Hoag Memorial Hospital Presbyterian · Newport Beach, CA
5 of 5
CMS star rating
536
Beds
37,448
Inpatient discharges a year
$1.9B
Net patient revenue a year
43
In-network payers
Hoag Memorial Hospital is a 536-bed voluntary non-profit - private hospital in Newport Beach, CA, affiliated with Hoag Memorial Hospital Presbyterian. Below you'll find publicly disclosed negotiated rates and facility details, including 43 in-network payers and 347 disclosed rate categories.
The 24 services Hoag Memorial Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
Digestive procedures
CPT 45380
$4,880 - $18,150
from 3 insurers · median $17,540
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$13,099 - $18,444
from 2 insurers · median $15,772
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Gynecology
CPT 58558
$10,171 - $18,266
from 3 insurers · median $18,150
68 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Digestive procedures
CPT 43239
$4,880 - $16,474
from 2 insurers · median $10,677
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$4,880 - $17,540
from 3 insurers · median $12,619
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 788
$16,985 - $18,444
from 2 insurers · median $17,715
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Gynecology
CPT 58571
$18,150 - $20,073
from 3 insurers · median $20,014
321 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 47562
$15,809 - $20,952
from 4 insurers · median $20,204
348 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45378
$4,880 - $17,540
from 3 insurers · median $12,619
Common here, based on CMS Medicare volume
CT imaging
CPT 74177
$583 - $2,127
from 4 insurers · median $1,144
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$42,310 - $87,990
from 3 insurers · median $58,751
44 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery
CPT 55866
$11,723 - $28,255
from 3 insurers · median $20,952
321 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Ear, nose and throat
CPT 69436
$5,322 - $23,949
from 3 insurers · median $18,150
Typical for a hospital with this service line
CT imaging
CPT 70450
$246 - $2,127
from 4 insurers · median $563
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$148 - $490
from 4 insurers · median $388
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$646 - $1,390
from 2 insurers · median $1,018
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$13,099 - $18,444
from 2 insurers · median $15,772
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Nuclear imaging
CPT 78815
$2,343 - $4,265
from 4 insurers · median $4,029
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 42820
$10,171 - $18,266
from 3 insurers · median $18,150
Typical for a hospital with this service line
CT imaging
CPT 71275
$283 - $2,127
from 4 insurers · median $1,245
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 49505
$10,015 - $20,060
from 3 insurers · median $13,413
79 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
MRI imaging
CPT 70553
$792 - $3,710
from 4 insurers · median $2,061
Common here, based on CMS Medicare volume
Urology
CPT 50590
$18,084 - $29,048
from 3 insurers · median $22,388
182 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
CT imaging
CPT 74176
$364 - $2,127
from 4 insurers · median $570
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 20 | 609% | 18 | 2 |
| Insurer B* | 23 | 416% | 11 | 7 |
| Insurer C* | 9 | 305% | 2 | 4 |
| Insurer D* | 23 | 260% | 14 | 0 |
How we chose these services: 7 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 5 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Hoag Memorial Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
5 of 5 stars
Doctors and services
Accredited by DNV
Finances
$1.9B net patient revenue
Ownership and leadership
Private (not for profit)
See ownership and leadershipThe employer identification numbers (EINs) health plans and networks list for Hoag Memorial Hospital in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 95-1643327Hoag Memorial Hospital Presbyterian | 74Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), AMPS, Allied Benefit Systems and 69 more | 1518951300 Hoag Memorial Hospital Presbyterian1750875670 Hoag Memorial Hospital Presbyterian1184655797 Amisub Irvine Medical Center) Inc.and 9 more |
Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.
One Hoag Drive, Newport Beach, CA 92663
(949) 764-4624
How Hoag Memorial Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
5 of 5
The top rating, shared by 12% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
Better on 1 of 8 measures
1 better, 7 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Better on 4 of 7 measures
4 better, 3 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Better on 1 of 10 measures
1 better, 9 no different, 0 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
4 of 5
Higher than 60% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
84%
Higher than 89% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.99
Higher than 61% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
194 min
Higher than 78% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
82%
Higher than 88% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 5 of 5 | |
| Death rates | Better on 1 of 8 measures | |
| Safety | Better on 4 of 7 measures | |
| Readmissions | Better on 1 of 10 measures | |
| Patient survey ratingCMS: Summary star rating | 4 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 84% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 0.99 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 194 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 82% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Hoag Memorial Hospital's inpatient payments for its readmissions, quality and cost results.
