Hoag Memorial Hospital Presbyterian
Newport Beach, California 92663
CCN: 050224 Acute Care Hospitals Emergency Services
5/5
CMS Star Rating
Excellent
180
DRG Categories
7,873
Total Discharges
$92,908
Avg Charges
$18,453
Avg Payment
$16,703
Avg Medicare
5.03x
Charge-to-Payment
Quality Ratings — CMS Hospital Compare
Based on CMS measures of mortality, safety of care, readmissions, patient experience, and timeliness
Mortality
Above Average Safety of Care
Above Average Readmissions
Above Average Patient Experience
Reported California Average Rating
3.01 / 5 This hospital is above average
25 five-star hospitals of rated in California
National Average Rating
3.08 / 5
288 five-star hospitals of 2866 rated nationally
Type: Acute Care Hospitals Ownership: Voluntary non-profit - Private
Compared to California Average
How this hospital compares to the average of 275 hospitals in California
Average Charges
$92,908 -39%
State avg: $151,712
Average Payment
$18,453 -24%
State avg: $24,418
Charge-to-Payment Ratio
5.03x Below avg
State avg: 6.59x
Top 20 DRGs by Volume
Most common diagnosis groups at this hospital, sorted by number of discharges
| DRG | Description | Discharges | Avg Charges | Avg Payment | Markup |
|---|---|---|---|---|---|
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 987 | $80,703 | $16,958 | 4.76x |
| 291 | HEART FAILURE AND SHOCK WITH MCC | 319 | $54,293 | $11,286 | 4.81x |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 275 | $71,046 | $15,500 | 4.58x |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 252 | $45,305 | $9,222 | 4.91x |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 155 | $31,282 | $7,122 | 4.39x |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | 144 | $42,936 | $8,822 | 4.87x |
| 683 | RENAL FAILURE WITH CC | 138 | $36,867 | $8,012 | 4.6x |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 138 | $61,702 | $13,877 | 4.45x |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 137 | $37,220 | $7,453 | 4.99x |
| 603 | CELLULITIS WITHOUT MCC | 133 | $33,352 | $8,033 | 4.15x |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 107 | $204,713 | $43,252 | 4.73x |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 99 | $74,596 | $17,532 | 4.25x |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 98 | $55,116 | $11,768 | 4.68x |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 96 | $51,244 | $8,996 | 5.7x |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | 95 | $56,103 | $10,870 | 5.16x |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 94 | $155,802 | $21,635 | 7.2x |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 92 | $33,007 | $7,857 | 4.2x |
| 682 | RENAL FAILURE WITH MCC | 87 | $76,077 | $12,911 | 5.89x |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 83 | $44,032 | $9,966 | 4.42x |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | 80 | $76,991 | $15,315 | 5.03x |
Showing top 20 of 180 DRG categories at this hospital.
About This Data
Hospital charges and payment data are from the CMS Medicare Inpatient Prospective Payment System (IPPS) Provider Summary. Quality star ratings (1-5) are from CMS Hospital Compare, based on measures of mortality, safety of care, readmissions, patient experience, and timeliness. Negotiated insurance rates are from hospital Machine-Readable Files (MRFs) required by the CMS Hospital Price Transparency Rule.