Providence Mission Hospital
Mission Viejo, California 92691
CCN: 050567 Acute Care Hospitals Emergency Services
4/5
CMS Star Rating
Above Average
114
DRG Categories
3,824
Total Discharges
$117,286
Avg Charges
$21,589
Avg Payment
$18,385
Avg Medicare
5.43x
Charge-to-Payment
Quality Ratings — CMS Hospital Compare
Based on CMS measures of mortality, safety of care, readmissions, patient experience, and timeliness
Mortality
Same as 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
$117,286 -23%
State avg: $151,712
Average Payment
$21,589 -12%
State avg: $24,418
Charge-to-Payment Ratio
5.43x 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 | 543 | $96,967 | $17,529 | 5.53x |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 200 | $89,853 | $16,192 | 5.55x |
| 291 | HEART FAILURE AND SHOCK WITH MCC | 161 | $71,403 | $12,079 | 5.91x |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 116 | $51,790 | $9,471 | 5.47x |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 93 | $121,494 | $29,182 | 4.16x |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 91 | $79,498 | $13,762 | 5.78x |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 80 | $86,274 | $12,257 | 7.04x |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 75 | $98,851 | $18,520 | 5.34x |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | 68 | $50,696 | $9,473 | 5.35x |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 68 | $279,967 | $55,759 | 5.02x |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 63 | $43,138 | $7,781 | 5.54x |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 60 | $117,327 | $18,893 | 6.21x |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 60 | $53,482 | $9,725 | 5.5x |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 60 | $39,618 | $7,347 | 5.39x |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 59 | $87,256 | $16,995 | 5.13x |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 59 | $69,259 | $9,408 | 7.36x |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | 54 | $74,110 | $12,383 | 5.98x |
| 682 | RENAL FAILURE WITH MCC | 48 | $67,205 | $16,288 | 4.13x |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | 47 | $75,397 | $15,711 | 4.8x |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 46 | $258,110 | $55,806 | 4.63x |
Showing top 20 of 114 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.