No penalty
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.21% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Hoag Memorial Hospital, beside the US median and the average of CA hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | Hoag Memorial Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.075 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 8,076 cases | 2.9 | 3.9 | 3.81 | Better than 94% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 342 cases | 10 | 11.8 | 11.57 | Better than 95% of US hospitals | |
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 · 147 cases | 1.9 | 2.3 | 2.379 | Better than 73% of US hospitals | |
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 181 cases | 6.9 | 8.5 | 8.235 | Better than 89% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 935 cases | 11.2 | 11 | 10.29 | Worse than 54% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 1,342 cases | 13.6 | 15.2 | 14.49 | Better than 74% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 640 cases | 12 | 11.6 | 11.57 | Worse than 56% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 13,612 cases | 0.32 | 0.51 | 0.4818 | No Different Than the National Rate | Better than 78% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 · 205 cases | 178 | 173 | 171 | No Different Than the National Rate | Worse than 58% of US hospitals |
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 16,407 cases | 0.16 | 0.2 | 0.21 | No Different Than the National Rate | Better than 90% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 17,438 cases | 0.24 | 0.27 | 0.261 | No Different Than the National Rate | Better than 81% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 3,951 cases | 2.53 | 2.29 | 2.308 | No Different Than the National Rate | Worse than 77% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 1,783 cases | 2.98 | 1.63 | 1.668 | Worse Than the National Rate | Worse than 99% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 1,671 cases | 9.19 | 8.88 | 9.555 | No Different Than the National Rate | Worse than 57% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 4,199 cases | 5.5 | 3.4 | 3.521 | Worse Than the National Rate | Worse than 98% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 1,736 cases | 3.57 | 5.105 | 5.495 | No Different Than the National Rate | Better than 97% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 1,305 cases | 1.32 | 1.72 | 1.796 | No Different Than the National Rate | Better than 99% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 4,300 cases | 1.38 | 1.02 | 1.061 | No Different Than the National Rate | Worse than 92% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Hoag Memorial Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 · 348 cases | -10.1 | 4.2 | 11.09 | Better than 75% of US hospitals | |
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 1,019 cases | -30.2 | 1.25 | 7.901 | Better than 88% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 1,378 cases | -8.5 | 3.85 | 16.67 | Better than 67% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 1,096 cases | 14.3 | 12.9 | 12.91 | No Different Than the National Rate | Worse than 93% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 628 cases | 9.9 | 10.7 | 11.39 | No Different Than the National Rate | Better than 75% of US hospitals |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 628 cases | 5.2 | 5.3 | 5.546 | No Different Than the National Rate | Better than 55% of US hospitals |
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 1,170 cases | 0.9 | 1 | 1.001 | No Different than expected | Better than 68% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 439 cases | 12.6 | 14.4 | 14.43 | Better than 99% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 · 177 cases | 8.3 | 10.9 | 11.19 | Better than 99% of US hospitals | |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 285 cases | 18.4 | 19.8 | 19.94 | Better than 96% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 1,296 cases | 19.9 | 21.3 | 21.41 | Better than 89% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 5.612 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 1,534 cases | 15.9 | 17.2 | 17.7 | Better than 94% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Hoag Memorial Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.004 | 0.172 | 0.2347 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.396 | 1.504 | 1.834 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 13,299 | 1,370 | 5,722 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 12.46 | 0.9835 | 5.638 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 3.347 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.08 | 0.484 | 0.5696 | Better than the National Benchmark | Better than 79% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.127 | 0.138 | 0.2147 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.768 | 1.392 | 1.749 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 12,734 | 1,799 | 5,308 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 14.42 | 1.377 | 6.105 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 5 | 0 | 3.273 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.347 | 0.399 | 0.5366 | Better than the National Benchmark | Better than 55% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.24 | 0.2345 | 0.32 | No Different than National Benchmark | |
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.084 | 2.135 | 2.433 | No Different than National Benchmark | |
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 524 | 61 | 112 | No Different than National Benchmark | |
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 12.78 | 1.591 | 2.999 | No Different than National Benchmark | |
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 7 | 1 | 2.368 | No Different than National Benchmark | |
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | 0.548 | 0.7155 | 0.8107 | No Different than National Benchmark | Better than 60% of US hospitals |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.122 | 0.211 | 0.2606 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.409 | 3.068 | 3.273 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 373 | 38 | 73.49 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 2.743 | 0.328 | 0.6136 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 2 | 0 | 0.5911 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | 0.729 | 0.812 | 0.7863 | No Different than National Benchmark | Better than 56% of US hospitals |
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.302 | 0.193 | 0.3103 | No Different than National Benchmark | |
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.551 | 1.855 | 2.305 | No Different than National Benchmark | |
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 174,565 | 14,451 | 52,601 | No Different than National Benchmark | |
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 8.045 | 0.567 | 3.111 | No Different than National Benchmark | |
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 6 | 0 | 2.166 | No Different than National Benchmark | |
