MemorialCare Health System · Laguna Hills, CA
4 of 5
CMS star rating
248
Beds
10,953
Inpatient discharges a year
$405.7M
Net patient revenue a year
31
In-network payers
Saddleback Memorial Medical Center is a 248-bed voluntary non-profit - private hospital in Laguna Hills, CA, affiliated with MemorialCare Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 336 disclosed rate categories.
The 24 services Saddleback Memorial Medical Center 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.
Medicine & Surgery · Inpatient
MS-DRG 460
$69,384 - $120,764
from 3 insurers · median $86,381
21 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 74177
$458 - $2,956
from 4 insurers · median $1,393
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$246 - $1,880
from 4 insurers · median $993
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$2,833 - $6,708
from 4 insurers · median $3,343
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$1,480 - $3,437
from 4 insurers · median $2,241
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$2,652 - $7,419
from 4 insurers · median $3,343
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$10,461 - $22,980
from 4 insurers · median $14,454
42 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45385
$2,710 - $6,955
from 4 insurers · median $3,343
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$120 - $1,224
from 4 insurers · median $450
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$280 - $1,679
from 4 insurers · median $1,112
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$2,774 - $6,708
from 4 insurers · median $3,343
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$4,929 - $22,980
from 4 insurers · median $12,438
21 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 66984
$4,565 - $16,232
from 4 insurers · median $7,487
Typical for a hospital with this service line
Urology
CPT 50590
$7,790 - $22,420
from 4 insurers · median $14,131
64 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
CT imaging
CPT 71260
$468 - $2,882
from 4 insurers · median $1,169
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,527 - $4,299
from 4 insurers · median $3,652
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$96 - $506
from 4 insurers · median $241
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 31231
$91 - $2,833
from 4 insurers · median $1,643
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$792 - $1,129
from 3 insurers · median $975
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 49505
$3,746 - $10,628
from 4 insurers · median $6,900
16 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Ultrasound
CPT 76856
$165 - $632
from 4 insurers · median $400
Common here, based on CMS Medicare volume
Ultrasound
CPT 76705
$108 - $582
from 4 insurers · median $372
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$3,230 - $8,049
from 4 insurers · median $5,742
Typical for a hospital with this service line
Ear, nose and throat
CPT 69436
$3,212 - $7,949
from 4 insurers · median $4,418
Typical for a hospital with this service line
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* | 23 | 599% | 15 | 4 |
| Insurer B* | 24 | 306% | 11 | 10 |
| Insurer C* | 24 | 295% | 6 | 16 |
| Insurer D* | 23 | 261% | 12 | 6 |
How we chose these services: 5 appear in this hospital's own Medicare claims, 16 are common here based on CMS Medicare volume, and 3 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 Saddleback Memorial Medical Center, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
4 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$405.7M net patient revenue
Ownership and leadership
Owned by Memorial Health Services
The employer identification numbers (EINs) health plans and networks list for Saddleback Memorial Medical Center 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 |
|---|---|---|
| 95-2585792Saddleback Memorial Medical Center | 58Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), AMPS, Allied Benefit Systems and 53 more | 1275576381 Saddleback Memorial Medical Center1922048511 Saddleback Memorial Medical Center1528183167 Saddleback Memorial Medical Centerand 8 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.
24451 Health Center Drive, Laguna Hills, CA 92653
(949) 837-4500
How Saddleback Memorial Medical Center compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
4 of 5
Higher than 58% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 8 measures
0 better, 8 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
No different on 6 measures
0 better, 6 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Better on 2 of 7 measures
2 better, 5 no different, 0 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
3 of 5
Lower than 40% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
74%
Higher than 58% 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 62% 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
206 min
Higher than 84% 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 | 4 of 5 | |
| Death rates | No different on 8 measures | |
| Safety | No different on 6 measures | |
| Readmissions | Better on 2 of 7 measures | |
| Patient survey ratingCMS: Summary star rating | 3 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 74% | 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 | 206 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 Saddleback Memorial Medical Center's inpatient payments for its readmissions, quality and cost results.
