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HCHospitalCostData

Hoag Orthopedic Institute

16250 SAND CANYON AVENUE, Irvine, CA 92618

Hoag Orthopedic Institute in Irvine, CA has an average Medicare payment of $29,043 and a Value Score of F (34/100). Compare prices for 13 procedures. Based on CMS inpatient data.

Acute Care Hospitals|Proprietary|(949) 727-5000
F
Value Score
34/100
$29K
Avg Payment
Not Rated
Quality Rating
13
Procedures Priced
No
Emergency Services

About Hoag Orthopedic Institute

Hoag Orthopedic Institute does not carry an overall CMS Hospital Compare star rating — typically because the hospital is too small, too specialized, or reports too few of the underlying measures to compute the composite. Outcome measures are mixed: 0 mortality, 0 safety, and 1 readmission measures rate better than benchmark; 0 mortality, 0 safety, and 0 rate worse. The composite outcome score is 50/100.

Average payment per documented procedure at Hoag Orthopedic Institute is $29,043 — among the higher-cost facilities in the dataset. The cost-quality value composite for Hoag Orthopedic Institute is 34/100 — below average, usually reflecting either high payments without commensurate quality or weak quality measures regardless of cost.

Ownership is for-profit, which puts Hoag Orthopedic Institute in the investor-owned segment of U.S. hospitals. The category is overrepresented in some markets and absent in others, and the CMS measure set treats it identically to non-profits for reporting. 13 distinct procedures are documented in CMS payment files for Hoag Orthopedic Institute. Top examples: Heart Failure and Shock with MCC, Respiratory System Diagnosis with Ventilator Support >96 Hours, Major Hip and Knee Joint Replacement. Emergency services are not offered, which is unusual for an acute-care facility — most often reflects a specialty hospital or non-traditional inpatient model.

Source: CMS Provider Data Catalog — Hospital Compare quality measures, CMS Inpatient Payment data files.

Procedure Prices

Procedure (DRG)Total Payment
Heart Failure and Shock with MCC
DRG 291 · Cardiac
$21,896
Respiratory System Diagnosis with Ventilator Support >96 Hours
DRG 208 · Respiratory
$94,699
Major Hip and Knee Joint Replacement
DRG 470 · Orthopedic
$39,964
Intracranial Hemorrhage or Cerebral Infarction with MCC
DRG 065 · Neurological
$28,152
Cesarean Section without CC/MCC
DRG 766 · Obstetric
$14,210
Simple Pneumonia and Pleurisy with CC
DRG 194 · Respiratory
$16,897
Esophagitis, Gastroenteritis with MCC
DRG 392 · Digestive
$15,398
Cervical Spinal Fusion without CC/MCC
DRG 473 · Orthopedic
$25,517
Septicemia or Severe Sepsis without Ventilator
DRG 871 · Infectious
$27,746
Cellulitis with MCC
DRG 603 · Infectious
$19,832
Percutaneous Cardiovascular Procedure with Drug-Eluting Stent
DRG 247 · Cardiac
$36,397
Hip and Femur Procedures Except Major Joint with MCC
DRG 480 · Orthopedic
$26,282
Transient Ischemia
DRG 069 · Neurological
$10,574

Pricing data from CMS Hospital Price Transparency. Quality ratings from CMS Hospital Compare.

How Hoag Orthopedic Institute Compares

Hoag Orthopedic Institute has an average Medicare payment of $29,043, 35% above the California state average of $21,491. That is 83% higher than the national hospital average of $15,878. Most of its procedures fall under Orthopedic, where the typical payment is $26,891 (8% above this hospital's average). Its Value Score of F (34/100) reflects a blend of price percentile, CMS quality rating, and patient outcome measures.

Hoag Orthopedic Institute Cost & Quality FAQ

Hoag Orthopedic Institute has an average payment of $29,043 across 13 priced procedures. Costs vary significantly by procedure, compare individual prices in the procedure table above.

Hoag Orthopedic Institute does not currently have a CMS star rating on file. Quality measures may still be available for individual metrics like mortality and readmission rates.

Hoag Orthopedic Institute has a Value Score of F (34/100). This score combines cost efficiency, quality ratings, and patient outcomes to help compare hospitals. Proprietary facilities like this one are acute care hospitals.

Hoag Orthopedic Institute does not offer emergency services at this location. For emergencies, contact your local 911 service.

Hospital payment data reflects Medicare inpatient claims. Value Scores combine cost efficiency, CMS star ratings, and patient outcome measures. Actual out-of-pocket costs may vary based on insurance and individual circumstances.