| MRSA Bacteremia2024-10-01 to 2025-09-30 | 0.746 | 0.597 | 0.7784 | No Different than National Benchmark | Worse than 63% of US hospitals |
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.291 | 0.127 | 0.1925 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.597 | 0.747 | 0.9502 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 151,918 | 13,646 | 48,317 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 70.84 | 5.683 | 27.04 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 30 | 2 | 9.99 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.424 | 0.279 | 0.383 | Better than the National Benchmark | Worse than 69% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Hoag Memorial Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 2,329 cases | 77 | 73 | 72.2 | Better than 64% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 2,329 cases | 7 | 8 | 8.78 | Better than 56% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 2,329 cases | 16 | 18 | 19.02 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 2,329 cases | 90 | 87 | 86.82 | Better than 74% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 2,329 cases | 4 | 4 | 3.514 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 2,329 cases | 81 | 80 | 75.76 | Better than 56% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 2,329 cases | 92 | 91 | 89.84 | Better than 51% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 2,329 cases | 4 | 4 | 5.713 | Worse than 42% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 2,329 cases | 4 | 3 | 2.855 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 2,329 cases | 15 | 16 | 18.53 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 2,329 cases | 81 | 79 | 75.81 | Better than 59% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 2,329 cases | 92 | 91 | 89.11 | Better than 63% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 2,329 cases | 4 | 5 | 7.043 | Better than 62% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 2,329 cases | 4 | 3 | 2.688 | Better than 63% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 2,329 cases | 15 | 16 | 17.15 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 2,329 cases | 59 | 61 | 58.95 | Worse than 59% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 2,329 cases | 76 | 77 | 75.75 | Worse than 53% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 2,329 cases | 21 | 19 | 21.56 | Worse than 58% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 2,329 cases | 2 | 3 | 2.449 | Worse than 53% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 2,329 cases | 20 | 19 | 19.48 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 2,329 cases | 87 | 86 | 84.61 | Better than 55% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 2,329 cases | 13 | 13 | 15.03 | Better than 47% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 2,329 cases | 4 | 3 | 3.08 | Better than 55% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 2,329 cases | 87 | 87 | 84.97 | Better than 47% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 2,329 cases | 14 | 14 | 16.39 | Better than 49% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 2,329 cases | 86 | 86 | 83.61 | Better than 49% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 2,329 cases | 75 | 74 | 70.69 | Better than 55% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 2,329 cases | 5 | 7 | 8.855 | Better than 68% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 2,329 cases | 20 | 19 | 20.45 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 2,329 cases | 80 | 77 | 73.94 | Better than 65% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 2,329 cases | 4 | 6 | 7.637 | Better than 70% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 2,329 cases | 16 | 17 | 18.43 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 2,329 cases | 87 | 85 | 81.99 | Better than 62% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 2,329 cases | 3 | 3 | 4.958 | Better than 49% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 2,329 cases | 10 | 11 | 13.06 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 2,329 cases | 5 | 8 | 10.01 | Better than 73% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 2,329 cases | 14 | 20 | 22.36 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 2,329 cases | 81 | 72 | 67.63 | Better than 82% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 2,329 cases | 92 | 88 | 86.85 | Better than 86% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 2,329 cases | 4 | 3 | 3.047 | Better than 55% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 2,329 cases | 73 | 74 | 72.06 | Worse than 55% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 2,329 cases | 10 | 9 | 10.94 | Worse than 52% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 2,329 cases | 17 | 16 | 17 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 2,329 cases | 75 | 75 | 71.11 | Better than 48% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 2,329 cases | 5 | 5 | 7.488 | Better than 49% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 2,329 cases | 20 | 20 | 21.4 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 2,329 cases | 78 | 77 | 72.49 | Better than 56% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 2,329 cases | 4 | 4 | 6.121 | Better than 45% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 2,329 cases | 18 | 19 | 21.39 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 2,329 cases | 88 | 86 | 82.8 | Better than 62% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 2,329 cases | 2 | 3 | 3.779 | Better than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 2,329 cases | 10 | 11 | 13.42 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 2,329 cases | 52 | 59 | 47.5 | Worse than 74% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 2,329 cases | 12 | 9 | 17.79 | Worse than 66% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 2,329 cases | 36 | 31 | 34.71 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 2,329 cases | 80 | 82 | 74.85 | Worse than 59% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 2,329 cases | 3 | 3 | 2.203 | Worse than 44% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 2,329 cases | 3 | 5 | 7.623 | Better than 70% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 2,329 cases | 84 | 71 | 68.6 | Better than 89% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 2,329 cases | 93 | 87 | 85.85 | Better than 90% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 2,329 cases | 13 | 23 | 23.77 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 2,329 cases | 5 | 4 | 3.431 | The top rating, shared by 24% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 2,329 cases | 45 | 47 | 45.33 | Worse than 58% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 2,329 cases | 31 | 30 | 32.51 | Worse than 51% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 2,329 cases | 24 | 22 | 22.16 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 2,329 cases | 4 | 3 | 2.859 | Better than 60% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 2,329 cases | 12 | 12 | 13.94 | Better than 48% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 2,329 cases | 88 | 88 | 86.06 | Better than 48% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Hoag Memorial Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | very high | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 8.289 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.008 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.1852 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 11,807 cases | 78 | 79 | 69.96 | Worse than 52% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 405 cases | 196 | 154 | 187 | Worse than 75% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 383 cases | 194 | 148 | 182 | Worse than 78% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 22 cases | 258 | 247 | 282 | Worse than 54% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 411 | |||