-0.03% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.11% 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 Saddleback Memorial Medical Center, 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 | This hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 40 cases | 4.5 | 4.1 | 4.075 | Worse than 68% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 3,096 cases | 3.5 | 3.9 | 3.81 | Better than 74% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 112 cases | 11.2 | 11.8 | 11.57 | Better than 69% of US hospitals | |
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 · 26 cases | 2 | 2.3 | 2.379 | Better than 66% of US hospitals | |
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 92 cases | 9.2 | 8.5 | 8.235 | Worse than 68% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 330 cases | 11.3 | 11 | 10.29 | Worse than 55% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 288 cases | 15.7 | 15.2 | 14.49 | Worse than 57% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 322 cases | 12.1 | 11.6 | 11.57 | Worse than 57% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 3,414 cases | 0.19 | 0.51 | 0.4818 | No Different Than the National Rate | Better than 92% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 · 56 cases | 151 | 173 | 171 | No Different Than the National Rate | Better than 85% of US hospitals |
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 4,618 cases | 0.21 | 0.2 | 0.21 | No Different Than the National Rate | Worse than 54% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 4,715 cases | 0.26 | 0.27 | 0.261 | No Different Than the National Rate | Better than 54% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 983 cases | 1.86 | 2.29 | 2.308 | No Different Than the National Rate | Better than 92% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 374 cases | 1.88 | 1.63 | 1.668 | No Different Than the National Rate | Worse than 83% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 364 cases | 14.09 | 8.88 | 9.555 | No Different Than the National Rate | Worse than 93% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 1,071 cases | 3.39 | 3.4 | 3.521 | No Different Than the National Rate | Better than 50% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 376 cases | 5.33 | 5.105 | 5.495 | No Different Than the National Rate | Worse than 63% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 254 cases | 1.67 | 1.72 | 1.796 | No Different Than the National Rate | Better than 70% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 787 cases | 0.88 | 1.02 | 1.061 | No Different Than the National Rate | Better than 85% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | This hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 · 122 cases | -27.3 | 4.2 | 11.09 | Better than 93% of US hospitals | |
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 401 cases | -26.7 | 1.25 | 7.901 | Better than 85% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 308 cases | 19.4 | 3.85 | 16.67 | Worse than 72% 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 | Not Available | 12.91 | Number of Cases Too Small | ||
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 11.39 | Number of Cases Too Small | ||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.546 | Number of Cases Too Small | ||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 325 cases | 1 | 1 | 1.001 | No Different than expected | Worse than 32% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 222 cases | 13.8 | 14.4 | 14.43 | Better than 77% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 · 66 cases | 10 | 10.9 | 11.19 | Better than 76% of US hospitals | |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 228 cases | 19.8 | 19.8 | 19.94 | Better than 47% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 693 cases | 20.2 | 21.3 | 21.41 | Better than 83% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 30 cases | 5.2 | 5.8 | 5.612 | Better than 82% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 517 cases | 19.6 | 17.2 | 17.7 | Worse than 97% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | This 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 | 0.172 | 0.172 | 0.2347 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.838 | 1.504 | 1.834 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 6,249 | 1,370 | 5,722 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 4.441 | 0.9835 | 5.638 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 3 | 0 | 3.347 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.676 | 0.484 | 0.5696 | No Different than National Benchmark | Worse than 67% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.603 | 0.138 | 0.2147 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 3.094 | 1.392 | 1.749 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 5,835 | 1,799 | 5,308 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 4.033 | 1.377 | 6.105 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 6 | 0 | 3.273 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 1.488 | 0.399 | 0.5366 | No Different than National Benchmark | Worse than 95% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.017 | 0.2345 | 0.32 | No Different than National Benchmark | |
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.694 | 2.135 | 2.433 | No Different than National Benchmark | |
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 130 | 61 | 112 | No Different than National Benchmark | |
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 2.911 | 1.591 | 2.999 | No Different than National Benchmark | |
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 1 | 1 | 2.368 | No Different than National Benchmark | |
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | 0.344 | 0.7155 | 0.8107 | No Different than National Benchmark | Better than 73% of US hospitals |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2606 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.273 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 84 | 38 | 73.49 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.642 | 0.328 | 0.6136 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 0.5911 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 0.7863 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.025 | 0.193 | 0.3103 | No Different than National Benchmark | |
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.419 | 1.855 | 2.305 | No Different than National Benchmark | |
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 45,659 | 14,451 | 52,601 | No Different than National Benchmark | |
