Price AtlasInteractive atlas · All states · techysurgeon.comPneumonia (hospital stay) 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 194
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Scripps Mercy Hospital median $9,837 · local Medicare $7,532 · file 2026-03-30 | |||
| Aetna | $20,825 | 2.8× | 5 |
| Blue Shield of California | $9,213 | 1.2× | 2 |
| Centivo | $11,283 | 1.5× | 1 |
| Cigna | $11,857 | 1.6× | 5 |
| Elevance/Anthem/Empire | $11,532 | 1.5× | 11 |
| Health Net | $9,837 | 1.3× | 2 |
| HealthPartners | $11,532 | 1.5× | 1 |
| Mc Alignment | $9,213 | 1.2× | 1 |
| Mc Health Net | $9,213 | 1.2× | 1 |
| Mc Scan | $9,213 | 1.2× | 1 |
| Mpmg | $9,837 | 1.3× | 1 |
| Prime Healthcare | $9,837 | 1.3× | 1 |
| Prospect Med Group | $9,837 | 1.3× | 1 |
| Ucsd | $18,493 | 2.5× | 1 |
| UnitedHealthcare | $14,788 | 2.0× | 6 |
| Scripps Green Hospital median $9,837 · local Medicare $7,532 · file 2026-03-30 | |||
| Aetna | $20,825 | 2.8× | 5 |
| Blue Shield of California | $7,809 | 1.0× | 2 |
| Centivo | $11,283 | 1.5× | 1 |
| Cigna | $11,857 | 1.6× | 5 |
| Elevance/Anthem/Empire | $11,532 | 1.5× | 11 |
| Health Net | $9,094 | 1.2× | 2 |
| HealthPartners | $11,532 | 1.5× | 1 |
| Mc Alignment | $7,809 | 1.0× | 1 |
| Mc Health Net | $7,809 | 1.0× | 1 |
| Mc Scan | $7,809 | 1.0× | 1 |
| Mpmg | $9,837 | 1.3× | 1 |
| Prime Healthcare | $9,094 | 1.2× | 1 |
| Prospect Med Group | $9,094 | 1.2× | 1 |
| Ucsd | $18,493 | 2.5× | 1 |
| UnitedHealthcare | $14,788 | 2.0× | 6 |
| Scripps Memorial Hospital - Encinitas median $10,560 · local Medicare $7,532 · file 2026-03-30 | |||
| Aetna | $20,825 | 2.8× | 5 |
| Blue Shield of California | $8,042 | 1.1× | 2 |
| Centivo | $11,283 | 1.5× | 1 |
| Cigna | $11,857 | 1.6× | 5 |
| Elevance/Anthem/Empire | $11,532 | 1.5× | 11 |
| Health Net | $8,042 | 1.1× | 2 |
| HealthPartners | $11,532 | 1.5× | 1 |
| Mc Alignment | $8,042 | 1.1× | 1 |
| Mc Health Net | $8,042 | 1.1× | 1 |
| Mc Scan | $8,042 | 1.1× | 1 |
| Mpmg | $9,837 | 1.3× | 1 |
| Prime Healthcare | $8,042 | 1.1× | 1 |
| Ucsd | $18,493 | 2.5× | 1 |
| UnitedHealthcare | $14,788 | 2.0× | 6 |
| Scripps Memorial Hospital La Jolla median $11,532 · local Medicare $7,532 · file 2026-03-30 | |||
| Aetna | $20,825 | 2.8× | 5 |
| Blue Shield of California | $7,963 | 1.1× | 2 |
| Centivo | $11,283 | 1.5× | 1 |
| Cigna | $11,857 | 1.6× | 5 |
| Elevance/Anthem/Empire | $11,532 | 1.5× | 11 |
| Health Net | $7,963 | 1.1× | 2 |
| HealthPartners | $11,532 | 1.5× | 1 |
| Mc Alignment | $7,963 | 1.1× | 1 |
| Mc Health Net | $7,963 | 1.1× | 1 |
