▸ Hospital · · CCN 059815
Green Hospital Of Scripps Clinic
Compliance grade
A
100/100
Procedures tracked
148
of 209 target codes
Payers
30
with negotiated rates
Rates published
126,184
last crawl 2026-05-23
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 58 | $51,058 | $12,765 | $11,705 | $13,534 | $51,691 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 68 | $839.92 | $209.98 | $11.14 | $364.03 | $755.93 |
| ED visit level 2 | CPT | 99282 | 68 | $1,312.38 | $328.09 | $40.78 | $603.82 | $1,181.14 |
| ED visit level 3 | CPT | 99283 | 68 | $2,414.77 | $603.69 | $69.85 | $1,095.69 | $2,173.29 |
| ED visit level 4 | CPT | 99284 | 68 | $19,633 | $4,908.28 | $118.58 | $3,169.86 | $17,670 |
| ED visit level 5 | CPT | 99285 | 68 | $23,623 | $5,905.69 | $172.27 | $6,425.39 | $21,260 |
| Critical care, first hour | CPT | 99291 | 72 | $28,347 | $7,086.82 | $203.09 | $10,281 | $25,513 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 69 | $3,457.62 | $864.4 | $62.46 | $207.46 | $2,766.1 |
| CT head with contrast | CPT | 70460 | 69 | $3,761.61 | $940.4 | $89.4 | $232.36 | $3,009.29 |
| CT head with and without contrast | CPT | 70470 | 69 | $4,065.6 | $1,016.4 | $106.53 | $243.94 | $3,252.48 |
| CT neck with contrast | CPT | 70491 | 69 | $6,613.94 | $1,653.48 | $111.52 | $396.84 | $5,291.15 |
| MRI brain without contrast | CPT | 70551 | 69 | $3,652.13 | $913.03 | $118.68 | $322.23 | $2,921.7 |
| MRI brain with contrast | CPT | 70552 | 69 | $4,146.31 | $1,036.58 | $173.98 | $448.71 | $3,317.05 |
| MRI brain with and without contrast | CPT | 70553 | 69 | $5,902.98 | $1,475.74 | $197.04 | $472.24 | $4,722.38 |
| Chest X-ray single view | CPT | 71045 | 69 | $302.98 | $75.74 | $17.33 | $101.8 | $279.82 |
| Chest X-ray 2 views | CPT | 71046 | 69 | $974.59 | $243.65 | $27.35 | $155.93 | $779.67 |
| Chest X-ray 3 views | CPT | 71047 | 69 | $287.53 | $71.88 | $23 | $111.93 | $279.82 |
| CT chest without contrast | CPT | 71250 | 69 | $2,098.94 | $524.73 | $77.42 | $207 | $1,679.15 |
| CT chest with contrast | CPT | 71260 | 69 | $8,534.59 | $2,133.65 | $104.98 | $419.61 | $6,827.67 |
| CT chest with and without contrast | CPT | 71270 | 69 | $2,967.55 | $741.89 | $128.66 | $232.36 | $2,374.04 |
| MRI chest without contrast | CPT | 71550 | 69 | $2,543.04 | $635.76 | $203.44 | $347 | $2,034.43 |
| MRI chest with contrast | CPT | 71551 | 69 | $2,556.96 | $639.24 | $204.56 | $516.51 | $2,520.63 |
| MRI chest with and without contrast | CPT | 71552 | 69 | $2,570.88 | $642.72 | $205.67 | $448.71 | $2,056.7 |
| Lumbosacral spine X-ray | CPT | 72100 | 69 | $1,290.82 | $322.7 | $35.33 | $235.31 | $1,032.66 |
| CT cervical spine without contrast | CPT | 72125 | 69 | $6,900 | $1,725 | $78.35 | $250.1 | $5,520 |
| CT thoracic spine without contrast | CPT | 72128 | 69 | $2,202.05 | $550.51 | $78.04 | $207 | $1,761.64 |
| CT lumbar spine without contrast | CPT | 72131 | 69 | $1,919.23 | $479.81 | $77.73 | $207 | $1,535.38 |
| MRI cervical spine without contrast | CPT | 72141 | 69 | $5,028.48 | $1,257.12 | $114.01 | $402.28 | $4,022.78 |
| MRI thoracic spine without contrast | CPT | 72146 | 69 | $4,104.86 | $1,026.21 | $113.7 | $347 | $3,283.89 |
| MRI lumbar spine without contrast | CPT | 72148 | 69 | $3,013 | $753.25 | $114.64 | $347 | $2,410.4 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 69 | $3,240 | $810 | $174.29 | $448.71 | $2,592 |
