Hoag Orthopedic Institute

16250 Sand Canyon Avenue · Irvine, CA 92618

🤖AI Overview

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

Total Charges

$131.2M

Medicare Payments

$23.8M

Discharges

989

Avg Length of Stay

2.3 days

Markup Ratio

5.5x

Risk Score

1.24

Fairness Grade: F

Failing — charges more than 5x what Medicare pays

Hoag Orthopedic Institute charges an average of $132,701 per discharge, but Medicare only pays $24,057 — 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

$132,701

State Avg

$146,116

National Avg

$69,838

Avg Length of Stay

This Hospital

2.3 days

State Avg

5.5 days

National Avg

4.8 days

Patient Demographics

Age Distribution

Under 65

3.1%

65–74

40.0%

75–84

42.7%

85+

14.2%

Gender

57.9%

Female

42.1%

Male

Dual Eligibility

7.8%

Dual Eligible

92.2%

Non-Dual

Race & Ethnicity

White

85.7%

Black

1.3%

Hispanic

4.0%

Asian

5.4%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension

75.0%

High Cholesterol

75.0%

Arthritis

75.0%

Mood Disorders

35.0%

Depression

32.4%

Anxiety

30.9%

Ischemic Heart Disease

28.9%

Diabetes

26.4%

Osteoporosis

24.0%

Atrial Fibrillation

23.0%

Chronic Kidney Disease

22.3%

Cancer

18.7%

Asthma

16.4%

Heart Failure

15.8%

COPD

12.6%

Substance Use

11.8%

Stroke/TIA

9.0%

Alzheimer's/Dementia

8.2%

Tobacco Use

5.1%

Parkinson's

4.8%

Bipolar Disorder

3.8%

Schizophrenia/Psychosis

2.1%

ADHD/Conduct Disorders

1.9%

Personality Disorders

1.8%

PTSD

1.1%

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.