| Mc Scan | $7,963 | 1.1× | 1 |
| Mpmg | $9,837 | 1.3× | 1 |
| Prime Healthcare | $13,536 | 1.8× | 1 |
| Prospect Med Group | $13,935 | 1.9× | 1 |
| Ucsd | $18,493 | 2.5× | 1 |
| UnitedHealthcare | $14,788 | 2.0× | 6 |
| Tri-City Medical Center median $12,401 · local Medicare $7,532 · file 2026-05-29 | |||
| Elevance/Anthem/Empire | $12,820 | 1.7× | 1 |
| Health Net | $11,982 | 1.6× | 1 |
| Kaiser Permanente | $14,244 | 1.9× | 1 |
| Providence Health Plan | $11,731 | 1.6× | 1 |
| Palomar Medical Center Poway median $14,002 · local Medicare $7,532 · file 2026-04-01 | |||
| Health Net | $16,468 | 2.2× | 1 |
| Prospect | $11,537 | 1.5× | 1 |
| Palomar Health Downtown Campus median $14,203 · local Medicare $7,532 · file 2026-04-01 | |||
| Health Net | $17,106 | 2.3× | 1 |
| Prospect | $11,984 | 1.6× | 1 |
| Scripps | $14,203 | 1.9× | 1 |
MS-DRG 193
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Scripps Mercy Hospital median $15,436 · local Medicare $12,284 · file 2026-03-30 | |||
| Aetna | $33,965 | 2.8× | 5 |
| Blue Shield of California | $14,419 | 1.2× | 2 |
| Centivo | $18,402 | 1.5× | 1 |
| Cigna | $19,339 | 1.6× | 5 |
| Elevance/Anthem/Empire | $18,808 | 1.5× | 11 |
| Health Net | $15,436 | 1.3× | 2 |
| HealthPartners | $18,808 | 1.5× | 1 |
| Mc Alignment | $14,419 | 1.2× | 1 |
| Mc Health Net | $14,419 | 1.2× | 1 |
| Mc Scan | $14,419 | 1.2× | 1 |
| Mpmg | $15,436 | 1.3× | 1 |
| Prime Healthcare | $15,436 | 1.3× | 1 |
| Prospect Med Group | $15,436 | 1.3× | 1 |
| Ucsd | $30,162 | 2.5× | 1 |
| UnitedHealthcare | $24,119 | 2.0× | 6 |
| Scripps Green Hospital median $15,436 · local Medicare $12,284 · file 2026-03-30 | |||
| Aetna | $33,965 | 2.8× | 5 |
| Blue Shield of California | $14,833 | 1.2× | 2 |
| Centivo | $18,402 | 1.5× | 1 |
| Cigna | $19,339 | 1.6× | 5 |
| Elevance/Anthem/Empire | $18,808 | 1.5× | 11 |
| Health Net | $14,833 | 1.2× | 2 |
| HealthPartners | $18,808 | 1.5× | 1 |
| Mc Alignment | $14,833 | 1.2× | 1 |
| Mc Health Net | $14,833 | 1.2× | 1 |
| Mc Scan | $14,833 | 1.2× | 1 |
| Mpmg | $15,436 | 1.3× | 1 |
| Prime Healthcare | $14,833 | 1.2× | 1 |
| Prospect Med Group | $14,833 | 1.2× | 1 |
| Ucsd | $30,162 | 2.5× | 1 |
| UnitedHealthcare | $24,119 | 2.0× | 6 |
| Scripps Memorial Hospital - Encinitas median $16,919 · local Medicare $12,284 · file 2026-03-30 | |||
| Aetna | $33,965 | 2.8× | 5 |
| Blue Shield of California | $12,881 | 1.0× | 2 |
| Centivo | $18,402 | 1.5× | 1 |
| Cigna | $19,339 | 1.6× | 5 |
| Elevance/Anthem/Empire | $18,808 | 1.5× | 11 |
| Health Net | $12,978 | 1.1× | 2 |
| HealthPartners | $18,808 | 1.5× | 1 |
