Providence Mission Hospital

27700 Medical Center Rd · Mission Viejo, CA 92691

🤖AI Overview

⚠️ This hospital charges 6.4x what Medicare pays — significantly above the national average of 5.5x.

Total Charges

$542.5M

Medicare Payments

$84.8M

Discharges

5,010

Avg Length of Stay

4.6 days

Markup Ratio

6.4x

Risk Score

1.95

Fairness Grade: F

Failing — charges more than 5x what Medicare pays

Providence Mission Hospital charges an average of $108,279 per discharge, but Medicare only pays $16,934 — a markup of 6.4x. 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

6.4x

State Avg

7.2x

National Avg

5.3x

Avg Charge per Discharge

This Hospital

$108,279

State Avg

$146,116

National Avg

$69,838

Avg Length of Stay

This Hospital

4.6 days

State Avg

5.5 days

National Avg

4.8 days

Patient Demographics

Age Distribution

Under 65

3.9%

65–74

27.7%

75–84

38.4%

85+

30.1%

Gender

51.9%

Female

48.1%

Male

Dual Eligibility

14.3%

Dual Eligible

85.7%

Non-Dual

Race & Ethnicity

White

85.2%

Black

0.7%

Hispanic

5.2%

Asian

5.2%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension

75.0%

High Cholesterol

75.0%

Arthritis

55.2%

Ischemic Heart Disease

44.5%

Atrial Fibrillation

42.3%

Chronic Kidney Disease

36.9%

Mood Disorders

35.4%

Heart Failure

33.3%

Anxiety

32.9%

Depression

31.9%

Diabetes

31.7%

COPD

24.4%

Alzheimer's/Dementia

23.9%

Stroke/TIA

23.1%

Cancer

22.9%

Osteoporosis

20.9%

Asthma

14.3%

Substance Use

13.3%

Tobacco Use

7.0%

Parkinson's

5.5%

Schizophrenia/Psychosis

5.1%

Bipolar Disorder

4.3%

PTSD

1.7%

ADHD/Conduct Disorders

1.4%

Personality Disorders

0.9%

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.