Price AtlasInteractive atlas · All states · techysurgeon.comHeart valve surgery (open) in San Diego CA
Every commercial insurer rate these hospitals posted, as a dollar amount and as a multiple of the hospital's own Medicare base rate.
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MS-DRG 220
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Scripps Memorial Hospital La Jolla median $51,350 · local Medicare $49,839 · file 2026-03-30 | |||
| Blue Shield of California | $51,350 | 1.0× | 2 |
| Cigna | $87,831 | 1.8× | 5 |
| Elevance/Anthem/Empire | $51,350 | 1.0× | 1 |
| Health Net | $51,350 | 1.0× | 1 |
| Mc Alignment | $51,350 | 1.0× | 1 |
| Mc Health Net | $51,350 | 1.0× | 1 |
| Mc Scan | $51,350 | 1.0× | 1 |
| Mpmg | $59,682 | 1.2× | 1 |
| Prime Healthcare | $87,295 | 1.8× | 1 |
| Prospect Med Group | $89,862 | 1.8× | 1 |
| UnitedHealthcare | $55,516 | 1.1× | 2 |
| Scripps Mercy Hospital median $57,619 · local Medicare $49,839 · file 2026-03-30 | |||
| Blue Shield of California | $55,556 | 1.1× | 2 |
| Cigna | $87,831 | 1.8× | 5 |
| Elevance/Anthem/Empire | $55,556 | 1.1× | 1 |
| Health Net | $59,682 | 1.2× | 1 |
| Mc Alignment | $55,556 | 1.1× | 1 |
| Mc Health Net | $55,556 | 1.1× | 1 |
| Mc Scan | $55,556 | 1.1× | 1 |
| Mpmg | $59,682 | 1.2× | 1 |
| Prime Healthcare | $59,682 | 1.2× | 1 |
| Prospect Med Group | $59,682 | 1.2× | 1 |
| UnitedHealthcare | $57,619 | 1.2× | 2 |
| Tri-City Medical Center median $72,076 · local Medicare $49,839 · file 2026-05-29 | |||
| Cigna | $58,408 | 1.2× | 2 |
| Elevance/Anthem/Empire | $77,933 | 1.6× | 1 |
| Health Net | $72,840 | 1.5× | 1 |
| Kaiser Permanente | $86,593 | 1.7× | 1 |
| Providence Health Plan | $71,312 | 1.4× | 1 |
| UnitedHealthcare | $66,653 | 1.3× | 2 |
| Palomar Health Downtown Campus median $85,131 · local Medicare $49,839 · file 2026-04-01 | |||
| Health Net | $102,529 | 2.1× | 1 |
| Prospect | $71,829 | 1.4× | 1 |
| Scripps | $85,131 | 1.7× | 1 |
| Palomar Medical Center Poway median $87,182 · local Medicare $49,839 · file 2026-04-01 | |||
| Health Net | $102,533 | 2.1× | 1 |
| Prospect | $71,832 | 1.4× | 1 |
MS-DRG 219
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Scripps Memorial Hospital La Jolla median $73,830 · local Medicare $71,760 · file 2026-03-30 | |||
| Blue Shield of California | $73,830 | 1.0× | 2 |
| Cigna | $126,462 | 1.8× | 5 |
| Elevance/Anthem/Empire | $73,830 | 1.0× | 1 |
| Health Net | $73,830 | 1.0× | 1 |
| Mc Alignment | $73,830 | 1.0× | 1 |
| Mc Health Net | $73,830 | 1.0× | 1 |
| Mc Scan | $73,830 | 1.0× | 1 |
| Mpmg | $85,507 | 1.2× | 1 |
| Prime Healthcare | $125,511 | 1.7× | 1 |
| Prospect Med Group | $129,202 | 1.8× | 1 |
| UnitedHealthcare | $79,669 | 1.1× | 2 |
| Scripps Mercy Hospital median $82,537 · local Medicare $71,760 · file 2026-03-30 | |||
