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 $19,551 · local Medicare $13,672 · file 2026-05-29 | |||
| Bright Health | $21,875 | 1.6× | 1 |
| Elevance/Anthem/Empire | $21,601 | 1.6× | 1 |
| Health Net | $19,551 | 1.4× | 1 |
| Kaiser Permanente | $13,672 | 1.0× | 1 |
| Providence Health Plan | $19,140 | 1.4× | 1 |
| Palomar Health Downtown Campus median $23,543 · local Medicare $13,672 · file 2026-04-01 | |||
| Health Net | $25,211 | 1.8× | 1 |
| Scripps | $21,875 | 1.6× | 1 |
| Palomar Medical Center Poway median $25,211 · local Medicare $13,672 · file 2026-04-01 | |||
| Health Net | $25,211 | 1.8× | 1 |
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Scripps Memorial Hospital - Encinitas median $15,111 · local Medicare $14,338 · file 2026-03-30 | |||
| Aetna | $39,645 | 2.8× | 5 |
| Blue Shield of California | $14,999 | 1.0× | 2 |
| Cigna | $21,057 | 1.5× | 5 |
| Elevance/Anthem/Empire | $14,999 | 1.0× | 1 |
| Health Net | $15,111 | 1.1× | 1 |
| Mc Alignment | $14,999 | 1.0× | 1 |
| Mc Health Net | $14,999 | 1.0× | 1 |
| Mc Scan | $14,999 | 1.0× | 1 |
| Mpmg | $17,856 | 1.2× | 1 |
| Prime Healthcare | $15,111 | 1.1× | 1 |
| UnitedHealthcare | $16,427 | 1.1× | 2 |
| Scripps Green Hospital median $17,313 · local Medicare $14,338 · file 2026-03-30 | |||
| Aetna | $39,645 | 2.8× | 4 |
| Blue Shield of California | $17,313 | 1.2× | 2 |
| Cigna | $21,057 | 1.5× | 5 |
| Elevance/Anthem/Empire | $17,313 | 1.2× | 1 |
| Health Net | $17,313 | 1.2× | 1 |
| Mc Alignment | $17,313 | 1.2× | 1 |
| Mc Health Net | $17,313 | 1.2× | 1 |
| Mc Scan | $17,313 | 1.2× | 1 |
| Mpmg | $17,856 | 1.2× | 1 |
| Prime Healthcare | $17,313 | 1.2× | 1 |
| Prospect Med Group | $17,313 | 1.2× | 1 |
| UnitedHealthcare | $17,584 | 1.2× | 2 |
| Scripps Mercy Hospital median $17,856 · local Medicare $14,338 · file 2026-03-30 | |||
| Aetna | $39,645 | 2.8× | 5 |
| Blue Shield of California | $17,856 | 1.2× | 2 |
| Centivo | $21,479 | 1.5× | 1 |
| Cigna | $21,057 | 1.5× | 5 |
| Elevance/Anthem/Empire | $21,953 | 1.5× | 11 |
| Health Net | $17,856 | 1.2× | 2 |
| HealthPartners | $21,953 | 1.5× | 1 |
| Mc Alignment | $17,856 | 1.2× | 1 |
| Mc Health Net | $17,856 | 1.2× | 1 |
| Mc Scan | $17,856 | 1.2× | 1 |
| Mpmg | $17,856 | 1.2× | 1 |
| Prime Healthcare | $17,856 | 1.2× | 1 |
| Prospect Med Group | $17,856 | 1.2× | 1 |
| Ucsd | $35,205 | 2.5× | 1 |
| UnitedHealthcare | $28,153 | 2.0× | 6 |
| Tri-City Medical Center median $22,534 · local Medicare $14,338 · file 2026-05-29 | |||
| Elevance/Anthem/Empire | $23,295 | 1.6× | 1 |
| Health Net | $21,773 | 1.5× | 1 |
| Kaiser Permanente | $25,884 | 1.8× | 1 |
| Providence Health Plan | $21,316 | 1.5× | 1 |
| Palomar Health Downtown Campus median $25,614 · local Medicare $14,338 · file 2026-04-01 | |||
| Health Net | $30,849 | 2.2× | 1 |