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 2.039 | 0.567 | 3.111 | No Different than National Benchmark | |
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 2.166 | No Different than National Benchmark | |
| MRSA Bacteremia2024-10-01 to 2025-09-30 | 0.49 | 0.597 | 0.7784 | No Different than National Benchmark | Better than 60% of US hospitals |
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.536 | 0.127 | 0.1925 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.241 | 0.747 | 0.9502 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 44,137 | 13,646 | 48,317 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 26.4 | 5.683 | 27.04 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 22 | 2 | 9.99 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.833 | 0.279 | 0.383 | No Different than National Benchmark | Worse than 91% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | This hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 1,973 cases | 74 | 73 | 72.2 | Better than 51% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 1,973 cases | 6 | 8 | 8.78 | Better than 65% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 1,973 cases | 20 | 18 | 19.02 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 1,973 cases | 89 | 87 | 86.82 | Better than 66% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 1,973 cases | 4 | 4 | 3.514 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 1,973 cases | 77 | 80 | 75.76 | Worse than 65% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 1,973 cases | 91 | 91 | 89.84 | Worse than 49% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 1,973 cases | 5 | 4 | 5.713 | Worse than 61% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 1,973 cases | 3 | 3 | 2.855 | Worse than 49% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 1,973 cases | 18 | 16 | 18.53 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 1,973 cases | 77 | 79 | 75.81 | Worse than 63% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 1,973 cases | 90 | 91 | 89.11 | Worse than 55% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 1,973 cases | 6 | 5 | 7.043 | Worse than 56% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 1,973 cases | 3 | 3 | 2.688 | Worse than 37% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 1,973 cases | 17 | 16 | 17.15 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 1,973 cases | 57 | 61 | 58.95 | Worse than 72% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 1,973 cases | 75 | 77 | 75.75 | Worse than 63% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 1,973 cases | 22 | 19 | 21.56 | Worse than 65% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 1,973 cases | 2 | 3 | 2.449 | Worse than 53% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 1,973 cases | 21 | 19 | 19.48 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 1,973 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 · 1,973 cases | 12 | 13 | 15.03 | Better than 58% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 1,973 cases | 4 | 3 | 3.08 | Better than 55% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 1,973 cases | 88 | 87 | 84.97 | Better than 58% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 1,973 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 · 1,973 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 · 1,973 cases | 72 | 74 | 70.69 | Worse than 60% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 1,973 cases | 8 | 7 | 8.855 | Worse than 63% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 1,973 cases | 20 | 19 | 20.45 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 1,973 cases | 76 | 77 | 73.94 | Worse than 57% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 1,973 cases | 6 | 6 | 7.637 | Worse than 47% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 1,973 cases | 18 | 17 | 18.43 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,973 cases | 83 | 85 | 81.99 | Worse than 66% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,973 cases | 4 | 3 | 4.958 | Worse than 51% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,973 cases | 13 | 11 | 13.06 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 1,973 cases | 8 | 8 | 10.01 | Worse than 48% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 1,973 cases | 19 | 20 | 22.36 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 1,973 cases | 73 | 72 | 67.63 | Better than 54% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 1,973 cases | 89 | 88 | 86.85 | Better than 55% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 1,973 cases | 4 | 3 | 3.047 | Better than 55% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 1,973 cases | 71 | 74 | 72.06 | Worse than 69% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 1,973 cases | 9 | 9 | 10.94 | Better than 48% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 1,973 cases | 20 | 16 | 17 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 1,973 cases | 73 | 75 | 71.11 | Worse than 60% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 1,973 cases | 6 | 5 | 7.488 | Worse than 51% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 1,973 cases | 21 | 20 | 21.4 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 1,973 cases | 73 | 77 | 72.49 | Worse than 70% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 1,973 cases | 4 | 4 | 6.121 | Better than 45% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 1,973 cases | 23 | 19 | 21.39 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,973 cases | 84 | 86 | 82.8 | Worse than 65% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,973 cases | 3 | 3 | 3.779 | Worse than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,973 cases | 13 | 11 | 13.42 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 1,973 cases | 43 | 59 | 47.5 | Worse than 93% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 1,973 cases | 20 | 9 | 17.79 | Worse than 92% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 1,973 cases | 37 | 31 | 34.71 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 1,973 cases | 72 | 82 | 74.85 | Worse than 93% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 1,973 cases | 2 | 3 | 2.203 | Worse than 76% 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 · 1,973 cases | 5 | 5 | 7.623 | Better than 45% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 1,973 cases | 74 | 71 | 68.6 | Better than 58% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 1,973 cases | 89 | 87 | 85.85 | Better than 60% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 1,973 cases | 21 | 23 | 23.77 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 