| Left before being seen2024-01-01 to 2024-12-31 · 145,364 cases | 1 | 1 | 2.162 | Better than 42% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 49 cases | 47 | 74 | 75.06 | Worse than 88% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 70 cases | 80 | 97 | 92.55 | Worse than 90% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 80 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 · 38 cases | 74 | 53 | 48.75 | Better than 89% of US hospitals | |
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 9,064 cases | 12 | 15 | 13.67 | Better than 69% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 199 cases | 82 | 65 | 68.8 | Better than 88% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 79 cases | 80 | 73 | 76.38 | Better than 65% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 46 cases | 91 | 88 | 86.64 | Better than 57% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 202 cases | 93 | 82 | 82.89 | Better than 90% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 143 cases | 99 | 94 | 93.98 | Better than 86% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 711 cases | 99 | 98 | 93.4 | Better than 70% of US hospitals | |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 70.68 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 89.93 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 16,860 cases | 96 | 90 | 86.9 | Better than 74% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 2,716 cases | 98 | 97 | 94.78 | Better than 56% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Hoag Memorial Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 5.8 | 5 | 4.959 | Worse than 59% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 10.1 | 6.6 | 8.417 | Worse than 82% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Hoag Memorial Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 1.02 | 0.99 | 1.024 | Worse than 64% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Hoag Memorial Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 28 | 20 | 30.07 | Better than 66% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 7 | 5 | 7.571 | Better than 65% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 0 | 10 | 16.48 | The worst result, shared by 43% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 0 | 2.5 | 4.567 | The worst result, shared by 43% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 47 | 34 | 28.67 | Better than 71% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 11.75 | 8.75 | 7.519 | Better than 70% of US hospitals | |
| VBP safety domain scoreFY 2026 | 53.33 | 40 | 45.16 | Better than 72% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 13.33 | 10 | 11.79 | Better than 71% of US hospitals | |
| VBP total performance scoreFY 2026 | 32.08 | 29.5 | 30.43 | Better than 60% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 65 | 66 | 40 | 24 | 32 | 28 |
| VBP clinical outcomes weighted domain score | 16.25 | 16.5 | 10 | 6 | 8 | 7 |
| VBP efficiency and cost reduction domain score | 0 | Not Available | 10 | 10 | 0 | 0 |
| VBP efficiency and cost reduction weighted domain score | 0 | Not Available | 2.5 | 2.5 | 0 | 0 |
| VBP person and community engagement domain score | 34 | Not Available | Not Available | 23 | 23 | 47 |
| VBP person and community engagement weighted domain score | 8.5 | Not Available | Not Available | 5.75 | 5.75 | 11.75 |
| VBP safety domain score | 58 | Not Available | Not Available | 18 | 20 | 53.33 |
| VBP safety weighted domain score | 14.5 | Not Available | Not Available | 4.5 | 5 | 13.33 |
| VBP total performance score | 39.25 | Not Available | Not Available | 18.75 | 18.75 | 32.08 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Hoag Memorial Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 · 332 cases | 0.8703 | 0.9995 | 1.015 | Better than 97% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | 0.893 | 1 | 1.005 | Better than 88% of US hospitals | |
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 155 cases | 0.9887 | 0.9969 | 1.002 | Better than 58% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 935 cases | 0.9367 | 0.9983 | 1.017 | Better than 86% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 · 0 cases | N/A | 0.9788 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 1,202 cases | 0.9578 | 0.9955 | 1.026 | Better than 76% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 1.017 | 1.024 | 0.9874 | 0.9189 | 0.9058 | 0.8703 |
| READM-30-CABG-HRRP | 0.9176 | 0.923 | 0.9551 | 0.9592 | 0.8875 | 0.893 |
| READM-30-COPD-HRRP | 1.026 | 1.014 | 0.9301 | 0.931 | 0.9517 | 0.9887 |
| READM-30-HF-HRRP | 0.9638 | 0.9841 | 0.9648 | 0.9892 | 0.9488 | 0.9367 |
| READM-30-HIP-KNEE-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-PN-HRRP | 1.08 | 1.108 | 1.075 | 0.9977 | 0.9478 | 0.9578 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Hoag Memorial Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.33 | 0.489 | 0.6114 | Better than 67% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.524 | 0.346 | 0.449 | Worse than 75% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.358 | 0.559 | 0.679 | Better than 70% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0.277 | 0.6405 | 0.7204 | Better than 81% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.9862 | 0.9628 | 0.9656 | Worse than 61% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.837 | 0.7945 | 0.8116 | Worse than 53% of US hospitals | |
| Total HAC scoreFY 2026 | -0.2416 | -0.0453 | 0.02733 | Better than 64% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | No | No | No |
| Total HAC score | -0.372 | -0.4984 | 0 | -0.3573 | -0.2606 | -0.2416 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
DNV (since 2022)
Accreditation
Limited
Medical school affiliation
Private (not for profit)
Ownership type
409
Medicare-certified beds
611
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Hoag Memorial Hospital reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
37,448
Inpatient discharges
Medicare 27%, Medicaid 1%
159,090
Inpatient days
85% of available bed days used
5,747
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 839353). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Hoag Memorial Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 45,003 | 2,379 | 111,708 | 159,090 |