| Mc Alignment | $12,881 | 1.0× | 1 |
| Mc Health Net | $12,881 | 1.0× | 1 |
| Mc Scan | $12,881 | 1.0× | 1 |
| Mpmg | $15,436 | 1.3× | 1 |
| Prime Healthcare | $12,978 | 1.1× | 1 |
| Ucsd | $30,162 | 2.5× | 1 |
| UnitedHealthcare | $24,119 | 2.0× | 6 |
| Scripps Memorial Hospital La Jolla median $18,808 · local Medicare $12,284 · file 2026-03-30 | |||
| Aetna | $33,965 | 2.8× | 5 |
| Blue Shield of California | $12,836 | 1.0× | 2 |
| Centivo | $18,402 | 1.5× | 1 |
| Cigna | $19,339 | 1.6× | 5 |
| Elevance/Anthem/Empire | $18,808 | 1.5× | 11 |
| Health Net | $12,836 | 1.0× | 2 |
| HealthPartners | $18,808 | 1.5× | 1 |
| Mc Alignment | $12,836 | 1.0× | 1 |
| Mc Health Net | $12,836 | 1.0× | 1 |
| Mc Scan | $12,836 | 1.0× | 1 |
| Mpmg | $15,436 | 1.3× | 1 |
| Prime Healthcare | $21,822 | 1.8× | 1 |
| Prospect Med Group | $22,463 | 1.8× | 1 |
| Ucsd | $30,162 | 2.5× | 1 |
| UnitedHealthcare | $24,119 | 2.0× | 6 |
| Tri-City Medical Center median $19,476 · local Medicare $12,284 · file 2026-05-29 | |||
| Elevance/Anthem/Empire | $20,134 | 1.6× | 1 |
| Health Net | $18,818 | 1.5× | 1 |
| Kaiser Permanente | $22,371 | 1.8× | 1 |
| Providence Health Plan | $18,423 | 1.5× | 1 |
| Palomar Health Downtown Campus median $22,170 · local Medicare $12,284 · file 2026-04-01 | |||
| Health Net | $26,701 | 2.2× | 1 |
| Prospect | $18,706 | 1.5× | 1 |
| Scripps | $22,170 | 1.8× | 1 |
| Palomar Medical Center Poway median $22,222 · local Medicare $12,284 · file 2026-04-01 | |||
| Health Net | $26,135 | 2.1× | 1 |
| Prospect | $18,310 | 1.5× | 1 |
MS-DRG 195
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Scripps Mercy Hospital median $7,883 · local Medicare $5,874 · file 2026-03-30 | |||
| Aetna | $16,241 | 2.8× | 5 |
| Blue Shield of California | $7,397 | 1.3× | 2 |
| Centivo | $8,799 | 1.5× | 1 |
| Cigna | $9,247 | 1.6× | 5 |
| Elevance/Anthem/Empire | $8,993 | 1.5× | 11 |
| Health Net | $7,883 | 1.3× | 2 |
| HealthPartners | $8,993 | 1.5× | 1 |
| Mc Alignment | $7,397 | 1.3× | 1 |
| Mc Health Net | $7,397 | 1.3× | 1 |
| Mc Scan | $7,397 | 1.3× | 1 |
| Mpmg | $7,883 | 1.3× | 1 |
| Prime Healthcare | $7,883 | 1.3× | 1 |
| Prospect Med Group | $7,883 | 1.3× | 1 |
| Ucsd | $14,422 | 2.5× | 1 |
| UnitedHealthcare | $11,533 | 2.0× | 6 |
| Scripps Green Hospital median $7,883 · local Medicare $5,874 · file 2026-03-30 | |||
| Aetna | $16,241 | 2.8× | 5 |
| Blue Shield of California | $6,090 | 1.0× | 2 |
| Centivo | $8,799 | 1.5× | 1 |
| Cigna | $9,247 | 1.6× | 5 |
| Elevance/Anthem/Empire | $8,993 | 1.5× | 11 |
| Health Net | $7,092 | 1.2× | 2 |