1,973 cases | 4 | 4 | 3.431 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 1,973 cases | 42 | 47 | 45.33 | Worse than 76% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 1,973 cases | 34 | 30 | 32.51 | Worse than 69% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 1,973 cases | 24 | 22 | 22.16 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 1,973 cases | 3 | 3 | 2.859 | Worse than 40% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 1,973 cases | 11 | 12 | 13.94 | Better than 59% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 1,973 cases | 89 | 88 | 86.06 | Better than 59% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | This hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | 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 · 2,849 cases | 76 | 79 | 69.96 | Worse than 56% 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 · 382 cases | 208 | 154 | 187 | Worse than 82% 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 · 368 cases | 206 | 148 | 182 | Worse than 84% 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 | Not Available | 282 | |||
| 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 · 43,799 cases | 1 | 1 | 2.162 | Better than 42% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 12 cases | 75 | 74 | 75.06 | Better than 51% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 | Not Available | 92.55 | |||
| 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 | Not Available | 48.75 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 2,552 cases | 16 | 15 | 13.67 | Worse than 57% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 122 cases | 82 | 65 | 68.8 | Better than 88% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 48 cases | 90 | 73 | 76.38 | Better than 86% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 23 cases | 96 | 88 | 86.64 | Better than 78% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 123 cases | 90 | 82 | 82.89 | Better than 81% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 81 cases | 96 | 94 | 93.98 | Better than 60% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 205 cases | 97 | 98 | 93.4 | Worse than 51% 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 · 157 cases | 97 | 94 | 89.93 | Better than 73% of US hospitals | |
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 86.9 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 1,483 cases | 97 | 97 | 94.78 | Better than 45% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | This hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 8.2 | 5 | 4.959 | Worse than 78% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 7.2 | 6.6 | 8.417 | Worse than 58% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | This 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 | 1.06 | 0.99 | 1.024 | Worse than 82% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | This hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 30 | 20 | 30.07 | Better than 68% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 7.5 | 5 | 7.571 | Better than 68% 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 | 39 | 34 | 28.67 | Better than 59% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 9.75 | 8.75 | 7.519 | Better than 58% 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 | 30.58 | 29.5 | 30.43 | Better than 54% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 34 | 31.67 | 34 | 28 | 34 | 30 |
| VBP clinical outcomes weighted domain score | 8.5 | 7.917 | 8.5 | 7 | 8.5 | 7.5 |
| VBP efficiency and cost reduction domain score | 0 | Not Available | 0 | 0 | 0 | 0 |
| VBP efficiency and cost reduction weighted domain score | 0 | Not Available | 0 | 0 | 0 | 0 |
| VBP person and community engagement domain score | 15 | Not Available | Not Available | 13 | 15 | 39 |
| VBP person and community engagement weighted domain score | 3.75 | Not Available | Not Available | 3.25 | 3.75 | 9.75 |
| VBP safety domain score | 28 | Not Available | Not Available | 18 | 24 | 53.33 |
| VBP safety weighted domain score | 7 | Not Available | Not Available | 4.5 | 6 | 13.33 |
| VBP total performance score | 19.25 | Not Available | Not Available | 14.75 | 18.25 | 30.58 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | This hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 · 141 cases | 0.9637 | 0.9995 | 1.015 | Better than 74% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | 1.022 | 1 | 1.005 | Worse than 58% of US hospitals | |
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 93 cases | 0.999 | 0.9969 | 1.002 | Worse than 52% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 391 cases | 0.9266 | 0.9983 | 1.017 | Better than 89% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9788 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 295 cases | 0.9781 | 0.9955 | 1.026 | Better than 62% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 0.9508 | 0.9252 | 0.9051 | 0.9571 | 0.9311 | 0.9637 |
| READM-30-CABG-HRRP | 0.9167 | 0.9222 | N/A | 1.076 | 1.029 | 1.022 |
| READM-30-COPD-HRRP | 0.9951 | 1.027 | 0.9885 | 0.9722 | 0.9572 | 0.999 |
| READM-30-HF-HRRP | 0.8396 | 0.868 | 0.9258 | 0.9407 | 0.9648 | 0.9266 |
| READM-30-HIP-KNEE-HRRP | 0.9758 | 0.9216 | 0.9051 | N/A | N/A | N/A |
| READM-30-PN-HRRP | 0.954 | 0.9708 | 0.9722 | 0.9401 | 0.8967 | 0.9781 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | This hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.89 | 0.489 | 0.6114 | Worse than 82% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.531 | 0.346 | 0.449 | Worse than 75% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.463 | 0.559 | 0.679 | Better than 60% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0.511 | 0.6405 | 0.7204 | Better than 63% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.9894 | 0.9628 | 0.9656 | Worse than 62% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.434 | 0.7945 | 0.8116 | Better than 74% of US hospitals | |
| Total HAC scoreFY 2026 | -0.0013 | -0.0453 | 0.02733 | Worse than 53% 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 | -0.0308 | -0.1152 | 0 | 0.2661 | 0.1834 | -0.0013 |
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.
The Joint Commission (since 1985)
Accreditation
None
Medical school affiliation
Private (not for profit)
Ownership type
325
Medicare-certified beds
225
Registered nurses (full-time equivalent)
1974
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Saddleback Memorial Medical Center reported to Medicare in its latest cost report, covering Jul 1, 2024 to Jun 30, 2025.
10,953
Inpatient discharges
Medicare 23%, Medicaid 1%
46,522
Inpatient days
51% of available bed days used
1,390
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 825103). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Saddleback Memorial Medical Center reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 10,809 | 911 | 34,802 | 46,522 |
| Discharges | 2,475 | 148 | 8,330 | 10,953 |
| Average length of stay | 4.4 days | 6.2 days | 4.2 days | 4.2 days |
| Average daily census | 29.6 | 2.5 | 95.3 | 127.5 |
16,193
Medicare Advantage days
3,641 discharges
4,077
Medicaid managed care days
870 discharges
3,578
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 207 | 35,265 | 9,083 | 47% |
| Intensive care unit | 22 | 6,415 | 1,726 | 80% |
| Other special care | 19 | 1,694 | 24% | |
| Nursery | 3,148 |
Source: CMS cost report (HCRIS, Form 2552-10), report 825103, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Saddleback Memorial Medical Center treats Medicare patients for most often, in 2024. 1,525 Medicare discharges in 51 published DRGs; 16% surgical; 73% 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 | 238 | $142,850 | $16,313 | $24,713 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 137 | $95,834 | $10,708 | $16,579 | 1.28 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 68 | $79,591 | $7,571 | $13,769 | 1.03 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 67 | $119,831 | $13,613 | $20,731 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 43 | $98,340 | $10,301 | $17,013 | 1.23 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 41 | $60,544 | $6,067 | $10,474 | 0.81 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 39 | $73,505 | $8,100 | $12,716 | 0.98 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 39 | $81,850 | $12,358 | $14,160 | 1.65 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 37 | $118,674 | $9,887 | $20,531 | 1.33 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 37 | $127,834 | $14,753 | $22,115 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 37 | $70,566 | $6,131 | $12,208 | 0.79 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 33 | $111,901 | $17,136 | $19,359 | 2.07 |
| Renal failure with CCMS-DRG 683, medical | 30 | $67,497 | $7,136 | $11,677 | 0.90 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 29 | $85,660 | $7,564 | $14,819 | 1.02 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 29 | $117,726 | $28,687 | $20,367 | 3.24 |
| Renal failure with MCCMS-DRG 682, medical | 29 | $109,805 | $12,419 | $18,996 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 28 | $61,721 | $8,971 | $10,678 | 1.17 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 27 | $121,916 | $9,089 | $21,091 | 1.10 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 27 | $164,127 | $15,745 | $28,394 | 1.59 |
| Cellulitis without MCCMS-DRG 603, medical | 27 | $52,499 | $7,046 | $9,082 | 0.88 |
See all 51 Medicare inpatient DRGs at Saddleback Memorial Medical Center
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) Saddleback Memorial Medical Center billed Medicare for most in 2024: 1,719 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 438 | 415 | $41,531 | $2,669 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 221 | 196 | $12,841 | $1,513 | $1,220 |
| Level 1 Endovascular ProceduresAPC 5191 | 142 | 142 | $30,513 | $2,837 | $2,208 |
| Level 3 Endovascular ProceduresAPC 5193 | 105 | 90 | $65,392 | $11,870 | $8,874 |
| Level 3 Vascular ProceduresAPC 5183 | 82 | 73 | $25,850 | $3,083 | $2,405 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 79 | 74 | $109,777 | $27,129 | $21,117 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 74 | 73 | $44,851 | $11,474 | $8,569 |
| Level 4 Urology and Related ServicesAPC 5374 | 64 | 55 | $34,715 | $3,414 | $2,629 |
| Level 2 Endovascular ProceduresAPC 5192 | 62 | 56 | $32,198 | $5,599 | $4,338 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 55 | 55 | $77,810 | $14,516 | $10,772 |
See all 26 Medicare outpatient services at Saddleback Memorial Medical Center
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 Saddleback Memorial Medical Center 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 5,243 in 2020 to 6,034 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 92637 | 1,404 | 23% | 5,971 | $175.1M | 54% | 61% |
| 92630 | 921 | 15% | 3,880 | $118.4M | 45% | 53% |
| 92653 | 423 | 7% | 1,732 | $51.6M | 43% | 52% |
| 92691 | 423 | 7% | 1,941 | $59.5M | 27% | 34% |
| 92692 | 373 | 6% | 1,506 | $46.5M | 21% | 26% |
| 92677 | 344 | 6% | 1,340 | $42.3M | 16% | 20% |
| 92656 | 336 | 6% | 1,441 | $43.7M | 35% | 44% |
| 92675 | 217 | 4% | 1,054 | $33.4M | 16% | 18% |
| 92688 | 182 | 3% | 862 | $24.7M | 25% | 28% |
| 92679 | 136 | 2% | 637 | $21.3M | 20% | 21% |
| 92672 | 129 | 2% | 471 | $17.1M | 11% | 15% |
| 92673 | 97 | 2% | 376 | $12.9M | 11% | 17% |
| 92629 | 96 | 2% | 405 | $13.4M | 9% | 14% |
| 92694 | 94 | 2% | 358 | $11.9M | 12% | 15% |
| 92618 | 71 | 1% | 304 | $9M | 10% | 10% |
| 92604 | 70 | 1% | 285 | $8.8M | 9% | 7% |
| 92620 | 62 | 1% | 291 | $8.8M | 6% | 6% |
| 92651 | 62 | 1% | 214 | $6.9M | 7% | 10% |
| 92610 | 51 | 1% | 302 | $9.9M | 26% | 44% |
| 92624 | 46 | 1% | 146 | $5.1M | 15% | 18% |
| 92660 | 32 | 1% | 160 | $8.9M | 2% | 1% |
| 92612 | 30 | 0% | 102 | $3.6M | 4% | 5% |
| 92627 | 29 | 0% | 118 | $4.3M | 2% | |
| 92646 | 28 | 0% | 117 | $5.1M | 1% | 1% |
| 92708 | 26 | 0% | 81 | $3.3M | 1% | 1% |
Source: CMS Hospital Service Area file. Shares are of the 6,034 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 Saddleback Memorial Medical Center reported at its latest Medicare certification survey (1984). Counts are people, not full-time equivalents.
32
Rehabilitation unit beds
225
Registered nurses
7
Licensed practical nurses
11
Pharmacists
13
Physical therapists
4
Occupational therapists
2
Social workers
529
Other personnel
Source: CMS Provider of Services file.
724 clinicians who bill Medicare list Saddleback Memorial Medical Center 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.
Kenneth Martinez, M.D.
Neurology Physician
NPI 1093825259
See commercial rates for Kenneth Martinez, M.D.Duc Pham, MD
Internal Medicine Physician
NPI 1689615221
See commercial rates for Duc Pham, MDSherif Rezk, M.D.
Anatomic Pathology & Clinical Pathology Physician
NPI 1457557324
See commercial rates for Sherif Rezk, 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, MDZorawar Noor, M.D., M.H.S.
Hematology & Oncology Physician
NPI 1376802843
See commercial rates for Zorawar Noor, M.D., M.H.S.Dean Le, M.D.
Neurology Physician
NPI 1982627089
See commercial rates for Dean Le, M.D.Janine Jensen, M.D.
Gynecology Physician
NPI 1912081134
See commercial rates for Janine Jensen, M.D.Howard Cheng, M.D.
Hematology & Oncology Physician
NPI 1366435299
See commercial rates for Howard Cheng, M.D.Peyman Salimi-Tari, M.D.
Specialist
NPI 1639238371
See commercial rates for Peyman Salimi-Tari, M.D.Rita Ellithorpe, M.D.
General Practice Physician
NPI 1306848809
See commercial rates for Rita Ellithorpe, M.D.Jacqueline Malekirad, M.D.
Hematology & Oncology Physician
NPI 1972892750
See commercial rates for Jacqueline Malekirad, M.D.Robert Feldman, M.D.
Geriatric Medicine (Internal Medicine) Physician
NPI 1194805416
See commercial rates for Robert Feldman, M.D.Ku-Juey Raymond Chang, M.D.
Endocrinology, Diabetes & Metabolism Physician
NPI 1689611337
See commercial rates for Ku-Juey Raymond Chang, M.D.Josh Randall, MD
Urology Physician
NPI 1912962614
See commercial rates for Josh Randall, MDBrian Chavez, M.D.
Endocrinology, Diabetes & Metabolism Physician
NPI 1215974969
See commercial rates for Brian Chavez, M.D.Sam Pourbabak, MD
Endocrinology, Diabetes & Metabolism Physician
NPI 1043271018
See commercial rates for Sam Pourbabak, MDAlan Schenk, M.D.
Rheumatology Physician
NPI 1265426183
See commercial rates for Alan Schenk, M.D.Amol Rao, M.D.
Hematology & Oncology Physician
NPI 1689871154
See commercial rates for Amol Rao, M.D.Reza Allamehzadeh, M.D
Internal Medicine Physician
NPI 1467606053
See commercial rates for Reza Allamehzadeh, M.DJack Jacoub, M.D.
Hematology & Oncology Physician
NPI 1528016318
See commercial rates for Jack Jacoub, M.D.Konstantinos Melahoures, M.D.
Internal Medicine Physician
NPI 1598939472
See commercial rates for Konstantinos Melahoures, M.D.Ali Tabatabai, M.D.
Specialist
NPI 1528098423
See commercial rates for Ali Tabatabai, M.D.Marlene Yacoob, MD
Family Medicine Physician
NPI 1568480218
See commercial rates for Marlene Yacoob, 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 Saddleback Memorial Medical Center reported to Medicare for Jul 1, 2024 to Jun 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $2.4B | 592.2% |
| Inpatient | $1.3B | 328.1% |
| Outpatient | $1.1B | 264.1% |
| Contractual allowances and discounts | -$2B | -492.2% |
| Net patient revenue | $405.7M | 100.0% |
| Operating expenses | -$433.2M | -106.8% |
| Operating income from patient care | -$27.5M | -6.8% |
| Other income | $47M | 11.6% |
| Contributions and donations | $4.2M | 1.0% |
| Investment income | $170,382 | 0.0% |
| Other | $42.6M | 10.5% |
| Net income | $19.4M | 4.8% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $395.3M | 16.5% |
| Medicaid (including managed care) | $191M | 8.0% |
| Other payers and self-pay | $1.8B | 75.6% |
| Total charges | $2.4B | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 825103, 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 Saddleback Memorial Medical Center's latest cost report.
-6.8%
Operating margin
Operating income from patient care / net patient revenue
4.3%
Total margin
Net income / net patient revenue plus other income
7.2%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
46% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$54.58
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
2.3%
Return on assets
Net income for a year / total assets
2.6%
Return on equity
Net income for a year / fund balance
10.12
Current ratio
Current assets / current liabilities
0.91
Quick ratio
Cash, temporary investments and net receivables / current liabilities
1 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
53 days
Days in patient receivables
Net patient receivables / daily net patient revenue
57 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.54
Asset turnover
Total revenue for a year / total assets
26.2 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 825103, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Saddleback Memorial Medical Center owned and owed at the end of its reporting period (Jun 2025), across all fund types: $842.8M in total assets and a $744.7M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $1.1M | 0.1% |
| Patient receivables, net | $58.6M | 7.0% |
| Inventory | $4.5M | 0.5% |
| Total current assets | $664.7M | 78.9% |
| Property and equipment, net of depreciation | $148.5M | 17.6% |
| Investments and other assets | $29.6M | 3.5% |
| Total assets | $842.8M | 100.0% |
| Current liabilities | $65.7M | 7.8% |
| Total liabilities | $98.1M | 11.6% |
| Fund balance (net assets) | $744.7M | 88.4% |
Source: CMS cost report (HCRIS, Form 2552-10), report 825103, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Saddleback Memorial Medical Center provided without full payment, as reported on Worksheet S-10 of its cost report.
$4.1M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$7.4M
Bad debt
Patient bills written off as uncollectible, at charges
$16.1M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$21.5M
Total unreimbursed and uncompensated care
5.0% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
$70,582
Government grants and appropriations
Government grants or transfers supporting hospital operations
Source: CMS cost report (HCRIS, Form 2552-10), report 825103, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Saddleback Memorial Medical Center's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Jun 2020 | Jun 2021 | Jun 2022 | Jun 2023 | Jun 2024 | Jun 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $335.5M | $344.3M | $375.5M | $369.5M | $390.6M | $405.7M |
| Operating expenses | $362.1M | $378.3M | $403.5M | $423.8M | $429.5M | $433.2M |
| Operating margin | -7.9% | -9.9% | -7.5% | -14.7% | -10.0% | -6.8% |
| Net income | $20.5M | $19.8M | $31.2M | $23.3M | $35.5M | $19.4M |
| Total assets | $703.1M | $753.4M | $765.4M | $776.5M | $816.5M | $842.8M |
| Discharges | 11,543 | 10,884 | 10,905 | 11,080 | 11,146 | 10,953 |
| Inpatient days | 45,817 | 43,626 | 46,935 | 47,780 | 47,317 | 46,522 |
| Medicare Advantage days | 12,738 | 13,010 | 15,002 | 16,218 | 15,089 | 16,193 |
| Beds | 248 | 248 | 248 | 248 | 248 | 248 |
| Employees (FTE) | 1,260 | 1,261 | 1,256 | 1,346 | 1,401 | 1,390 |
Source: CMS cost report (HCRIS, Form 2552-10), report 825103, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Saddleback Memorial Medical Center 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 |
|---|---|---|---|---|---|
| Operating room | $9.3M | $33.6M | $204.6M | 0.16 | 36,526 |
| Impl. dev. charged to patients | $30.5M | $80.8M | 0.38 | ||
| Medical supplies charged to patient | $23.8M | $44.9M | 0.53 | 825 | |
| Emergency | $8.3M | $19.3M | $219.9M | 0.09 | 15,476 |
| Drugs charged to patients | $18.6M | $76.4M | 0.24 | 427 | |
| Laboratory | $6.1M | $18.1M | $226.3M | 0.08 | 10,945 |
| Clinic | $5.8M | $15.1M | $118.7M | 0.13 | 14,661 |
| Cardiac catheterization | $3.4M | $12M | $105.7M | 0.11 | 2,675 |
| Delivery room & labor room | $8.1M | $30.4M | 0.27 | 11,656 | |
| Radiology-diagnostic | $2.5M | $7.7M | $49.6M | 0.16 | 10,050 |
| Observation beds (non-distinct part | $7.7M | $37.9M | 0.20 | ||
| Respiratory therapy | $3.9M | $7.6M | $20.1M | 0.38 | 1,810 |
| Physical therapy | $3.2M | $6.5M | $22.3M | 0.29 | 6,989 |
| Radiology-therapeutic | $2.5M | $6.5M | $103M | 0.06 | 6,468 |
| Recovery room | $3.3M | $6.1M | $31.1M | 0.20 | 1,268 |
| Electrocardiology | $2.5M | $5.7M | $52.5M | 0.11 | 4,080 |
| Ct scan | $1.7M | $4M | $213.2M | 0.02 | 1,295 |
| Blood storing processing & trans. | $535,500 | $3.6M | $13.8M | 0.26 | |
| Mri | $1M | $3M | $73M | 0.04 | 560 |
| Cardiac rehabilitation | $561,205 | $2.4M | $5.6M | 0.43 | 6,737 |
| Laboratory - pathological | $662,836 | $1.7M | $12.5M | 0.14 | 1,434 |
| Ultra sound | $745,084 | $1.5M | $26.2M | 0.06 | |
| Renal dialysis | $219 | $1.4M | $4.7M | 0.31 | |
| Gastro intestinal services | $542,633 | $1.4M | $5.2M | 0.26 | 1,200 |
| Radioisotope | $434,755 | $1.2M | $6M | 0.21 | 848 |
| Occupational therapy | $749,300 | $1.2M | $6.6M | 0.18 | |
| Speech pathology | $497,579 | $838,526 | $8M | 0.10 | |
| Electroencephalography | $81,559 | $1.4M | 0.06 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $41.2M | $83.7M | $400.8M | 0.21 | 75,246 |
| Intensive care unit | $8.6M | $22.2M | $119.5M | 0.19 | 17,406 |
| Neonatal intensive care unit | $3M | $6.5M | $38.2M | 0.17 | 1,905 |
| Nursery | $3.9M | $13.9M | 0.28 | 2,833 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $17.6M | $81.4M | 355,256 | $49.41 | 29,597 |
| Employee benefits department | $599,853 | $22.4M | 13,209 | $45.41 | 2,642 |
| Operation of plant | $985,498 | $11.3M | 18,730 | $52.62 | 14,102 |
| Cap rel costs-bldg & fixt | $9.8M | 353,943 | |||
| Pharmacy | $5.1M | $5.7M | 74,309 | $68.96 | 2,727 |
| Housekeeping | $3.2M | $4.7M | 122,390 | $25.87 | 1,201 |
| Maintenance & repairs | $1.1M | $4.6M | 25,055 | $45.05 | 2,081 |
| Nursing administration | $3.6M | $4.4M | 55,958 | $64.01 | 2,299 |
| Central services & supply | $1.9M | $3.3M | 64,404 | $29.57 | 4,812 |
| Cap rel costs-mvble equip | $3.3M | ||||
| Dietary | $1.2M | $1.8M | 43,598 | $27.65 | 12,630 |
| Laundry & linen service | $254,808 | $1.4M | 10,151 | $25.10 | 1,193 |
| Cafeteria | $1.4M | $1.2M | 50,961 | $27.65 | 4,725 |
| Social service | $858,968 | $1M | 15,005 | $57.25 | 175 |
| Medical records & library | $546,002 | $674,223 | 14,505 | $37.64 | 12,844 |
Source: CMS cost report (HCRIS, Form 2552-10), report 825103, 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 Saddleback Memorial Medical Center for an inpatient stay.
1.92
Case mix index
Higher than 72% 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).
16.0%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
2,486
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 | 1.82 | 1.82 | 1.97 | 2.05 | 1.95 | 1.92 | 1.92 |
| Wage index | 1.275 | 1.271 | 1.277 | 1.519 | 1.451 | 1.431 | 1.399 |
| Readmissions adjustment | -0.16% | 0.00% | -0.05% | 0.00% | -0.10% | -0.04% | -0.03% |
| Value-based purchasing adjustment | -0.60% | -0.77% | -0.76% | -0.50% | -0.60% | -0.37% | +0.11% |
| Medicare inpatient stays | 2,794 | 2,794 | 2,468 | 2,353 | 2,460 | 2,488 | 2,486 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Saddleback Memorial Medical Center reports to Medicare as owners or with operational control.
Memorial Health Services
5% or greater direct ownership interest, since 1969
Sources: CMS Hospital All Owners.
The officers and board members on Saddleback Memorial Medical Center'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 16 of 18 are shown.
Helipad
Saddleback Meml Medical Center
FAA location ID CA68, a medical-use heliport at the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
Hospice of saddleback valley
CCN 051595, certified 1992
Source: Worksheet S-2 Part I of Saddleback Memorial Medical Center's latest Medicare cost report (HCRIS).
About Saddleback Memorial Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Saddleback Memorial Medical Center range from $792 to $1,129 across 3 insurers. UnitedHealthcare's rate is $792. The median at nearby comparable hospitals is $1,660. 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 Saddleback Memorial Medical Center range from $458 to $2,956 across 4 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $2,956. The median at nearby comparable hospitals is $1,445. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Saddleback Memorial Medical Center range from $2,652 to $7,419 across 4 insurers. Cigna's rate is $3,141. The median at nearby comparable hospitals is $3,738. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Saddleback Memorial Medical Center range from $120 to $1,224 across 4 insurers. UnitedHealthcare's rate is $120. The median at nearby comparable hospitals is $284. What a patient pays depends on their plan's deductible, coinsurance and network status.
Saddleback Memorial Medical Center has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.
CMS reports no Medicare-funded interns or residents at Saddleback Memorial Medical Center for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Saddleback Memorial Medical Center's base inpatient payments by an estimated 0.03% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (238 discharges), heart failure and shock with mcc (137 discharges), septicemia or severe sepsis without mv >96 hours without mcc (68 discharges).
Saddleback Memorial Medical Center's Medicare case mix index is 1.92 for fiscal year 2027, higher than 72% of hospitals paid under the inpatient prospective payment system.
Saddleback Memorial Medical Center reported 10,953 inpatient discharges and 46,522 inpatient days from Jul 1, 2024 to Jun 30, 2025.
Saddleback Memorial Medical Center reported 1,390 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.
Saddleback Memorial Medical Center reported $405.7M in net patient revenue on $2.4B of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of -6.8%, and net income of $19.4M.
Saddleback Memorial Medical Center reported $21.5M of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025, including $4.1M of charity care at cost.
Saddleback Memorial Medical Center's Medicare enrollment lists Shela Kaneshiro as Chief Executive Officer since 2025.
Insurers' price transparency files list Saddleback Memorial Medical Center under employer identification number 95-2585792 (Saddleback Memorial Medical Center). 58 health plans and networks list 95-2585792 for it.
724 clinicians who bill Medicare list Saddleback Memorial Medical Center as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are internal medicine physician (131), family medicine physician (123), obstetrics & gynecology physician (43).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Saddleback Memorial Medical Center, effective 1985.
In its Medicare enrollment, Saddleback Memorial Medical Center reports Memorial Health Services as 5% or greater direct ownership interest.
CMS lists 15 services at Saddleback Memorial Medical Center, including Acute Renal Dialysis, Clinical Laboratory, Coronary Care Unit, Diagnostic Radiology, Emergency Department, Nuclear Medicine.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Saddleback Memorial Medical Center came from ZIP codes 92637 (1,404), 92630 (921), 92653 (423).
Saddleback Memorial Medical Center has 248 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 325 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Saddleback Memorial Medical Center is located at 24451 Health Center Drive, Laguna Hills, CA 92653. Its main phone number is (949) 837-4500.
Saddleback Memorial Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 050603.
The National Provider Identifier (NPI) on file for Saddleback Memorial Medical Center is 1275576381.
Saddleback Memorial Medical Center is affiliated with MemorialCare Health System.
Saddleback Memorial Medical Center lists 31 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.
336 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