| Blue Shield of California | $79,567 | 1.1× | 2 |
| Cigna | $126,462 | 1.8× | 5 |
| Elevance/Anthem/Empire | $79,567 | 1.1× | 1 |
| Health Net | $85,507 | 1.2× | 1 |
| Mc Alignment | $79,567 | 1.1× | 1 |
| Mc Health Net | $79,567 | 1.1× | 1 |
| Mc Scan | $79,567 | 1.1× | 1 |
| Mpmg | $85,507 | 1.2× | 1 |
| Prime Healthcare | $85,507 | 1.2× | 1 |
| Prospect Med Group | $85,507 | 1.2× | 1 |
| UnitedHealthcare | $82,537 | 1.2× | 2 |
| Tri-City Medical Center median $103,277 · local Medicare $71,760 · file 2026-05-29 | |||
| Cigna | $58,408 | 0.8× | 2 |
| Elevance/Anthem/Empire | $111,670 | 1.6× | 1 |
| Health Net | $104,372 | 1.5× | 1 |
| Kaiser Permanente | $124,078 | 1.7× | 1 |
| Providence Health Plan | $102,182 | 1.4× | 1 |
| UnitedHealthcare | $66,653 | 0.9× | 2 |
| Palomar Health Downtown Campus median $121,880 · local Medicare $71,760 · file 2026-04-01 | |||
| Health Net | $146,789 | 2.0× | 1 |
| Prospect | $102,836 | 1.4× | 1 |
| Scripps | $121,880 | 1.7× | 1 |
| Palomar Medical Center Poway median $125,099 · local Medicare $71,760 · file 2026-04-01 | |||
| Health Net | $147,126 | 2.1× | 1 |
| Prospect | $103,072 | 1.4× | 1 |
MS-DRG 216
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Scripps Memorial Hospital La Jolla median $94,000 · local Medicare $91,428 · file 2026-03-30 | |||
| Blue Shield of California | $94,000 | 1.0× | 2 |
| Cigna | $161,123 | 1.8× | 5 |
| Elevance/Anthem/Empire | $94,000 | 1.0× | 1 |
| Health Net | $94,000 | 1.0× | 1 |
| Mc Alignment | $94,000 | 1.0× | 1 |
| Mc Health Net | $94,000 | 1.0× | 1 |
| Mc Scan | $94,000 | 1.0× | 1 |
| Mpmg | $108,680 | 1.2× | 1 |
| Prime Healthcare | $159,800 | 1.7× | 1 |
| Prospect Med Group | $164,500 | 1.8× | 1 |
| UnitedHealthcare | $101,340 | 1.1× | 2 |
| Scripps Memorial Hospital - Encinitas median $94,819 · local Medicare $91,428 · file 2026-03-30 | |||
| Blue Shield of California | $94,461 | 1.0× | 2 |
| Cigna | $161,123 | 1.8× | 5 |
| Elevance/Anthem/Empire | $94,461 | 1.0× | 1 |
| Health Net | $95,177 | 1.0× | 1 |
| Mc Alignment | $94,461 | 1.0× | 1 |
| Mc Health Net | $94,461 | 1.0× | 1 |
| Mc Scan | $94,461 | 1.0× | 1 |
| Mpmg | $108,680 | 1.2× | 1 |
| Prime Healthcare | $95,177 | 1.0× | 1 |
| UnitedHealthcare | $101,570 | 1.1× | 2 |
| Scripps Mercy Hospital median $104,895 · local Medicare $91,428 · file 2026-03-30 | |||
| Blue Shield of California | $101,111 | 1.1× | 2 |
| Cigna | $161,123 | 1.8× | 5 |
| Elevance/Anthem/Empire | $101,111 | 1.1× | 1 |
| Health Net | $108,680 | 1.2× | 1 |
| Mc Alignment | $101,111 | 1.1× | 1 |
| Mc Health Net | $101,111 | 1.1× | 1 |
| Mc Scan | $101,111 | 1.1× | 1 |
| Mpmg | $108,680 | 1.2× | 1 |
| Prime Healthcare | $108,680 | 1.2× | 1 |
| Prospect Med Group | $108,680 | 1.2× | 1 |
| UnitedHealthcare | $104,895 | 1.1× | 2 |
| Tri-City Medical Center median $131,272 · local Medicare $91,428 · file 2026-05-29 | |||