| Prospect | $21,612 | 1.5× | 1 |
| Scripps | $25,614 | 1.8× | 1 |
| Palomar Medical Center Poway median $25,776 · local Medicare $14,338 · file 2026-04-01 | |||
| Health Net | $30,314 | 2.1× | 1 |
| Prospect | $21,237 | 1.5× | 1 |
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Scripps Memorial Hospital - Encinitas median $19,562 · local Medicare $18,694 · file 2026-03-30 | |||
| Blue Shield of California | $19,489 | 1.0× | 2 |
| Cigna | $27,454 | 1.5× | 5 |
| Elevance/Anthem/Empire | $19,489 | 1.0× | 1 |
| Health Net | $19,635 | 1.1× | 1 |
| Mc Alignment | $19,489 | 1.0× | 1 |
| Mc Health Net | $19,489 | 1.0× | 1 |
| Mc Scan | $19,489 | 1.0× | 1 |
| Mpmg | $22,988 | 1.2× | 1 |
| Prime Healthcare | $19,635 | 1.1× | 1 |
| UnitedHealthcare | $21,238 | 1.1× | 2 |
| Scripps Green Hospital median $21,185 · local Medicare $18,694 · file 2026-03-30 | |||
| Blue Shield of California | $19,382 | 1.0× | 2 |
| Cigna | $27,454 | 1.5× | 5 |
| Elevance/Anthem/Empire | $19,382 | 1.0× | 1 |
| Health Net | $22,573 | 1.2× | 1 |
| Mc Alignment | $19,382 | 1.0× | 1 |
| Mc Health Net | $19,382 | 1.0× | 1 |
| Mc Scan | $19,382 | 1.0× | 1 |
| Mpmg | $22,988 | 1.2× | 1 |
| Prime Healthcare | $22,573 | 1.2× | 1 |
| Prospect Med Group | $22,573 | 1.2× | 1 |
| UnitedHealthcare | $21,185 | 1.1× | 2 |
| Scripps Mercy Hospital median $22,988 · local Medicare $18,694 · file 2026-03-30 | |||
| Aetna | $51,690 | 2.8× | 5 |
| Blue Shield of California | $22,988 | 1.2× | 2 |
| Centivo | $28,004 | 1.5× | 1 |
| Cigna | $27,454 | 1.5× | 5 |
| Elevance/Anthem/Empire | $28,622 | 1.5× | 11 |
| Health Net | $22,988 | 1.2× | 2 |
| HealthPartners | $28,622 | 1.5× | 1 |
| Mc Alignment | $22,988 | 1.2× | 1 |
| Mc Health Net | $22,988 | 1.2× | 1 |
| Mc Scan | $22,988 | 1.2× | 1 |
| Mpmg | $22,988 | 1.2× | 1 |
| Prime Healthcare | $22,988 | 1.2× | 1 |
| Prospect Med Group | $22,988 | 1.2× | 1 |
| Ucsd | $45,901 | 2.5× | 1 |
| UnitedHealthcare | $36,706 | 2.0× | 6 |
| Tri-City Medical Center median $29,020 · local Medicare $18,694 · file 2026-05-29 | |||
| Elevance/Anthem/Empire | $30,000 | 1.6× | 1 |
| Health Net | $28,039 | 1.5× | 1 |
| Kaiser Permanente | $33,333 | 1.8× | 1 |
| Providence Health Plan | $27,451 | 1.5× | 1 |
| Palomar Health Downtown Campus median $32,917 · local Medicare $18,694 · file 2026-04-01 | |||
| Health Net | $39,645 | 2.1× | 1 |
| Prospect | $27,774 | 1.5× | 1 |
| Scripps | $32,917 | 1.8× | 1 |
| Palomar Medical Center Poway median $33,310 · local Medicare $18,694 · file 2026-04-01 | |||
| Health Net | $39,176 | 2.1× | 1 |
| Prospect | $27,445 | 1.5× | 1 |
3 San Diego CA hospitals post usable commercial rates for CPT 55866, hospital outpatient. The median across hospitals is $23,543; hospital medians range from $19,551 to $25,211. Your cost depends on your plan's deductible and coinsurance.