| Discharges | 10,013 | 365 | 27,070 | 37,448 |
| Average length of stay | 4.5 days | 6.5 days | 4.1 days | 4.2 days |
| Average daily census | 123.3 | 6.5 | 306.0 | 435.9 |
28,730
Medicare Advantage days
6,401 discharges
16,277
Medicaid managed care days
3,324 discharges
8,705
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 448 | 127,506 | 41,833 | 78% |
| Intensive care unit | 31 | 7,489 | 2,481 | 66% |
| Coronary care unit | 12 | 2,034 | 689 | 46% |
| Other special care | 21 | 6,915 | 90% | |
| Nursery | 15,146 | |||
| Subprovider - irf | 24 | 8,136 | 4,132 | 93% |
Source: CMS cost report (HCRIS, Form 2552-10), report 839353, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Hoag Memorial Hospital treats Medicare patients for most often, in 2024. 8,303 Medicare discharges in 175 published DRGs; 24% surgical; 72% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 1,082 | $82,100 | $16,272 | $25,123 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 341 | $55,678 | $10,598 | $17,038 | 1.28 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 269 | $80,340 | $13,898 | $24,584 | 1.70 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 235 | $45,733 | $8,317 | $13,994 | 1.03 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 162 | $43,762 | $8,271 | $13,391 | 0.98 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 157 | $35,136 | $6,538 | $10,752 | 0.81 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 156 | $39,767 | $6,060 | $12,169 | 0.79 |
| Renal failure with CCMS-DRG 683, medical | 153 | $39,992 | $7,424 | $12,238 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 136 | $61,407 | $13,308 | $18,791 | 1.65 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 135 | $70,271 | $11,491 | $21,503 | 1.33 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 111 | $82,186 | $18,018 | $25,149 | 2.07 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 106 | $224,053 | $45,215 | $68,560 | 5.00 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 103 | $157,299 | $20,734 | $48,133 | 2.37 |
| Cellulitis without MCCMS-DRG 603, medical | 103 | $32,975 | $7,269 | $10,090 | 0.88 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 99 | $33,435 | $6,142 | $10,231 | 0.78 |
| Renal failure with MCCMS-DRG 682, medical | 99 | $66,591 | $12,206 | $20,377 | 1.50 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 94 | $45,357 | $6,534 | $13,879 | 0.82 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 88 | $44,884 | $9,473 | $13,735 | 1.17 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 87 | $49,548 | $8,515 | $15,162 | 1.02 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 87 | $44,347 | $7,953 | $13,570 | 0.99 |
See all 175 Medicare inpatient DRGs at Hoag Memorial Hospital
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Hoag Memorial Hospital billed Medicare for most in 2024: 7,670 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 905 | 869 | $24,574 | $2,663 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 890 | 791 | $11,486 | $1,579 | $1,220 |
| Level 2 Upper GI ProceduresAPC 5302 | 660 | 566 | $9,801 | $1,855 | $1,445 |
| Level 1 Endovascular ProceduresAPC 5191 | 414 | 414 | $24,025 | $2,872 | $2,208 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 348 | 345 | $51,581 | $5,600 | $4,358 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 321 | 319 | $83,420 | $11,005 | $8,164 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 305 | 282 | $102,088 | $27,482 | $21,117 |
| Level 3 Vascular ProceduresAPC 5183 | 297 | 286 | $18,603 | $3,122 | $2,405 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 258 | 236 | $15,426 | $2,778 | $2,141 |
| Level 3 Endovascular ProceduresAPC 5193 | 251 | 233 | $68,109 | $11,871 | $8,874 |
See all 47 Medicare outpatient services at Hoag Memorial Hospital
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at Hoag Memorial Hospital in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 11,720 in 2020 to 15,401 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 92646 | 1,292 | 8% | 5,967 | $110.8M | 51% | 52% |
| 92660 | 1,017 | 7% | 4,371 | $82.1M | 75% | 80% |
| 92627 | 980 | 6% | 4,404 | $83.8M | 66% | 70% |
| 92626 | 806 | 5% | 3,863 | $69.1M | 62% | 60% |
| 92648 | 749 | 5% | 3,379 | $65.2M | 46% | 48% |
| 92649 | 559 | 4% | 2,545 | $51M | 39% | 42% |
| 92663 | 538 | 3% | 2,354 | $46M | 84% | 87% |
| 92620 | 489 | 3% | 1,983 | $40.5M | 49% | 54% |
| 92647 | 488 | 3% | 2,389 | $46.3M | 25% | 28% |
| 92708 | 452 | 3% | 2,003 | $38.3M | 17% | 17% |
| 92612 | 423 | 3% | 1,951 | $38.4M | 59% | 65% |
| 92625 | 417 | 3% | 1,863 | $37.4M | 75% | 82% |
| 92604 | 406 | 3% | 1,682 | $35.6M | 52% | 56% |
| 92618 | 388 | 3% | 1,658 | $33.3M | 53% | 50% |
| 92630 | 331 | 2% | 1,447 | $29.4M | 16% | 11% |
| 92637 | 313 | 2% | 1,265 | $26.6M | 12% | 9% |
| 92603 | 285 | 2% | 1,219 | $25.5M | 69% | 62% |
| 92614 | 260 | 2% | 1,045 | $23.3M | 54% | 63% |
| 92683 | 242 | 2% | 1,212 | $23.1M | 6% | 6% |
| 92651 | 234 | 2% | 937 | $21.2M | 25% | 26% |
| 92780 | 210 | 1% | 950 | $18.1M | 15% | 12% |
| 92606 | 201 | 1% | 910 | $17.3M | 64% | 57% |
| 92657 | 201 | 1% | 891 | $17.9M | 94% | 92% |
| 90740 | 187 | 1% | 807 | $15.1M | 9% | 7% |
| 92782 | 186 | 1% | 810 | $16.4M | 40% | 33% |
Source: CMS Hospital Service Area file. Shares are of the 15,401 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Hoag Memorial Hospital reported at its latest Medicare certification survey (2013). Counts are people, not full-time equivalents.
24
Operating rooms
7
Endoscopy rooms
7
Cardiac catheterization rooms
36
Psychiatric unit beds
18
Rehabilitation unit beds
611
Registered nurses
1
Licensed practical nurses
7
Nurse practitioners
47
Pharmacists
74
Respiratory therapists
35
Physical therapists
7
Occupational therapists
183
Radiology technicians
11
Nuclear medicine technicians
4
Laboratory technicians
69
Medical technologists
16
Dietitians
28
Social workers
2,056
Other personnel
Source: CMS Provider of Services file.
2,349 clinicians who bill Medicare list Hoag Memorial Hospital as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Roger Kornu, M.D.
Rheumatology Physician
NPI 1841386349
See commercial rates for Roger Kornu, M.D.Aimee Rodriguez, APRN, FNP-C
Family Nurse Practitioner
NPI 1649898743
See commercial rates for Aimee Rodriguez, APRN, FNP-CKenneth Martinez, M.D.
Neurology Physician
NPI 1093825259
See commercial rates for Kenneth Martinez, M.D.Nikki Zahabi, DO
Internal Medicine Physician
NPI 1437506847
See commercial rates for Nikki Zahabi, DOJoo-Hyung Lee, MD
Rheumatology Physician
NPI 1306891346
See commercial rates for Joo-Hyung Lee, MDRobert Jennings, M.D., FAAFP
Addiction Medicine (Family Medicine) Physician
NPI 1932211380
See commercial rates for Robert Jennings, M.D., FAAFPSandeep Thakkar, D.O.
Neurology Physician
NPI 1740454586
See commercial rates for Sandeep Thakkar, D.O.Christian Lu, MD
Internal Medicine Physician
NPI 1164691549
See commercial rates for Christian Lu, MDKathy Karamlou, MD
Rheumatology Physician
NPI 1740209303
See commercial rates for Kathy Karamlou, MDChristopher O'Carroll, M.D.
