HOAG MEMORIAL HOSPITAL PRESBYTERIAN
NEWPORT BEACH, CA 92663 · Acute Care Hospitals
180 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 26, 2026 · Methodology
Procedures Analyzed
180
With CMS pricing data
Avg Charge-to-Medicare Ratio
5.8x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Voluntary non-profit - Private
Above 90th Percentile
1%
Compared to CA hospitals
Understanding Your Costs
When you receive a bill from HOAG MEMORIAL HOSPITAL PRESBYTERIAN, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, HOAG MEMORIAL HOSPITAL PRESBYTERIAN lists chargemaster rates that average 5.8x the corresponding Medicare reimbursement amount across 180 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).
The median hospital in CA has a chargemaster-to-Medicare ratio of 6.3x, with ratios across the state ranging from 1.7x to 17.6x. At 5.8x, this facility’s average ratio is below the state median. 273 hospitals in CA report pricing data to CMS (Source: CMS IPPS Provider Summary).
The procedure with the largest gap between the listed price and Medicare reimbursement at HOAG MEMORIAL HOSPITAL PRESBYTERIAN is KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC (DRG 658). The listed chargemaster rate is $124,777, while Medicare reimburses $11,213 for the same procedure — a ratio of 11.1x (Source: CMS IPPS Provider Summary, FY2024).
What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.
1 of 180 procedures (1%) at this facility have listed rates above the 90th percentile compared to other CA hospitals reporting the same procedure data to CMS (Source: CMS IPPS Provider Summary).
HOAG MEMORIAL HOSPITAL PRESBYTERIAN is a voluntary non-profit - private acute care hospitals facility with a CMS quality rating of 5/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.
Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio
Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Procedure Pricing Lookup
Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.
| Procedure | DRG | Listed Charge | Medicare Reimb. | Ratio | State Position | |
|---|---|---|---|---|---|---|
| KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | 658 | $124,777 | $11,213 | 11.1x | 1th | Compare your bill |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $150,929 | $13,946 | 10.8x | 1th | Compare your bill |
| KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | 657 | $154,982 | $15,359 | 10.1x | 1th | Compare your bill |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $72,800 | $8,111 | 9.0x | 1th | Compare your bill |
| LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | 841 | $103,195 | $11,876 | 8.7x | 1th | Compare your bill |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | 073 | $101,157 | $11,799 | 8.6x | 1th | Compare your bill |
| HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | 354 | $112,732 | $13,853 | 8.1x | 1th | Compare your bill |
| FEVER AND INFLAMMATORY CONDITIONS | 864 | $49,151 | $6,042 | 8.1x | 1th | Compare your bill |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | 440 | $32,752 | $4,085 | 8.0x | 0th | Compare your bill |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | 328 | $96,970 | $12,125 | 8.0x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $38,995 | $4,925 | 7.9x | 1th | Compare your bill |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | 419 | $78,871 | $10,182 | 7.8x | 1th | Compare your bill |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $155,802 | $20,268 | 7.7x | 1th | Compare your bill |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | 517 | $85,450 | $11,178 | 7.6x | 1th | Compare your bill |
| PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | 406 | $184,111 | $24,617 | 7.5x | 1th | Compare your bill |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | 661 | $51,144 | $6,994 | 7.3x | 1th | Compare your bill |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $27,036 | $3,710 | 7.3x | 1th | Compare your bill |
| DYSEQUILIBRIUM | 149 | $37,862 | $5,210 | 7.3x | 1th | Compare your bill |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $41,376 | $5,752 | 7.2x | 1th | Compare your bill |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $26,057 | $3,645 | 7.2x | 1th | Compare your bill |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $59,947 | $8,382 | 7.2x | 1th | Compare your bill |
| MAJOR CHEST PROCEDURES WITHOUT CC/MCC | 165 | $105,806 | $15,021 | 7.0x | 1th | Compare your bill |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $245,029 | $35,059 | 7.0x | 1th | Compare your bill |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | 516 | $110,449 | $15,947 | 6.9x | 1th | Compare your bill |
| OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | 357 | $123,816 | $17,968 | 6.9x | 1th | Compare your bill |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | 327 | $140,082 | $20,459 | 6.8x | 1th | Compare your bill |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | 417 | $107,759 | $15,856 | 6.8x | 1th | Compare your bill |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | 438 | $103,452 | $15,227 | 6.8x | 1th | Compare your bill |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $87,404 | $12,954 | 6.8x | 1th | Compare your bill |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $311,317 | $46,759 | 6.7x | 1th | Compare your bill |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $51,410 | $7,722 | 6.7x | 1th | Compare your bill |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $37,008 | $5,589 | 6.6x | 1th | Compare your bill |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | 395 | $31,153 | $4,723 | 6.6x | 0th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $51,244 | $7,784 | 6.6x | 1th | Compare your bill |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $39,602 | $6,033 | 6.6x | 1th | Compare your bill |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $56,496 | $8,612 | 6.6x | 1th | Compare your bill |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $43,096 | $6,599 | 6.5x | 1th | Compare your bill |
| INTERSTITIAL LUNG DISEASE WITH MCC | 196 | $99,160 | $15,180 | 6.5x | 1th | Compare your bill |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $37,220 | $5,745 | 6.5x | 1th | Compare your bill |
| POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | 857 | $107,540 | $16,667 | 6.5x | 1th | Compare your bill |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $42,173 | $6,655 | 6.3x | 1th | Compare your bill |
| RENAL FAILURE WITH MCC | 682 | $76,077 | $12,059 | 6.3x | 1th | Compare your bill |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $256,533 | $40,760 | 6.3x | 1th | Compare your bill |
| OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | 206 | $40,178 | $6,394 | 6.3x | 0th | Compare your bill |
| UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | 737 | $98,701 | $15,716 | 6.3x | 0th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $83,620 | $13,377 | 6.3x | 0th | Compare your bill |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $46,947 | $7,512 | 6.3x | 1th | Compare your bill |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $100,249 | $16,119 | 6.2x | 1th | Compare your bill |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $53,826 | $8,663 | 6.2x | 1th | Compare your bill |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $116,057 | $18,701 | 6.2x | 1th | Compare your bill |
Showing 50 of 180 procedures
All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Statewide Context
Charge-to-Medicare ratio range across CA hospitals
273 hospitals in CA report pricing data to CMS. This facility's average ratio of 5.8x places it at the lower-middle range of the state range (Source: CMS IPPS Provider Summary).
What You Can Do
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How it worksData: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).
Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.
Frequently Asked Questions About HOAG MEMORIAL HOSPITAL PRESBYTERIAN
How much does HOAG MEMORIAL HOSPITAL PRESBYTERIAN charge compared to Medicare?
According to CMS IPPS data, HOAG MEMORIAL HOSPITAL PRESBYTERIAN's listed chargemaster rates average 5.8x the Medicare reimbursement amount across 180 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.
What is the most expensive procedure at HOAG MEMORIAL HOSPITAL PRESBYTERIAN?
The procedure with the highest chargemaster-to-Medicare ratio at HOAG MEMORIAL HOSPITAL PRESBYTERIAN is KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC (DRG 658), with a listed charge of $124,777 compared to Medicare reimbursement of $11,213 — a ratio of 11.1x. Source: CMS IPPS Provider Summary.
Is HOAG MEMORIAL HOSPITAL PRESBYTERIAN expensive compared to other CA hospitals?
HOAG MEMORIAL HOSPITAL PRESBYTERIAN's average chargemaster-to-Medicare ratio is 5.8x. Ratios vary significantly across CA hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.
Where does the pricing data for HOAG MEMORIAL HOSPITAL PRESBYTERIAN come from?
All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.
How can I check if my bill from HOAG MEMORIAL HOSPITAL PRESBYTERIAN is correct?
You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.
Does HOAG MEMORIAL HOSPITAL PRESBYTERIAN in NEWPORT BEACH, CA accept Medicare?
HOAG MEMORIAL HOSPITAL PRESBYTERIAN is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact HOAG MEMORIAL HOSPITAL PRESBYTERIAN directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.