| HealthPartners | $8,993 | 1.5× | 1 |
| Mc Alignment | $6,090 | 1.0× | 1 |
| Mc Health Net | $6,090 | 1.0× | 1 |
| Mc Scan | $6,090 | 1.0× | 1 |
| Mpmg | $7,883 | 1.3× | 1 |
| Prime Healthcare | $7,092 | 1.2× | 1 |
| Prospect Med Group | $7,092 | 1.2× | 1 |
| Ucsd | $14,422 | 2.5× | 1 |
| UnitedHealthcare | $11,533 | 2.0× | 6 |
| Scripps Memorial Hospital - Encinitas median $8,341 · local Medicare $5,874 · file 2026-03-30 | |||
| Aetna | $16,241 | 2.8× | 5 |
| Blue Shield of California | $6,274 | 1.1× | 2 |
| Centivo | $8,799 | 1.5× | 1 |
| Cigna | $9,247 | 1.6× | 5 |
| Elevance/Anthem/Empire | $8,993 | 1.5× | 11 |
| Health Net | $6,320 | 1.1× | 2 |
| HealthPartners | $8,993 | 1.5× | 1 |
| Mc Alignment | $6,274 | 1.1× | 1 |
| Mc Health Net | $6,274 | 1.1× | 1 |
| Mc Scan | $6,274 | 1.1× | 1 |
| Mpmg | $7,883 | 1.3× | 1 |
| Prime Healthcare | $6,320 | 1.1× | 1 |
| Ucsd | $14,422 | 2.5× | 1 |
| UnitedHealthcare | $11,533 | 2.0× | 6 |
| Scripps Memorial Hospital La Jolla median $8,993 · local Medicare $5,874 · file 2026-03-30 | |||
| Aetna | $16,241 | 2.8× | 5 |
| Blue Shield of California | $6,262 | 1.1× | 2 |
| Centivo | $8,799 | 1.5× | 1 |
| Cigna | $9,247 | 1.6× | 5 |
| Elevance/Anthem/Empire | $8,993 | 1.5× | 11 |
| Health Net | $6,262 | 1.1× | 2 |
| HealthPartners | $8,993 | 1.5× | 1 |
| Mc Alignment | $6,262 | 1.1× | 1 |
| Mc Health Net | $6,262 | 1.1× | 1 |
| Mc Scan | $6,262 | 1.1× | 1 |
| Mpmg | $7,883 | 1.3× | 1 |
| Prime Healthcare | $10,646 | 1.8× | 1 |
| Prospect Med Group | $10,959 | 1.9× | 1 |
| Ucsd | $14,422 | 2.5× | 1 |
| UnitedHealthcare | $11,533 | 2.0× | 6 |
| Tri-City Medical Center median $9,932 · local Medicare $5,874 · file 2026-05-29 | |||
| Elevance/Anthem/Empire | $10,268 | 1.7× | 1 |
| Health Net | $9,597 | 1.6× | 1 |
| Kaiser Permanente | $11,409 | 1.9× | 1 |
| Providence Health Plan | $9,396 | 1.6× | 1 |
| Palomar Medical Center Poway median $11,134 · local Medicare $5,874 · file 2026-04-01 | |||
| Health Net | $13,095 | 2.2× | 1 |
| Prospect | $9,174 | 1.6× | 1 |
| Palomar Health Downtown Campus median $11,424 · local Medicare $5,874 · file 2026-04-01 | |||
| Health Net | $13,758 | 2.3× | 1 |
| Prospect | $9,639 | 1.6× | 1 |
| Scripps | $11,424 | 1.9× | 1 |
Questions
How much does pneumonia (hospital stay) cost with commercial insurance in San Diego CA?
7 San Diego CA hospitals post usable commercial rates for inpatient stay (MS-DRG 194). The median across hospitals is $11,532; hospital medians range from $9,837 to $14,203. Your cost depends on your plan's deductible and coinsurance.