Neurology Physician
NPI 1720187487
See commercial rates for Christopher O'Carroll, M.D.David Josephson, MD
Urology Physician
NPI 1063510840
See commercial rates for David Josephson, MDShahrooz Eshaghian, M.D.
Hematology & Oncology Physician
NPI 1417132499
See commercial rates for Shahrooz Eshaghian, M.D.Wade Smith, M.D.
Hematology & Oncology Physician
NPI 1730240219
See commercial rates for Wade Smith, M.D.Lalita Pandit, M.D.
Hematology & Oncology Physician
NPI 1578521266
See commercial rates for Lalita Pandit, M.D.Ryan Klein, MD
Internal Medicine Physician
NPI 1184620866
See commercial rates for Ryan Klein, MDRobert Grumet, M.D.
Sports Medicine (Orthopaedic Surgery) Physician
NPI 1508055393
See commercial rates for Robert Grumet, M.D.Esther Kim, MD
Retina Specialist (Ophthalmology) Physician
NPI 1649539404
See commercial rates for Esther Kim, MDGharoon Panahi, MD
Rheumatology Physician
NPI 1912956053
See commercial rates for Gharoon Panahi, MDEric Panahi, M.D.
Internal Medicine Physician
NPI 1619110830
See commercial rates for Eric Panahi, M.D.Tingting Tan, M.D. PH.D.
Hematology & Oncology Physician
NPI 1669627238
See commercial rates for Tingting Tan, M.D. PH.D.Alfred Beshai, M.D.
Pain Medicine (Anesthesiology) Physician
NPI 1184834194
See commercial rates for Alfred Beshai, M.D.David Xu, MD
Hematology & Oncology Physician
NPI 1568826519
See commercial rates for David Xu, MDErik Pasin, MD
Urology Physician
NPI 1134388325
See commercial rates for Erik Pasin, MDFaysal Yafi, MD
Urology Physician
NPI 1285854927
See commercial rates for Faysal Yafi, MDSource: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Hoag Memorial Hospital reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $7.4B | 380.3% |
| Inpatient | $2.8B | 146.9% |
| Outpatient | $4.5B | 233.4% |
| Contractual allowances and discounts | -$5.4B | -280.3% |
| Net patient revenue | $1.9B | 100.0% |
| Operating expenses | -$2B | -102.3% |
| Operating income from patient care | -$45.2M | -2.3% |
| Other income | $522.5M | 27.0% |
| Contributions and donations | $34.3M | 1.8% |
| Investment income | $382M | 19.7% |
| Other | $106.2M | 5.5% |
| Net income | $477.3M | 24.6% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $2B | 27.5% |
| Medicaid (including managed care) | $548.2M | 7.4% |
| Other payers and self-pay | $4.8B | 65.1% |
| Total charges | $7.4B | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 839353, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Hoag Memorial Hospital's latest cost report.
-2.3%
Operating margin
Operating income from patient care / net patient revenue
19.4%
Total margin
Net income / net patient revenue plus other income
20.7%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
47% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$59.29
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
8.4%
Return on assets
Net income for a year / total assets
12.3%
Return on equity
Net income for a year / fund balance
0.20
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
1.78
Current ratio
Current assets / current liabilities
0.81
Quick ratio
Cash, temporary investments and net receivables / current liabilities
48 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
39 days
Days in patient receivables
Net patient receivables / daily net patient revenue
107 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.43
Asset turnover
Total revenue for a year / total assets
39.6 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 839353, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Hoag Memorial Hospital owned and owed at the end of its reporting period (Dec 2025), across all fund types: $5.7B in total assets and a $3.9B fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $254.1M | 4.5% |
| Patient receivables, net | $209.5M | 3.7% |
| Inventory | $95M | 1.7% |
| Total current assets | $1B | 18.0% |
| Property and equipment, net of depreciation | $1.6B | 28.7% |
| Investments and other assets | $3B | 53.2% |
| Total assets | $5.7B | 100.0% |
| Current liabilities | $573M | 10.1% |
| Long-term debt | $772.3M | 13.6% |
| Total liabilities | $1.8B | 31.6% |
| Fund balance (net assets) | $3.9B | 68.4% |
Source: CMS cost report (HCRIS, Form 2552-10), report 839353, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Hoag Memorial Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$16.1M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$46.9M
Bad debt
Patient bills written off as uncollectible, at charges
$61.8M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$4.7M
State and local indigent care shortfall
Cost of indigent care program patients minus program payments
$93.2M
Total unreimbursed and uncompensated care
