California / Sharp Memorial Hospital
CMS certification 050100 · San Diego, CA · 6 entries in CMS's price-transparency list
Sharp Memorial Hospital: charges and Medicare payments
Sharp Memorial Hospital reported 3,878 Medicare inpatient stays across 128 DRGs in 2024. Across them it charged 6.39 times what it was paid — among the higher ratios in California, number 75 of 247 hospitals with at least 100 stays (state median 5.18×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 324 stays at an average charge of $148,643, 65% above the national average. It also billed 3,905 outpatient services, charging 8.93 times what Medicare paid.
- 1Medicare inpatient stays 3,878
- 2Charge ÷ paid, inpatient 6.39×
- 3Rank in CA (highest ratio = 1) 75 of 247
- 4CMS price-transparency actions 6
Inpatient stays
For the 128 DRGs that can be compared with the national average, Sharp Memorial Hospital charged more than the national average in 125 (98%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 324 | $148,643 | +65% | $23,017 |
| 291 Heart Failure and Shock with MCC | 202 | $95,587 | +70% | $15,639 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 95 | $73,773 | +50% | $12,517 |
| 177 Respiratory Infections and Inflammations with MCC | 89 | $138,786 | +97% | $18,690 |
| 193 Simple Pneumonia and Pleurisy with MCC | 88 | $106,382 | +78% | $16,640 |
| 690 Kidney and Urinary Tract Infections without MCC | 78 | $54,225 | +43% | $10,138 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 77 | $60,256 | +50% | $9,550 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 72 | $103,793 | +72% | $16,752 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 71 | $153,831 | +103% | $19,866 |
| 481 Hip and Femur Procedures except Major Joint with CC | 68 | $142,946 | +42% | $25,809 |
| 378 Gastrointestinal Hemorrhage with CC | 59 | $85,286 | +76% | $13,108 |
| 603 Cellulitis without MCC | 59 | $61,410 | +65% | $10,279 |
| 552 Medical Back Problems without MCC | 58 | $102,224 | +109% | $14,340 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 57 | $128,072 | +74% | $18,460 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 56 | $159,472 | +2% | $37,255 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 51 | $91,070 | +80% | $12,104 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 50 | $70,881 | +91% | $9,929 |
| 683 Renal Failure with CC | 49 | $68,504 | +68% | $11,120 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 48 | $72,845 | +53% | $13,420 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 47 | $98,359 | +77% | $13,560 |
| 194 Simple Pneumonia and Pleurisy with CC | 45 | $61,707 | +61% | $11,743 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 45 | $55,753 | +54% | $10,246 |
| 312 Syncope and Collapse | 44 | $85,672 | +88% | $10,745 |
| 689 Kidney and Urinary Tract Infections with MCC | 44 | $89,645 | +75% | $13,025 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 43 | $165,139 | +65% | $21,979 |
| 189 Pulmonary Edema and Respiratory Failure | 42 | $137,403 | +139% | $15,717 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 40 | $427,253 | +87% | $60,648 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 36 | $286,443 | +1% | $68,621 |
| 330 Major Small and Large Bowel Procedures with CC | 36 | $191,300 | +61% | $26,183 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 36 | $60,638 | +42% | $13,226 |
| 682 Renal Failure with MCC | 36 | $101,929 | +55% | $17,865 |
| 948 Signs and Symptoms without MCC | 36 | $73,875 | +94% | $9,208 |
| 389 Gastrointestinal Obstruction with CC | 33 | $65,890 | +69% | $9,421 |
| 377 Gastrointestinal Hemorrhage with MCC | 32 | $137,511 | +61% | $19,023 |
| 178 Respiratory Infections and Inflammations with CC | 31 | $71,937 | +59% | $11,971 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 31 | $90,797 | +60% | $13,949 |
| 313 Chest Pain | 31 | $71,373 | +79% | $8,604 |
| 394 Other Digestive System Diagnoses with CC | 30 | $81,982 | +74% | $12,941 |
| 638 Diabetes with CC | 28 | $70,642 | +70% | $10,335 |
| 083 Traumatic Stupor and Coma >1 Hour with CC | 26 | $176,370 | +141% | $18,332 |
| 101 Seizures without MCC | 26 | $61,936 | +27% | $10,117 |
| 202 Bronchitis and Asthma with CC/MCC | 26 | $81,419 | +76% | $11,156 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 26 | $76,722 | +52% | $10,903 |
| 314 Other Circulatory System Diagnoses with MCC | 26 | $132,635 | +40% | $21,738 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 26 | $147,865 | +29% | $25,889 |
| 329 Major Small and Large Bowel Procedures with MCC | 26 | $415,346 | +93% | $89,505 |
| 652 Kidney Transplant | 26 | $501,750 | +49% | $40,558 |
| 092 Other Disorders of Nervous System with CC | 25 | $73,398 | +42% | $11,063 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 25 | $61,598 | +114% | $8,027 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 25 | $130,136 | +27% | $22,366 |
| 086 Traumatic Stupor and Coma <1 Hour with CC | 23 | $139,138 | +104% | $16,588 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 23 | $247,995 | +12% | $48,424 |
| 270 Other Major Cardiovascular Procedures with MCC | 23 | $400,467 | +55% | $69,831 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 23 | $141,146 | +64% | $19,956 |
| 536 Fractures of Hip and Pelvis without MCC | 23 | $92,911 | +147% | $9,171 |
| 637 Diabetes with MCC | 23 | $137,816 | +107% | $16,926 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 22 | $255,418 | +88% | $29,276 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 22 | $231,405 | +106% | $27,278 |
| 305 Hypertension without MCC | 21 | $59,722 | +49% | $8,653 |
| 812 Red Blood Cell Disorders without MCC | 21 | $55,064 | +24% | $12,510 |
Showing the 60 most frequent of 128 DRGs.
Outpatient services
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Sharp Memorial Hospital charged $148,643 on average, 4% more than the California average of $143,063, and was paid $23,017 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Sharp Memorial Hospital charged $95,587 on average, 5% less than the California average of $100,739, and was paid $15,639 against a state average of $15,556. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Sharp Memorial Hospital charged $73,773 on average, 3% less than the California average of $76,120, and was paid $12,517 against a state average of $12,552. For Respiratory Infections and Inflammations with MCC (DRG 177), Sharp Memorial Hospital charged $138,786 on average, 12% more than the California average of $124,302, and was paid $18,690 against a state average of $18,986. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $37,484 was 10% below the state average of $41,628. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $21,947 was 5% above the state average of $20,986. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $11,590 was 21% below the state average of $14,749. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $55,571 was 14% below the state average of $64,351.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Sharp Memorial Hospital in San Diego, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-06-23 (CMS case 350)
- CAP Request — 2021-12-01 (CMS case 350)
- Closure Notice — 2022-03-03 (CMS case 350)
- Warning Notice — 2025-03-11 (CMS case 3105)
- CAP Request — 2025-06-17 (CMS case 3105)
- Closure Notice — 2025-09-16 (CMS case 3105)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.