Hoag Memorial Hospital Presbyterian
Hoag Memorial Hospital Presbyterian in Newport Beach, CA charges 5.8x the Medicare reimbursement rate across 180 analyzed procedures, reflecting significant price variation in this nonprofit healthcare facility.
Newport Beach, CA 92663 · Acute Care Hospitals · CMS Rating: 5/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
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Pricing grade
D
High
Avg markup vs Medicare
5.8x
Charge / Medicare rate
Max markup
11.13x
Worst procedure
Procedures analyzed
180
With pricing data
Outlier procedures
0.6%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | 658 | $124,777 | $62,389 | — | 11.1x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $150,929 | $75,465 | — | 10.8x |
| KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | 657 | $154,982 | $77,491 | — | 10.1x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $72,800 | $36,400 | — | 9x |
| LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | 841 | $103,195 | $51,598 | — | 8.7x |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | 073 | $101,157 | $50,578 | — | 8.6x |
| HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | 354 | $112,732 | $56,366 | — | 8.1x |
| FEVER AND INFLAMMATORY CONDITIONS | 864 | $49,151 | $24,576 | — | 8.1x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | 440 | $32,752 | $16,376 | — | 8x |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | 328 | $96,970 | $48,485 | — | 8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $38,995 | $19,497 | — | 7.9x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | 419 | $78,871 | $39,436 | — | 7.8x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $155,802 | $77,901 | — | 7.7x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | 517 | $85,450 | $42,725 | — | 7.6x |
| PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | 406 | $184,111 | $92,055 | — | 7.5x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | 661 | $51,144 | $25,572 | — | 7.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $27,036 | $13,518 | — | 7.3x |
| DYSEQUILIBRIUM | 149 | $37,862 | $18,931 | — | 7.3x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $41,376 | $20,688 | — | 7.2x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $59,947 | $29,973 | — | 7.2x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $26,057 | $13,028 | — | 7.2x |
| MAJOR CHEST PROCEDURES WITHOUT CC/MCC | 165 | $105,806 | $52,903 | — | 7x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $245,029 | $122,514 | — | 7x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | 516 | $110,449 | $55,225 | — | 6.9x |
| OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | 357 | $123,816 | $61,908 | — | 6.9x |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | 327 | $140,082 | $70,041 | — | 6.9x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | 417 | $107,759 | $53,879 | — | 6.8x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | 438 | $103,452 | $51,726 | — | 6.8x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $87,404 | $43,702 | — | 6.8x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $51,410 | $25,705 | — | 6.7x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $311,317 | $155,659 | — | 6.7x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $37,008 | $18,504 | — | 6.6x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | 395 | $31,153 | $15,576 | — | 6.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $51,244 | $25,622 | — | 6.6x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $39,602 | $19,801 | — | 6.6x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $56,496 | $28,248 | — | 6.6x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $43,096 | $21,548 | — | 6.5x |
| INTERSTITIAL LUNG DISEASE WITH MCC | 196 | $99,160 | $49,580 | — | 6.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $37,220 | $18,610 | — | 6.5x |
| POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | 857 | $107,540 | $53,770 | — | 6.5x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $42,173 | $21,087 | — | 6.3x |
| RENAL FAILURE WITH MCC | 682 | $76,077 | $38,038 | — | 6.3x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $256,533 | $128,267 | — | 6.3x |
| OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | 206 | $40,178 | $20,089 | — | 6.3x |
| UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | 737 | $98,701 | $49,350 | — | 6.3x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $83,620 | $41,810 | — | 6.3x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $46,947 | $23,474 | — | 6.3x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $100,249 | $50,124 | — | 6.2x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $116,057 | $58,028 | — | 6.2x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $53,826 | $26,913 | — | 6.2x |
Showing 50 of 180 procedures
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use