Hoag Memorial Hospital Presbyterian

One Hoag Drive · Newport Beach, CA 92663

🤖AI Overview

⚠️ This hospital charges 5.5x what Medicare pays — significantly above the national average of 5.5x.

Total Charges

$769.0M

Medicare Payments

$140.6M

Discharges

9,237

Avg Length of Stay

4.7 days

Markup Ratio

5.5x

Risk Score

2.08

Fairness Grade: F

Failing — charges more than 5x what Medicare pays

Hoag Memorial Hospital Presbyterian charges an average of $83,257 per discharge, but Medicare only pays $15,224 — a markup of 5.5x. Grades are based on this ratio: A (under 2x), B (2–3x), C (3–4x), D (4–5x), F (over 5x).

How This Hospital Compares

Markup Ratio

This Hospital

5.5x

State Avg

7.2x

National Avg

5.3x

Avg Charge per Discharge

This Hospital

$83,257

State Avg

$146,116

National Avg

$69,838

Avg Length of Stay

This Hospital

4.7 days

State Avg

5.5 days

National Avg

4.8 days

Patient Demographics

Age Distribution

Under 65

5.2%

65–74

28.3%

75–84

37.6%

85+

28.9%

Gender

50.6%

Female

49.4%

Male

Dual Eligibility

17.0%

Dual Eligible

83.0%

Non-Dual

Race & Ethnicity

White

78.8%

Black

1.2%

Hispanic

5.0%

Asian

10.5%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension

75.0%

High Cholesterol

75.0%

Arthritis

54.1%

Ischemic Heart Disease

43.8%

Chronic Kidney Disease

38.0%

Atrial Fibrillation

37.6%

Heart Failure

35.1%

Mood Disorders

34.7%

Diabetes

34.5%

Depression

32.4%

Anxiety

31.3%

Cancer

27.5%

COPD

24.9%

Alzheimer's/Dementia

21.8%

Osteoporosis

21.0%

Stroke/TIA

20.8%

Asthma

15.6%

Substance Use

13.3%

Tobacco Use

8.3%

Parkinson's

6.5%

Schizophrenia/Psychosis

4.7%

Bipolar Disorder

3.8%

PTSD

1.7%

Personality Disorders

1.6%

ADHD/Conduct Disorders

1.3%

Related from TheDataProject.ai

🔍 See Medicare provider data on OpenMedicare

⚠️ Important: Data reflects Medicare inpatient claims. Charges represent what hospitals bill — not what patients typically pay. Medicare payment amounts reflect negotiated rates. Individual patient costs depend on insurance coverage and specific services.