| Cigna | $58,408 | 0.6× | 2 |
| Elevance/Anthem/Empire | $141,941 | 1.6× | 1 |
| Health Net | $132,664 | 1.5× | 1 |
| Kaiser Permanente | $157,712 | 1.7× | 1 |
| Providence Health Plan | $129,881 | 1.4× | 1 |
| UnitedHealthcare | $66,653 | 0.7× | 2 |
| Palomar Health Downtown Campus median $154,854 · local Medicare $91,428 · file 2026-04-01 | |||
| Health Net | $186,502 | 2.0× | 1 |
| Prospect | $130,658 | 1.4× | 1 |
| Scripps | $154,854 | 1.7× | 1 |
| Palomar Medical Center Poway median $159,120 · local Medicare $91,428 · file 2026-04-01 | |||
| Health Net | $187,137 | 2.0× | 1 |
| Prospect | $131,102 | 1.4× | 1 |
MS-DRG 217
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Scripps Memorial Hospital La Jolla median $63,258 · local Medicare $61,451 · file 2026-03-30 | |||
| Blue Shield of California | $63,258 | 1.0× | 2 |
| Cigna | $108,295 | 1.8× | 5 |
| Elevance/Anthem/Empire | $63,258 | 1.0× | 1 |
| Health Net | $63,258 | 1.0× | 1 |
| Mc Alignment | $63,258 | 1.0× | 1 |
| Mc Health Net | $63,258 | 1.0× | 1 |
| Mc Scan | $63,258 | 1.0× | 1 |
| Mpmg | $73,363 | 1.2× | 1 |
| Prime Healthcare | $107,539 | 1.7× | 1 |
| Prospect Med Group | $110,702 | 1.8× | 1 |
| UnitedHealthcare | $68,311 | 1.1× | 2 |
| Scripps Mercy Hospital median $70,819 · local Medicare $61,451 · file 2026-03-30 | |||
| Blue Shield of California | $68,275 | 1.1× | 2 |
| Cigna | $108,295 | 1.8× | 5 |
| Elevance/Anthem/Empire | $68,275 | 1.1× | 1 |
| Health Net | $73,363 | 1.2× | 1 |
| Mc Alignment | $68,275 | 1.1× | 1 |
| Mc Health Net | $68,275 | 1.1× | 1 |
| Mc Scan | $68,275 | 1.1× | 1 |
| Mpmg | $73,363 | 1.2× | 1 |
| Prime Healthcare | $73,363 | 1.2× | 1 |
| Prospect Med Group | $73,363 | 1.2× | 1 |
| UnitedHealthcare | $70,819 | 1.2× | 2 |
| Tri-City Medical Center median $88,604 · local Medicare $61,451 · file 2026-05-29 | |||
| Cigna | $58,408 | 1.0× | 2 |
| Elevance/Anthem/Empire | $95,805 | 1.6× | 1 |
| Health Net | $89,543 | 1.5× | 1 |
| Kaiser Permanente | $106,450 | 1.7× | 1 |
| Providence Health Plan | $87,665 | 1.4× | 1 |
| UnitedHealthcare | $66,653 | 1.1× | 2 |
| Palomar Health Downtown Campus median $104,598 · local Medicare $61,451 · file 2026-04-01 | |||
| Health Net | $125,976 | 2.1× | 1 |
| Prospect | $88,255 | 1.4× | 1 |
| Scripps | $104,598 | 1.7× | 1 |
| Palomar Medical Center Poway median $107,268 · local Medicare $61,451 · file 2026-04-01 | |||
| Health Net | $126,156 | 2.1× | 1 |
| Prospect | $88,381 | 1.4× | 1 |
Questions
How much does heart valve surgery (open) cost with commercial insurance in San Diego CA?
5 San Diego CA hospitals post usable commercial rates for inpatient stay (MS-DRG 220). The median across hospitals is $72,076; hospital medians range from $51,350 to $87,182. Your cost depends on your plan's deductible and coinsurance.