | $12,397 | 2.5× | 1 |
| Mpmg | $4,959 | 1.0× | 1 |
| Prime Healthcare | $8,430 | 1.7× | 1 |
| Prospect Med Group | $8,678 | 1.7× | 1 |
| UnitedHealthcare | $4,959 | 1.0× | 1 |
| Scripps Memorial Hospital - Encinitas median $8,430 · local Medicare $4,959 · file 2026-03-30 | |||
| Health Net | $12,397 | 2.5× | 1 |
| Mpmg | $4,959 | 1.0× | 1 |
| Prime Healthcare | $8,430 | 1.7× | 1 |
| Prospect Med Group | $8,678 | 1.7× | 1 |
| UnitedHealthcare | $4,959 | 1.0× | 1 |
| Palomar Health Downtown Campus median $8,539 · local Medicare $4,959 · file 2026-04-01 | |||
| Health Net | $9,144 | 1.8× | 1 |
| Scripps | $7,934 | 1.6× | 1 |
| Palomar Medical Center Poway median $9,144 · local Medicare $4,959 · file 2026-04-01 | |||
| Health Net | $9,144 | 1.8× | 1 |
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Scripps Mercy Hospital median $13,274 · local Medicare $7,808 · file 2026-03-30 | |||
| Health Net | $19,520 | 2.5× | 1 |
| Mpmg | $7,808 | 1.0× | 1 |
| Prime Healthcare | $13,274 | 1.7× | 1 |
| Prospect Med Group | $13,664 | 1.8× | 1 |
| UnitedHealthcare | $7,808 | 1.0× | 1 |
| Scripps Memorial Hospital La Jolla median $13,274 · local Medicare $7,808 · file 2026-03-30 | |||
| Health Net | $19,520 | 2.5× | 1 |
| Mpmg | $7,808 | 1.0× | 1 |
| Prime Healthcare | $13,274 | 1.7× | 1 |
| Prospect Med Group | $13,664 | 1.8× | 1 |
| UnitedHealthcare | $7,808 | 1.0× | 1 |
| Scripps Green Hospital median $13,274 · local Medicare $7,808 · file 2026-03-30 | |||
| Health Net | $19,520 | 2.5× | 1 |
| Mpmg | $7,808 | 1.0× | 1 |
| Prime Healthcare | $13,274 | 1.7× | 1 |
| Prospect Med Group | $13,664 | 1.8× | 1 |
| UnitedHealthcare | $7,808 | 1.0× | 1 |
| Scripps Memorial Hospital - Encinitas median $13,274 · local Medicare $7,808 · file 2026-03-30 | |||
| Health Net | $19,520 | 2.5× | 1 |
| Mpmg | $7,808 | 1.0× | 1 |
| Prime Healthcare | $13,274 | 1.7× | 1 |
| Prospect Med Group | $13,664 | 1.8× | 1 |
| UnitedHealthcare | $7,808 | 1.0× | 1 |
| Palomar Health Downtown Campus median $13,446 · local Medicare $7,808 · file 2026-04-01 | |||
| Health Net | $14,398 | 1.8× | 1 |
| Scripps | $12,493 | 1.6× | 1 |
7 San Diego CA hospitals post usable commercial rates for CPT 43264, hospital outpatient. The median across hospitals is $8,430; hospital medians range from $6,942 to $9,144. Your cost depends on your plan's deductible and coinsurance.