4.7% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 839353, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Hoag Memorial Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Dec 2020 | Dec 2021 | Dec 2022 | Dec 2023 | Dec 2024 | Dec 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $1.1B | $1.3B | $1.4B | $1.6B | $1.7B | $1.9B |
| Operating expenses | $1.2B | $1.3B | $1.4B | $1.7B | $1.8B | $2B |
| Operating margin | -6.1% | 0.5% | -3.9% | -6.6% | -4.2% | -2.3% |
| Net income | $259.6M | $403M | -$157.8M | $302.8M | $365.8M | $477.3M |
| Total assets | $3.7B | $4B | $4.3B | $4.5B | $4.8B | $5.7B |
| Discharges | 29,573 | 31,699 | 31,034 | 34,327 | 36,023 | 37,448 |
| Inpatient days | 124,083 | 138,693 | 145,683 | 152,419 | 153,884 | 159,090 |
| Medicare Advantage days | 19,373 | 22,546 | 22,546 | 25,991 | 25,991 | 28,730 |
| Beds | 530 | 530 | 535 | 536 | 536 | 536 |
| Employees (FTE) | 4,238 | 4,448 | 4,884 | 5,259 | 5,565 | 5,747 |
Source: CMS cost report (HCRIS, Form 2552-10), report 839353, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Hoag Memorial Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Drugs charged to patients | $250.7M | $1.7B | 0.15 | ||
| Operating room | $47.1M | $135.1M | $661.4M | 0.20 | 80,327 |
| Emergency | $43.9M | $94.1M | $467.5M | 0.20 | 50,061 |
| Radiology-diagnostic | $22.2M | $78.7M | $328.2M | 0.24 | 49,029 |
| Laboratory | $20.1M | $66.7M | $514.9M | 0.13 | 13,895 |
| Cardiac catheterization | $9.2M | $65.3M | $172.5M | 0.38 | 16,298 |
| Clinic | $19.4M | $53.9M | $74.6M | 0.72 | 44,324 |
| Medical supplies charged to patient | $53.4M | $350.3M | 0.15 | ||
| Ct scan | $14.9M | $47.1M | $839.3M | 0.06 | 30,806 |
| Impl. dev. charged to patients | $46.9M | $172M | 0.27 | ||
| Delivery room & labor room | $20.7M | $45.8M | $124.8M | 0.37 | 28,491 |
| Radiology-therapeutic | $6.8M | $34.1M | $214.6M | 0.16 | 55,106 |
| Physical therapy | $14.4M | $28.9M | $84.5M | 0.34 | 17,133 |
| Cancer infusion centers | $10.1M | $28.2M | $70.9M | 0.40 | 24,984 |
| Gastro intestinal services | $8.6M | $26.5M | $46.7M | 0.57 | 11,472 |
| Respiratory therapy | $12.3M | $25.9M | $121.3M | 0.21 | 3,123 |
| Offsite radiology clinicoffsite rad | $8.7M | $23.3M | $227.7M | 0.10 | 24,850 |
| Observation beds (non-distinct part | $18.3M | $48.8M | 0.37 | ||
| Electrocardiology | $7.5M | $16.1M | $114.6M | 0.14 | 3,816 |
| Ultrasound | $5.1M | $12.2M | $85.3M | 0.14 | 5,595 |
| Laboratory - pathological | $3.7M | $11.9M | $45.7M | 0.26 | 7,507 |
| Blood storing processing & trans. | $2.5M | $11.9M | $45.2M | 0.26 | 1,178 |
| Mri | $3.8M | $10M | $106M | 0.09 | 5,819 |
| Cardiac rehabilitation | $3.8M | $9.1M | $25.4M | 0.36 | 5,203 |
| Sleep lab | $6.5M | $8M | $17.3M | 0.47 | 6,907 |
| Renal dialysis | $214 | $6.3M | $21.8M | 0.29 | 660 |
| Radioisotope | $1.5M | $5.1M | $14.8M | 0.35 | 2,940 |
| Occupational therapy | $3M | $4.9M | $20.6M | 0.24 | 95 |
| Chemical dependency | $2.8M | $3.6M | $5.9M | 0.62 | 2,046 |
| Speech pathology | $1.5M | $2.5M | $5.7M | 0.44 | 412 |
| Electroencephalography | $662,667 | $2.4M | $4.5M | 0.52 | 2,706 |
| Lithotripsy | $28,409 | $829,122 | 0.03 | ||
| Surgicenter | $26,224 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $131.5M | $285M | $434.7M | 0.66 | 181,607 |
| Intensive care unit | $17.6M | $38.1M | $52.5M | 0.73 | 15,699 |
| Nursery | $24.2M | $35.7M | 0.68 | 17,808 | |
| Subprovider - irf | $7.2M | $22.4M | $47.1M | 0.48 | 28,127 |
| Neonatal intensive care unit | $9.2M | $19.3M | $37.9M | 0.51 | 11,594 |
| Coronary care unit | $7.1M | $15.2M | $13.8M | 1.10 | 6,317 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Data processing | $41.5M | $136.3M | 25,552 | ||
| Other admin and general | $64.7M | $100.3M | 71,914 | ||
| Employee benefits department | $15.4M | $82.2M | 148,171 | $104.22 | 11,084 |
| Cap rel costs-bldg & fixt | $39.5M | 1,272,285 | |||
| Pharmacy | $19.9M | $27.4M | 295,478 | $68.17 | 8,187 |
| Dietary | $11.3M | $24.1M | 247,530 | $45.06 | 10,352 |
| Nursing administration | $16.3M | $23.4M | 401,777 | $41.64 | 4,960 |
| Housekeeping | $10.9M | $23.1M | 370,700 | $30.57 | 8,636 |
| Admitting | $14.4M | $22.6M | 3,033 | ||
| Maintenance & repairs | $8.9M | $21.9M | 201,377 | $44.58 | 20,175 |
| Operation of plant | $3.1M | $21.5M | 47,538 | $65.63 | 105,130 |
| Medical records & library | $5.4M | $15.1M | 113,974 | $49.13 | 4,847 |
| Social service | $10.3M | $12M | 148,813 | $69.65 | 2,472 |
| Purchasing | $3.7M | $10.1M | 10,982 | ||
| Central services & supply | $5.5M | $8.5M | 167,922 | $33.11 | 12,501 |
| Business office | $6.7M | $6.4M | 642 | ||
| Cafeteria | $3.1M | $2.9M | 198,627 | $17.17 | 20,809 |
| Laundry & linen service | $519,640 | $936,113 | 14,000 | $37.32 | |
| Paramed education program | $117,838 | $147,811 | |||
| Cap rel costs-mvble equip | $32,831 |
Source: CMS cost report (HCRIS, Form 2552-10), report 839353, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Hoag Memorial Hospital for an inpatient stay.