| MRI cervical spine with and without contrast | CPT | 72156 | 69 | $6,648 | $1,662 | $197.66 | $531.84 | $5,318.4 |
| MRI lumbar spine with contrast | CPT | 72158 | 69 | $3,385.8 | $846.45 | $197.97 | $448.71 | $2,708.64 |
| CT pelvis without contrast | CPT | 72192 | 69 | $1,455.55 | $363.89 | $77.1 | $207 | $1,164.44 |
| CT pelvis with contrast | CPT | 72193 | 69 | $2,920.22 | $730.05 | $160.44 | $232.36 | $2,336.18 |
| Shoulder X-ray | CPT | 73030 | 69 | $1,458.43 | $364.61 | $31.74 | $322.31 | $1,166.74 |
| Humerus X-ray | CPT | 73060 | 69 | $1,689.98 | $422.49 | $28.54 | $286.03 | $1,351.98 |
| Hand X-ray 3 views | CPT | 73130 | 69 | $1,638.18 | $409.54 | $34.94 | $362.04 | $1,310.54 |
| MRI upper extremity joint without contrast | CPT | 73221 | 69 | $3,468.86 | $867.21 | $132.09 | $400.07 | $2,775.09 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 69 | $6,489 | $1,622.25 | $264.03 | $462.17 | $5,191.2 |
| Knee X-ray 1-2 views | CPT | 73560 | 69 | $423.18 | $105.79 | $22.57 | $111.93 | $338.54 |
| Ankle X-ray 3 views | CPT | 73610 | 69 | $1,365.04 | $341.26 | $34.14 | $301.67 | $1,092.03 |
| MRI lower extremity joint without contrast | CPT | 73721 | 69 | $6,628.43 | $1,657.11 | $131.77 | $612.51 | $5,302.74 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 69 | $6,134.54 | $1,533.63 | $262.78 | $828.15 | $4,907.63 |
| CT abdomen without contrast | CPT | 74150 | 69 | $1,270.66 | $317.66 | $75.86 | $205.85 | $1,016.53 |
| CT abdomen with contrast | CPT | 74160 | 69 | $2,430.66 | $607.66 | $145.84 | $225.59 | $1,944.53 |
| CT abdomen with and without contrast | CPT | 74170 | 69 | $2,833.34 | $708.33 | $170 | $232.46 | $2,266.67 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 69 | $5,827.2 | $1,456.8 | $95.94 | $349.63 | $4,661.76 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 69 | $9,000 | $2,250 | $201.57 | $540 | $7,200 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 69 | $9,450 | $2,362.5 | $207 | $567 | $7,560 |
| MRI abdomen without contrast | CPT | 74181 | 69 | $2,196.29 | $549.07 | $118.37 | $322.23 | $1,757.03 |
| MRI abdomen with and without contrast | CPT | 74183 | 69 | $3,440.45 | $860.11 | $218.23 | $448.71 | $2,752.36 |
| Abdominal ultrasound complete | CPT | 76700 | 69 | $1,369.44 | $342.36 | $91.44 | $235.31 | $1,095.55 |
| Abdominal ultrasound limited | CPT | 76705 | 69 | $1,790.56 | $447.64 | $70.09 | $391 | $1,432.45 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 69 | $389.4 | $97.35 | $31.15 | $134.46 | $336.16 |
| Obstetric ultrasound first trimester | CPT | 76801 | 69 | $2,941.78 | $735.44 | $84.07 | $500.1 | $2,353.42 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 69 | $909.04 | $227.26 | $72.72 | $200.9 | $727.23 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 69 | $546.84 | $136.71 | $43.75 | $248.27 | $767.21 |
| Transvaginal ultrasound | CPT | 76830 | 69 | $1,615.79 | $403.95 | $101.43 | $274.68 | $1,292.63 |
| Pelvic ultrasound complete | CPT | 76856 | 69 | $2,311.24 | $577.81 | $86.87 | $392.91 | $1,848.99 |
| Scrotal ultrasound | CPT | 76870 | 69 | $2,155.26 | $538.81 | $82.07 | $366.39 | $1,724.21 |
| Diagnostic mammography unilateral | CPT | 77065 | 69 | $671.99 | $168 | $53.76 | $148.51 | $537.59 |
| Diagnostic mammography bilateral | CPT | 77066 | 69 | $897.82 | $224.45 | $71.83 | $198.42 | $718.26 |
