Hospital · CCN 050769

Hoag Orthopedic Institute

16250 Sand Canyon Avenue, Irvine, CA 92618 · Orange County
Part of Hoag Memorial Hospital Presbyterian · 70 beds · 5
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

17 admission types 8 outpatient services

Billed per dollar paid, all admissions

4.81×

$104.4M billed against $21.7M paid across 771 Medicare discharges; the national figure is 5.03×.

—

of adults in Orange County have medical debt in collections — state bars medical debt from credit reports; the credit-bureau panel cannot see it

7.3%

uninsured in the county · state 7.5%

$110K

median household income

5.4×

billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (25 in the inpatient or outpatient file)ⓘ

23.9%

obesity in the countyⓘ

11.5%

diagnosed diabetes (PLACES)

5.5%

coronary heart disease (PLACES)

—

median age · — below poverty (ACS)

01 · Admissions

What it billed Medicare, by admission type

Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.

DRG

Admission

Discharges

Charge

Paid

Billed ÷ paid

470

Major hip and knee joint replacement or reattachment of lower extremity without mcc

303

$85,751

$17,493

4.9× st 6.4×

460

Spinal fusion except cervical without mcc

$146,728

$35,754

4.1× st 5.6×

455

Combined anterior and posterior spinal fusion without cc/mcc

$193,091

$45,261

4.3× st 5.5×

454

Combined anterior and posterior spinal fusion with cc

$279,504

$57,080

4.9× st 5.5×

483

Major joint or limb reattachment procedures of upper extremities

$147,991

$23,031

6.4× st 6.2×

468

Revision of hip or knee replacement without cc/mcc

$144,051

$25,325

5.7× st 5.8×

472

Cervical spinal fusion with cc

$127,819

$27,320

4.7× st 6.1×

522

Hip replacement with principal diagnosis of hip fracture without mcc

$100,602

$18,581

5.4× st 6.9×

467

Revision of hip or knee replacement with cc

$180,851

$35,571

5.1× st 6.1×

427

Multiple level combined anterior and posterior spinal fusion except cervical with cc

$250,722

$64,153

3.9× st 6.3×

402

Single level combined anterior and posterior spinal fusion except cervical

$201,535

$35,470

5.7× st 6.6×

469

Major hip and knee joint replacement or reattachment of lower extremity with mcc or tota

$107,989

$25,690

4.2× st 6.0×

462

Bilateral or multiple major joint procedures of lower extremity without mcc

$126,507

$27,756

4.6× st 5.7×

451

Single level spinal fusion except cervical without mcc

$131,089

$29,741

4.4× st 6.9×

473

Cervical spinal fusion without cc/mcc

$130,075

$23,076

5.6× st 7.2×

457

Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive

$233,970

$55,541

4.2× st 6.0×

520

Back and neck procedures except spinal fusion without cc/mcc

$65,024

$13,201

4.9× st 8.3×

02 · Outpatient

Outpatient services

Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.

APC

Service

Services

Charge

Allowed

Billed ÷ allowed

5115

Level 5 Musculoskeletal Procedures

1,238

$69,835

$15,979

4.4×

5116

Level 6 Musculoskeletal Procedures

252

$115,075

$22,852

5.0×

5114

Level 4 Musculoskeletal Procedures

100

$49,022

$8,721

5.6×

5431

Level 1 Nerve Procedures

$12,671

$2,374

5.3×

5072

Level 2 Excision/ Biopsy/ Incision and Drainage

—

5073

Level 3 Excision/ Biopsy/ Incision and Drainage

—

5112

Level 2 Musculoskeletal Procedures

—

5113

Level 3 Musculoskeletal Procedures

—

Sources for this hospital

the files read, as fetched — not our copy of them

Medicare Inpatient Hospitals - by Provider and Service · CMS · 2024
MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
Medicare Outpatient Hospitals - by Provider and Service · CMS · 2024
MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
AHRQ Compendium of U.S. Health Systems — hospital linkage file · AHRQ · 2023
chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
2020 ZCTA to County relationship file · US Census Bureau · 2020
tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)

Every figure on this page is computed from these files by pipeline/prices/; the same rows are in the API.

Source rows for this hospital as JSON: inpatient · outpatient. CMS, Medicare Inpatient and Outpatient Hospitals by Provider and Service, 2024.