Hospital · Federal record
SCRIPPS MEMORIAL HOSPITAL - ENCINITAS
Acute Care Hospitals · Voluntary non-profit - Private · 158 beds · ENCINITAS, CA
- CCN 050503
- 5 / 5 CMS overall
- HCAHPS recommend 78%
CMS quality programs
Federal payment-adjustment programs
HRRP
Higher than expected
Excess readmission ratio: 1.259
HACRP
Not penalized
HAC composite: -0.33
HVBP
Score 48.42
Value-based purchasing · FY 2024
Patient experience (HCAHPS)
CMS publishes only the summary star rating and "would recommend" percentage in the current Hospital General Information snapshot. Detailed HCAHPS measures are not available for this hospital.
Medicare charges · 2024
Top procedures by volume
Charges are not what you pay
Hospital "submitted charges" are list prices. Medicare reimburses a fraction; insured patients typically pay a contracted rate; uninsured patients can negotiate.Inpatient (MS-DRG)
| DRG | Description | Cases | Avg charge | Avg paid |
|---|---|---|---|---|
871 |
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 575 | $94,929 | $16,883 |
291 |
HEART FAILURE AND SHOCK WITH MCC | 207 | $66,617 | $10,928 |
872 |
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 167 | $53,210 | $8,205 |
177 |
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 131 | $81,429 | $14,098 |
378 |
GASTROINTESTINAL HEMORRHAGE WITH CC | 100 | $55,846 | $7,918 |
392 |
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 88 | $44,422 | $6,216 |
189 |
PULMONARY EDEMA AND RESPIRATORY FAILURE | 76 | $65,704 | $10,110 |
470 |
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 65 | $162,843 | $16,505 |
552 |
MEDICAL BACK PROBLEMS WITHOUT MCC | 65 | $54,695 | $7,689 |
698 |
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 64 | $67,115 | $14,401 |
Outpatient · 2023
| Code | Description | Services | Avg charge | Avg paid |
|---|---|---|---|---|
5072 |
Level 2 Excision/ Biopsy/ Incision and Drainage | 0 | $0 | $1,369 |
5073 |
Level 3 Excision/ Biopsy/ Incision and Drainage | 0 | $0 | $2,358 |
5091 |
Level 1 Breast/Lymphatic Surgery and Related Procedures | 0 | $0 | $0 |
5092 |
Level 2 Breast/Lymphatic Surgery and Related Procedures | 0 | $0 | $5,425 |
5093 |
Level 3 Breast/Lymphatic Surgery and Related Procedures | 0 | $0 | $0 |
5094 |
Level 4 Breast/Lymphatic Surgery and Related Procedures | 0 | $0 | $0 |
5112 |
Level 2 Musculoskeletal Procedures | 0 | $0 | $1,309 |
5113 |
Level 3 Musculoskeletal Procedures | 0 | $0 | $2,717 |
5114 |
Level 4 Musculoskeletal Procedures | 0 | $0 | $5,917 |
5115 |
Level 5 Musculoskeletal Procedures | 0 | $0 | $13,319 |
Affiliated providers
-
Dr. RIAZ AHMEDCardiovascular Disease Physician
-
Dr. RAMSEY AL-HAKIMVascular & Interventional Radiology Physician
-
Dr. JOSHUA ALEXANDERNeurology Physician
-
Dr. DHUHA ALHANKAWIGastroenterology Physician
-
Dr. SONIA ALIHematology & Oncology Physician
-
Dr. CAESAR ANDERSONUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
-
Dr. NATHALIE ANDRYNeuroradiology Physician
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Dr. REBECCA ARMENDARIZHospice and Palliative Medicine (Internal Medicine) Physician
-
Dr. JENNIFER AUGastroenterology Physician
-
Dr. SEDA BADALYANInternal Medicine Physician
-
Dr. ANSHUMAN BANSALVascular & Interventional Radiology Physician
-
Dr. FEI BAOAnatomic Pathology & Clinical Pathology Physician