| Screening mammography bilateral | CPT | 77067 | 69 | $723.47 | $180.87 | $57.88 | $151.93 | $578.78 |
| EKG tracing only | CPT | 93005 | 69 | $414.41 | $103.6 | $8.17 | $79.67 | $331.53 |
| Transthoracic echocardiogram complete | CPT | 93306 | 69 | $1,842.06 | $460.51 | $125.35 | $702.78 | $2,520.63 |
| Transthoracic echocardiogram | CPT | 93307 | 65 | $2,265.07 | $566.27 | $181.21 | $1,008.25 | $2,520.63 |
| Stress echocardiogram | CPT | 93350 | 69 | $9,176.87 | $2,294.22 | $140.58 | $1,627.48 | $7,341.5 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 58 | $82,742 | $20,685 | $16,852 | $19,485 | $74,421 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 58 | $37,168 | $9,291.97 | $8,466.31 | $9,789.2 | $37,388 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 58 | $17,970 | $4,492.42 | $5,735.27 | $6,631.42 | $25,328 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 58 | $41,345 | $10,336 | $13,095 | $15,142 | $57,831 |
| COPD w MCC | MS-DRG | 190 | 58 | $24,708 | $6,177 | $9,282.53 | $10,733 | $40,993 |
| COPD w CC | MS-DRG | 191 | 58 | $29,167 | $7,291.85 | $7,064.34 | $8,168.17 | $31,197 |
| COPD w/o CC/MCC | MS-DRG | 192 | 58 | $8,411.22 | $2,102.8 | $5,379.96 | $6,220.59 | $23,758 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 58 | $29,848 | $7,461.97 | $6,753.44 | $7,808.67 | $29,824 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 58 | $16,776 | $4,194.09 | $5,266.83 | $6,089.78 | $23,259 |
| AMI discharged alive w MCC | MS-DRG | 280 | 57 | $94,383 | $23,596 | $13,442 | $16,822 | $59,363 |
| AMI discharged alive w CC | MS-DRG | 281 | 57 | $115,341 | $28,835 | $7,702.06 | $9,638.69 | $34,013 |
| Heart failure & shock w MCC | MS-DRG | 291 | 58 | $45,423 | $11,356 | $10,758 | $12,439 | $47,510 |
| Heart failure & shock w CC | MS-DRG | 292 | 60 | $11,939 | $2,984.84 | $7,114.62 | $9,580.8 | $31,419 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 58 | $29,540 | $7,384.98 | $4,743.08 | $5,484.21 | $20,946 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 58 | $30,472 | $7,618.11 | $10,090 | $11,666 | $40,291 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 58 | $15,405 | $3,851.35 | $6,165.17 | $7,128.49 | $24,619 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 58 | $13,877 | $3,469.36 | $4,743.92 | $5,485.18 | $18,944 |
| GI hemorrhage w CC | MS-DRG | 378 | 58 | $28,346 | $7,086.39 | $8,218.27 | $9,502.39 | $36,293 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 60 | $11,262 | $2,815.59 | $5,282.75 | $7,113.96 | $23,329 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 58 | $20,925 | $5,231.2 | $6,533.05 | $7,553.85 | $28,851 |
| Kidney/UTI w MCC | MS-DRG | 689 | 58 | $23,042 | $5,760.54 | $9,723.31 | $11,243 | $42,939 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 58 | $19,211 | $4,802.87 | $6,783.61 | $7,843.58 | $29,957 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 58 | $50,933 | $12,733 | $16,278 | $18,822 | $71,886 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 58 | $23,826 | $5,956.38 | $8,575.25 | $11,548 | $37,869 |
| Initial hospital care, low complexity | CPT | 99221 | 37 | $124.03 | $31.01 | $9.92 | $42.29 | $132.81 |
| Initial hospital care, moderate complexity | CPT | 99222 | 37 | $924.53 | $231.13 | $53.22 | $234.52 | $739.62 |
| Initial hospital care, high complexity | CPT | 99223 | 37 | $660.82 | $165.2 | $37.9 | $168.89 | $528.66 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 69 | $244 | $61 | $8.46 | $36.6 | $195.2 |
| General health panel | CPT | 80050 | 38 | $454.46 | $113.61 | $36.36 | $153.84 | $363.57 |
| Electrolyte panel | CPT | 80051 | 69 | $69.98 | $17.49 | $5.6 | $12.27 | $55.98 |
| Comprehensive metabolic panel | CPT | 80053 | 69 | $391.99 | $98 | $10.56 | $62.72 | $313.59 |
| Renal function panel | CPT | 80069 | 69 | $88 | $22 | $7.04 | $15.19 | $70.4 |
| Hepatic function panel | CPT | 80076 | 69 | $284.84 | $71.21 | $8.17 | $45.57 | $227.87 |
| Urinalysis non-automated | CPT | 81002 | 69 | $21.09 | $5.27 | $1.53 | $5.75 | $16.87 |
| Urinalysis automated | CPT | 81003 | 69 | $84.77 | $21.19 | $2.25 | $18.73 | $67.82 |
| Glucose quantitative | CPT | 82947 | 69 | $23.04 | $5.76 | $1.84 | $5.09 | $18.43 |
| Hemoglobin A1c | CPT | 83036 | 69 | $51.84 | $12.96 | $4.15 | $10.2 | $41.47 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 69 | $134.32 | $33.58 | $10.75 | $28.56 | $107.46 |
| Complete blood count with automated differential | CPT | 85025 | 69 | $110 | $27.5 | $7.77 | $17.6 | $88 |
| Complete blood count without differential | CPT | 85027 | 69 | $151.63 | $37.91 | $6.47 | $22.74 | $121.3 |
| Tissue exam by pathologist level IV | CPT | 88305 | 69 | $254.59 | $63.65 | $15.26 | $67.02 | $203.67 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 72 | $617.4 | $154.35 | $24.95 | $260.03 | $650.06 |
| Vaginal delivery only | CPT | 59409 | 68 | $17,578 | $4,394.45 | $695.78 | $9,985.52 | $15,820 |
| office | ||||||||
| Office visit, established patient, 5 min | CPT | 99211 | 69 | $264.6 | $66.15 | $7.97 | $94.33 | $1,914.88 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 69 | $242.11 | $60.53 | $12.28 | $52.72 | $428.09 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 69 | $293.71 | $73.43 | $23.5 | $88.11 | $428.09 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 72 | $2,901.6 | $725.4 | $115.67 | $1,166.53 | $2,916.34 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 72 | $2,597.4 | $649.35 | $128.99 | $1,166.53 | $2,916.34 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 69 | $2,121.65 | $530.41 | $57.15 | $482.69 | $2,990.2 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 69 | $1,982.3 | $495.57 | $70.68 | $660.11 | $2,990.2 |
| Colonoscopy diagnostic | CPT | 45378 | 69 | $2,997.98 | $749.49 | $170.35 | $740.5 | $2,990.2 |
| Colonoscopy with biopsy | CPT | 45380 | 69 | $3,887.4 | $971.85 | $184.11 | $960.19 | $3,847.7 |
| Colonoscopy with polyp removal | CPT | 45385 | 69 | $3,385.34 | $846.33 | $231.38 | $1,127.32 | $3,847.7 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 65 | $17,960 | $4,490 | $1,340.26 | $3,627.92 | $56,379 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 31 | $17,253 | $4,313.25 | $147.65 | $2,984.77 | $13,802 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 69 | $13,184 | $3,296.03 | $1,016.76 | $2,663.2 | $23,332 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 69 | $11,856 | $2,963.99 | $548.23 | $2,394.91 | $10,521 |
| ACL reconstruction | CPT | 29888 | 69 | $19,333 | $4,833.36 | $926.66 | $3,905.35 | $23,332 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 49 | — | $134,432 | $44,537 | $44,537 | $86,980 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 53 | $317,483 | $79,371 | $23,227 | $23,227 | $88,713 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 58 | $263,354 | $65,838 | $14,103 | $16,306 | $62,279 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 58 | $168,277 | $42,069 | $14,176 | $16,391 | $62,601 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 58 | $76,930 | $19,232 | $11,445 | $13,234 | $50,544 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 58 | $158,997 | $39,749 | $28,552 | $33,013 | $126,087 |
| Laparoscopic appendectomy | CPT | 44970 | 72 | $55,689 | $13,922 | $588.44 | $10,024 | $44,552 |
| Major joint replacement w MCC | MS-DRG | 469 | 58 | $197,232 | $49,308 | $25,418 | $29,390 | $83,258 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 58 | $145,427 | $36,357 | $16,164 | $18,690 | $52,946 |
| Laparoscopic cholecystectomy | CPT | 47562 | 65 | $49,755 | $12,439 | $640.87 | $8,358.76 | $39,804 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 65 | $50,252 | $12,563 | $692.31 | $8,442.38 | $40,202 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 58 | $135,013 | $33,753 | $17,552 | $20,294 | $77,511 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 58 | $108,974 | $27,244 | $13,668 | $15,803 | $60,358 |
| Lap inguinal hernia repair | CPT | 49650 | 69 | $16,417 | $4,104.36 | $437.35 | $2,889.47 | $19,439 |
| Vaginal hysterectomy | CPT | 58260 | 69 | $19,493 | $4,873.34 | $758.29 | $3,937.66 | $16,085 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 65 | $56,560 | $14,140 | $892.02 | $11,425 | $45,248 |
| Lap salpingo-oophorectomy | CPT | 58661 | 69 | $57,124 | $14,281 | $593.17 | $8,568.63 | $45,699 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 50 | $235,260 | $58,815 | $18,776 | $27,977 | $40,424 |
| OR procedure for obesity w CC | MS-DRG | 620 | 50 | $133,067 | $33,267 | $15,506 | $15,506 | $22,404 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 50 | $127,874 | $31,969 | $14,615 | $14,615 | $21,118 |
| Complex cataract surgery | CPT | 66982 | 65 | $7,446.85 | $1,861.71 | $595.75 | $1,504.26 | $7,420.62 |
| Cataract surgery with lens implant | CPT | 66984 | 65 | $7,774.02 | $1,943.5 | $501.72 | $1,570.35 | $7,420.62 |
Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.
Payer mix (top 30)
| Payer | Codes covered | Median rate |
|---|---|---|
| mc scan [905] | 148 | $303.44 |
| Aetna | 148 | $589.88 |
| Health Net | 148 | $713.45 |
| Cigna | 148 | $414 |
| sharp rees stealy med grp [811] | 148 | $653.08 |
| UnitedHealthcare | 148 | $563.67 |
| sharp comm med grp [812] | 148 | $653.08 |
| mc alignment [917] | 148 | $303.44 |
| ucsd [807] | 148 | $653.08 |
| Blue Cross Blue Shield | 148 | $523.58 |
| prime healthcare [614] | 147 | $762.81 |
| prospect med group [893] | 147 | $785.24 |
| centivo [581] | 146 | $676.61 |
| Kaiser Permanente | 146 | $919.35 |
| hn [815] | 144 | $691.96 |
| uh [819] | 144 | $718.37 |
| veba med grp [813] | 144 | $785.25 |
| palomar health [892] | 144 | $785.25 |
| alignment health plan [443] | 144 | $462.17 |
| d-snp mcr adv [889] | 143 | $448.71 |
| imperial county phys med group [855] | 143 | $554.17 |
| clever care mcr adv [465] | 143 | $448.71 |
| hn mcr adv [832] | 143 | $448.71 |
| astiva mcr adv [464] | 143 | $448.71 |
| Medicare | 143 | $448.71 |
| Humana | 143 | $448.71 |
| bc mcr adv [830] | 143 | $448.71 |
| integrated health partners - mcr adv [895] | 143 | $448.71 |
| integrated health partners [894] | 143 | $636.54 |
| bc [814] | 143 | $636.54 |
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