1.86
Case mix index
Higher than 67% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
19.4%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
9,801
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.87 | 1.87 | 1.89 | 1.90 | 1.86 | 1.88 | 1.86 |
| Wage index | 1.275 | 1.271 | 1.277 | 1.519 | 1.451 | 1.431 | 1.399 |
| Readmissions adjustment | -0.37% | -0.62% | -0.74% | 0.00% | -0.03% | 0.00% | 0.00% |
| Value-based purchasing adjustment | +0.34% | +0.52% | +0.52% | +0.38% | -0.22% | -0.32% | +0.21% |
| Medicare inpatient stays | 8,448 | 8,448 | 8,138 | 8,404 | 9,026 | 9,430 | 9,801 |
Source: CMS IPPS final rule Impact File (FY 2027).
The officers and board members on Hoag Memorial Hospital's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 20 of 22 are shown.
Hoag Memorial Hospital Presbyterian files the Form 990 for the tax ID insurers list for Hoag Memorial Hospital, so these people may lead the wider organization rather than Hoag Memorial Hospital alone.
| Name | Title |
|---|---|
| Robert Braithwaite | President & CEO |
| Andrew Guarni | EVP And CFO |
| Jan Blue | VP Sr Chief Admin Officer |
| Rick Martin | VP Sr Patient Care Svc And CNO |
| Eric Cheung | VP Sr & Chief Legal Officer |
| Marcy Brown | VP Sr Chief Operations Officer |
| Margaret T Conk | VP Sr Chief Clinical Inst Off. |
| Martin Fee | VP Sr And Cco |
| Kris Iyer | VP Sr & Chief Phys Dev Officer |
| Sanford Smith | VP Sr Real Estate & Facilities |
| Cindy Stokke | Chair |
| Robert Brunswick | Chair-elect |
| Eric Alcouloumre MD | Secretary |
Board members: Vicki Booth, Reshma Block, Chris Callero, Dennis Gilmore, Richard Haskell MD, Paul Heeschen, Karen Linden, Debbie Margolis, Thomas Otterbein, Babak Rad MD, Jamie Shepherdson, Pamela Massey, Maricela Rios Faust, Dan Young, Shannon Eusey, Steve Pizula.
Source: IRS Form 990 Part VII filed by Hoag Memorial Hospital Presbyterian (EIN 95-1643327), via the IRS e-file data. A health system's return can cover several hospitals.
Helipad
Hoag Meml Hospital Presbyterian
FAA location ID 14CA, a medical-use heliport 0.2 mi from the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
Hoag memorial rehab unit
CCN 05T224, certified 2018, Medicare prospective payment
Source: Worksheet S-2 Part I of Hoag Memorial Hospital's latest Medicare cost report (HCRIS).
About Hoag Memorial Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Hoag Memorial Hospital range from $792 to $3,710 across 4 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $3,710. The median at nearby comparable hospitals is $975. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Hoag Memorial Hospital range from $583 to $2,127 across 4 insurers. Cigna's rate is $1,078. The median at nearby comparable hospitals is $1,393. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Hoag Memorial Hospital range from $4,880 to $18,150 across 3 insurers. Aetna's rate is $17,540. The median at nearby comparable hospitals is $4,120. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Hoag Memorial Hospital range from $13,099 to $18,444 across 2 insurers. UnitedHealthcare's rate is $13,099. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Hoag Memorial Hospital range from $148 to $490 across 4 insurers. Cigna's rate is $440. The median at nearby comparable hospitals is $327. What a patient pays depends on their plan's deductible, coinsurance and network status.
Hoag Memorial Hospital has a CMS overall hospital star rating of 5 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is the top rating, shared by 12% of US hospitals.
CMS reports no Medicare-funded interns or residents at Hoag Memorial Hospital for fiscal year 2027.
No. Hoag Memorial Hospital has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (1,082 discharges), heart failure and shock with mcc (341 discharges), respiratory infections and inflammations with mcc (269 discharges).
Hoag Memorial Hospital's Medicare case mix index is 1.86 for fiscal year 2027, higher than 67% of hospitals paid under the inpatient prospective payment system.
Hoag Memorial Hospital reported 37,448 inpatient discharges and 159,090 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Hoag Memorial Hospital reported 5,747 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Hoag Memorial Hospital reported $1.9B in net patient revenue on $7.4B of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of -2.3%, and net income of $477.3M.
Hoag Memorial Hospital reported $93.2M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $16.1M of charity care at cost.
Insurers' price transparency files list Hoag Memorial Hospital under employer identification number 95-1643327 (Hoag Memorial Hospital Presbyterian). 74 health plans and networks list 95-1643327 for it.
2,349 clinicians who bill Medicare list Hoag Memorial Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are internal medicine physician (254), family medicine physician (246), physician assistant (169).
Yes. CMS's Provider of Services file lists DNV as the accrediting organization for Hoag Memorial Hospital, effective 2022.
CMS lists 40 services at Hoag Memorial Hospital, including Acute Renal Dialysis, Alcohol and/or Drug Service, Anesthesia, Audiology, Cardiac Catheterization Lab, Cardiac Thoracic Surgery.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Hoag Memorial Hospital came from ZIP codes 92646 (1,292), 92660 (1,017), 92627 (980).
Hoag Memorial Hospital has 536 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 409 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Hoag Memorial Hospital is located at One Hoag Drive, Newport Beach, CA 92663. Its main phone number is (949) 764-4624.
Hoag Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 050224.
The National Provider Identifier (NPI) on file for Hoag Memorial Hospital is 1518951300.
Hoag Memorial Hospital is affiliated with Hoag Memorial Hospital Presbyterian.
Hoag Memorial Hospital lists 43 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
347 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers