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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| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Tri-City Medical Center median $9,655 · local Medicare $6,896 · file 2026-05-29 | |||
| Aetna | $6,640 | 1.0× | 1 |
| Blue Shield of California | $5,711 | 0.8× | 1 |
| Bright Health | $11,034 | 1.6× | 1 |
| Elevance/Anthem/Empire | $10,896 | 1.6× | 1 |
| Health Net | $9,862 | 1.4× | 1 |
| Kaiser Permanente | $6,896 | 1.0× | 1 |
| Providence Health Plan | $9,655 | 1.4× | 1 |
| Palomar Health Downtown Campus median $11,876 · local Medicare $6,896 · file 2026-04-01 | |||
| Health Net | $12,717 | 1.8× | 1 |
| Scripps | $11,034 | 1.6× | 1 |
| Scripps Mercy Hospital median $12,068 · local Medicare $6,896 · file 2026-03-30 | |||
| Health Net | $17,240 | 2.5× | 1 |
| Prime Healthcare | $11,723 | 1.7× | 1 |
| Prospect Med Group | $12,068 | 1.8× | 1 |
| Scripps Memorial Hospital La Jolla median $12,068 · local Medicare $6,896 · file 2026-03-30 | |||
| Health Net | $17,240 | 2.5× | 1 |
| Prime Healthcare | $11,723 | 1.7× | 1 |
| Prospect Med Group | $12,068 | 1.8× | 1 |
| Scripps Green Hospital median $12,068 · local Medicare $6,896 · file 2026-03-30 | |||
| Health Net | $17,240 | 2.5× | 1 |
| Prime Healthcare | $11,723 | 1.7× | 1 |
| Prospect Med Group | $12,068 | 1.8× | 1 |
| Scripps Memorial Hospital - Encinitas median $12,068 · local Medicare $6,896 · file 2026-03-30 | |||
| Health Net | $17,240 | 2.5× | 1 |
| Prime Healthcare | $11,723 | 1.7× | 1 |
| Prospect Med Group | $12,068 | 1.8× | 1 |
| Palomar Medical Center Poway median $12,717 · local Medicare $6,896 · file 2026-04-01 | |||
| Health Net | $12,717 | 1.8× | 1 |
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Tri-City Medical Center median $6,483 · local Medicare $4,534 · file 2026-05-29 | |||
| Aetna | $6,640 | 1.5× | 1 |
| Blue Shield of California | $3,372 | 0.7× | 1 |
| Bright Health | $7,254 | 1.6× | 1 |
| Elevance/Anthem/Empire | $7,163 | 1.6× | 1 |
| Health Net | $6,483 | 1.4× | 1 |
| Kaiser Permanente | $4,534 | 1.0× | 1 |
| Providence Health Plan | $6,347 | 1.4× | 1 |
| Palomar Health Downtown Campus median $7,807 · local Medicare $4,534 · file 2026-04-01 | |||
| Health Net | $8,360 | 1.8× | 1 |
| Scripps | $7,254 | 1.6× | 1 |
| Palomar Medical Center Poway median $8,360 · local Medicare $4,534 · file 2026-04-01 | |||
| Health Net | $8,360 | 1.8× | 1 |
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Scripps Mercy Hospital median $12,364 · local Medicare $9,677 · file 2026-03-30 | |||
| Aetna | $26,756 | 2.8× | 5 |
| Blue Shield of California | $11,563 | 1.2× | 2 |
| Centivo | $14,496 | 1.5× | 1 |
| Cigna | $33,218 | 3.4× | 5 |
| Elevance/Anthem/Empire | $14,816 | 1.5× | 11 |
| Health Net | $12,364 | 1.3× | 2 |
| HealthPartners | $14,816 | 1.5× | 1 |
| Mc Alignment | $11,563 | 1.2× | 1 |
| Mc Health Net | $11,563 | 1.2× | 1 |
| Mc Scan | $11,563 | 1.2× | 1 |
| Mpmg | $12,364 | 1.3× | 1 |
| Prime Healthcare | $12,364 | 1.3× | 1 |
| Prospect Med Group | $12,364 | 1.3× | 1 |
| Ucsd | $23,759 | 2.5× | 1 |
| UnitedHealthcare | $19,000 | 2.0× | 6 |
| Scripps Green Hospital median $12,364 · local Medicare $9,677 · file 2026-03-30 | |||
| Aetna | $26,756 | 2.8× | 5 |
| Blue Shield of California | $10,032 | 1.0× | 2 |
| Centivo | $14,496 | 1.5× | 1 |
| Cigna | $33,218 | 3.4× | 5 |
| Elevance/Anthem/Empire | $14,816 | 1.5× | 11 |
| Health Net | $11,684 | 1.2× | 2 |
| HealthPartners | $14,816 | 1.5× | 1 |
| Mc Alignment | $10,032 | 1.0× | 1 |
| Mc Health Net | $10,032 | 1.0× | 1 |
| Mc Scan | $10,032 | 1.0× | 1 |
| Mpmg | $12,364 | 1.3× | 1 |
| Prime Healthcare | $11,684 | 1.2× | 1 |
| Prospect Med Group | $11,684 | 1.2× | 1 |
| Ucsd | $23,759 | 2.5× | 1 |
| UnitedHealthcare | $19,000 | 2.0× | 6 |
| Scripps Memorial Hospital - Encinitas median $13,430 · local Medicare $9,677 · file 2026-03-30 | |||
| Aetna | $26,756 | 2.8× | 5 |
| Blue Shield of California | $10,194 | 1.1× | 2 |
| Centivo | $14,496 | 1.5× | 1 |
| Cigna | $33,218 | 3.4× | 5 |
| Elevance/Anthem/Empire | $14,816 | 1.5× | 11 |
| Health Net | $10,270 | 1.1× | 2 |
| HealthPartners | $14,816 | 1.5× | 1 |
| Mc Alignment | $10,194 | 1.1× | 1 |
| Mc Health Net | $10,194 | 1.1× | 1 |
| Mc Scan | $10,194 | 1.1× | 1 |
| Mpmg | $12,364 | 1.3× | 1 |
| Prime Healthcare | $10,270 | 1.1× | 1 |
| Ucsd | $23,759 | 2.5× | 1 |
| UnitedHealthcare | $19,000 | 2.0× | 6 |
| Scripps Memorial Hospital La Jolla median $14,816 · local Medicare $9,677 · file 2026-03-30 | |||
| Aetna | $26,756 | 2.8× | 5 |
| Blue Shield of California | $10,162 | 1.1× | 2 |
| Centivo | $14,496 | 1.5× | 1 |
| Cigna | $33,218 | 3.4× | 5 |
| Elevance/Anthem/Empire | $14,816 | 1.5× | 11 |
| Health Net | $10,162 | 1.1× | 2 |
| HealthPartners | $14,816 | 1.5× | 1 |
| Mc Alignment | $10,162 | 1.1× | 1 |
| Mc Health Net | $10,162 | 1.1× | 1 |
| Mc Scan | $10,162 | 1.1× | 1 |
| Mpmg | $12,364 | 1.3× | 1 |
| Prime Healthcare | $17,276 | 1.8× | 1 |
| Prospect Med Group | $17,784 | 1.8× | 1 |
| Ucsd | $23,759 | 2.5× | 1 |
| UnitedHealthcare | $19,000 | 2.0× | 6 |
| Tri-City Medical Center median $15,594 · local Medicare $9,677 · file 2026-05-29 | |||
| Elevance/Anthem/Empire | $16,121 | 1.7× | 1 |
| Health Net | $15,067 | 1.6× | 1 |
| Kaiser Permanente | $17,912 | 1.9× | 1 |
| Providence Health Plan | $14,751 | 1.5× | 1 |
| Palomar Medical Center Poway median $17,712 · local Medicare $9,677 · file 2026-04-01 | |||
| Health Net | $20,831 | 2.2× | 1 |
| Prospect | $14,593 | 1.5× | 1 |
| Palomar Health Downtown Campus median $17,799 · local Medicare $9,677 · file 2026-04-01 | |||
| Health Net | $21,437 | 2.2× | 1 |
| Prospect | $15,018 | 1.6× | 1 |
| Scripps | $17,799 | 1.8× | 1 |
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Scripps Mercy Hospital median $15,516 · local Medicare $12,352 · file 2026-03-30 | |||
| Aetna | $34,154 | 2.8× | 5 |
| Blue Shield of California | $14,493 | 1.2× | 2 |
| Centivo | $18,504 | 1.5× | 1 |
| Cigna | $42,403 | 3.4× | 5 |
| Elevance/Anthem/Empire | $18,912 | 1.5× | 11 |
| Health Net | $15,516 | 1.3× | 2 |
| HealthPartners | $18,912 | 1.5× | 1 |
| Mc Alignment | $14,493 | 1.2× | 1 |
| Mc Health Net | $14,493 | 1.2× | 1 |
| Mc Scan | $14,493 | 1.2× | 1 |
| Mpmg | $15,516 | 1.3× | 1 |
| Prime Healthcare | $15,516 | 1.3× | 1 |
| Prospect Med Group | $15,516 | 1.3× | 1 |
| Ucsd | $30,329 | 2.5× | 1 |
| UnitedHealthcare | $24,253 | 2.0× | 6 |
| Scripps Green Hospital median $15,516 · local Medicare $12,352 · file 2026-03-30 | |||
| Aetna | $34,154 | 2.8× | 5 |
| Blue Shield of California | $12,806 | 1.0× | 2 |
| Centivo | $18,504 | 1.5× | 1 |
| Cigna | $42,403 | 3.4× | 5 |
| Elevance/Anthem/Empire | $18,912 | 1.5× | 11 |
| Health Net | $14,915 | 1.2× | 2 |
| HealthPartners | $18,912 | 1.5× | 1 |
| Mc Alignment | $12,806 | 1.0× | 1 |
| Mc Health Net | $12,806 | 1.0× | 1 |
| Mc Scan | $12,806 | 1.0× | 1 |
| Mpmg | $15,516 | 1.3× | 1 |
| Prime Healthcare | $14,915 | 1.2× | 1 |
| Prospect Med Group | $14,915 | 1.2× | 1 |
| Ucsd | $30,329 | 2.5× | 1 |
| UnitedHealthcare | $24,253 | 2.0× | 6 |
| Scripps Memorial Hospital - Encinitas median $17,010 · local Medicare $12,352 · file 2026-03-30 | |||
| Aetna | $34,154 | 2.8× | 5 |
| Blue Shield of California | $12,952 | 1.0× | 2 |
| Centivo | $18,504 | 1.5× | 1 |
| Cigna | $42,403 | 3.4× | 5 |
| Elevance/Anthem/Empire | $18,912 | 1.5× | 11 |
| Health Net | $13,048 | 1.1× | 2 |
| HealthPartners | $18,912 | 1.5× | 1 |
| Mc Alignment | $12,952 | 1.0× | 1 |
| Mc Health Net | $12,952 | 1.0× | 1 |
| Mc Scan | $12,952 | 1.0× | 1 |
| Mpmg | $15,516 | 1.3× | 1 |
| Prime Healthcare | $13,048 | 1.1× | 1 |
| Ucsd | $30,329 | 2.5× | 1 |
| UnitedHealthcare | $24,253 | 2.0× | 6 |
| Scripps Memorial Hospital La Jolla median $18,912 · local Medicare $12,352 · file 2026-03-30 | |||
| Aetna | $34,154 | 2.8× | 5 |
| Blue Shield of California | $12,906 | 1.0× | 2 |
| Centivo | $18,504 | 1.5× | 1 |
| Cigna | $42,403 | 3.4× | 5 |
| Elevance/Anthem/Empire | $18,912 | 1.5× | 11 |
| Health Net | $12,906 | 1.0× | 2 |
| HealthPartners | $18,912 | 1.5× | 1 |
| Mc Alignment | $12,906 | 1.0× | 1 |
| Mc Health Net | $12,906 | 1.0× | 1 |
| Mc Scan | $12,906 | 1.0× | 1 |
| Mpmg | $15,516 | 1.3× | 1 |
| Prime Healthcare | $21,941 | 1.8× | 1 |
| Prospect Med Group | $22,586 | 1.8× | 1 |
| Ucsd | $30,329 | 2.5× | 1 |
| UnitedHealthcare | $24,253 | 2.0× | 6 |
| Tri-City Medical Center median $19,578 · local Medicare $12,352 · file 2026-05-29 | |||
| Elevance/Anthem/Empire | $20,239 | 1.6× | 1 |
| Health Net | $18,916 | 1.5× | 1 |
| Kaiser Permanente | $22,488 | 1.8× | 1 |
| Providence Health Plan | $18,519 | 1.5× | 1 |
| Palomar Health Downtown Campus median $22,285 · local Medicare $12,352 · file 2026-04-01 | |||
| Health Net | $26,839 | 2.2× | 1 |
| Prospect | $18,803 | 1.5× | 1 |
| Scripps | $22,285 | 1.8× | 1 |
| Palomar Medical Center Poway median $22,340 · local Medicare $12,352 · file 2026-04-01 | |||
| Health Net | $26,274 | 2.1× | 1 |
| Prospect | $18,407 | 1.5× | 1 |
7 San Diego CA hospitals post usable commercial rates for CPT 52356, hospital outpatient. The median across hospitals is $12,068; hospital medians range from $9,655 to $12,717. Your cost depends on your plan's deductible and coinsurance.